Ischemic cerebrovascular disease in children is relatively rare. To clarify the clinical features of ischemic stroke occurring in infants and children, we evaluated 54 cases of cerebral infarction, excluding cases of moyamoya disease, in patients less than 16 years old at 24 clinics in the Tohoku (northeast) district of Japan. We observed two incidence peaks, one in little children and the othe...

Ischemic stroke is a syndrome, and the optimal use of an¬ tithrombotic therapies in patients at risk for ischemic stroke is guided by the specific pathogenesis (Figs 1 and 2). Patients with increased risk for ischemic stroke can be identified (Table 1). Atherosclerosis of arteries, large and small, supplying the brain is the most common cause of is¬ chemic stroke in North America and Europe. At...

CONTEXT The Systolic Hypertension in the Elderly Program (SHEP) demonstrated that treating isolated systolic hypertension in older patients decreased incidence of total stroke, but whether all types of stroke were reduced was not evaluated. OBJECTIVE To investigate antihypertensive drug treatment effects on incidence of stroke by type and subtype, timing of strokes, case-fatality rates, strok...

BACKGROUND Conflicting data exists regarding the effect of hemispheric lateralization on acute ischemic stroke outcome. Some of this variability may be related to heterogeneous study populations, particularly with respect to the level of arterial occlusion. Furthermore, little is known about the relationship between stroke lateralization and predictors of outcome. The purpose of this study was ...

OBJECTIVE To report the very early magnetic resonance imaging features of eclampsia. DESIGN Case report. SETTING Inpatient neurology service. PATIENT A 35-year-old woman who developed late postpartum eclampsia with cerebral edema, caudate hemorrhage, and ischemic strokes. Main Outcome Measure Very early magnetic resonance imaging features. RESULTS Magnetic resonance imaging with gadolin...

troke due to intracranial hemorrhage (ICH) carries a igher morbidity and mortality than ischemic stroke, and it as been estimated that among persons 45 to 64 years of ge, 8% to 12% of ischemic strokes and 37% to 38% of emorrhagic strokes result in death within 30 days (1). The isk of ICH is increased among patients receiving heparin or arfarin, and the mortality of anticoagulant-associated ICH ...

Approximately 40% of ischemic strokes have no clearly definable etiology and are termed cryptogenic strokes. Patent foramen ovale, a small communication between the left and right atria, is considered to be a risk factor for cerebral embolism. In this study, we report the case of a 29-year-old woman with diagnosis of ischemic stroke due to patent foramen ovale who has undergone percutaneous end...

The mean percentage of cryptogenic strokes among ischemic strokes is 31%, of which one-third may be associated with patent foramen ovale. The foramen ovale is required for blood flow through the fetal atrial septum. It is formed as of the fourth week of gestation, and this leads to right-left interatrial shunt that allows the passage of oxygenated blood to systemic circulation. In 75% of cases,...

OBJECTIVE Intake of fruits and vegetables and levels of serum carotenoids have been associated with decreased risk of stroke, but the results have been inconsistent. The aim of the present study was to examine whether serum concentrations of major carotenoids, α-tocopherol and retinol, are related to any stroke and ischemic stroke in men. METHODS The study population consisted of 1,031 Finnis...