stupor/infarction

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[Bithalamic infarcts as the etiology of acute stupor. Early diagnosis with diffusion-weighted MRI].

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Fast diagnostic evaluation of somnolent or unconscious patients is a demanding task for neurologists. Apart from postictal, metabolic, and toxic causes, vascular syndromes must be rapidly identified in order to initiate a specific fibrinolytic therapy. Given its high mortality if not treated in

Cerebellar infarcts and hemorrhages.

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Cerebellar infarction accounts for about 3.4% of all ischemic strokes. Cerebellar syndromes are principally characterized by cerebellar symptoms and signs which depend on the involved vascular territories. In the Perugia Stroke Registry, infarct areas have included the superior cerebellar artery

Spontaneous infarction in pituitary tumors: neurologic and therapeutic aspects.

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In addition to progressive endocrine dysfunction and progressive visual loss, pituitary neoplasms may annouce their presence by the more catastrophic alternative of spontaneous tumor infarction. In two patients reported, illness due to the spontaneous infraction of pituitary tumors was heralded by

Fatal or severely disabling cerebral infarction during hospitalization for stroke or transient ischemic attack.

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Six (1%) of 578 patients admitted for cerebral infarction or transient ischemic attack (TIA) suffered a fatal or severely disabling in-hospital cerebral infarction following a period of stabilization or improvement lasting more than 1 day. These infarctions were characterized by the sudden onset of

Hemorrhagic infarction: risk factors, clinical and tomographic features, and outcome. A case-control study.

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A radiological diagnosis of hemorrhagic infarction (HI) was made in 41 of 2726 cases with cerebrovascular lesions (1.9%). The clinical records of the cases and those of 82 age- and gender-matched subjects with ischemic infarction were examined, and notes of the principal risk factors of

Clinical and neuroradiological analysis of thrombotic and embolic cerebral infarction.

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The clinical and neuroradiological characteristics of cerebral thrombosis and cerebral embolism were established in 109 cases with nonembolic and 120 cases with embolic arterial occlusion of the brain. Cases with cerebral thrombosis due to occlusion of perforating branches were excluded from the

Atypical megadolichoectasia manifesting as brain infarction rapidly followed by fatal subarachnoid hemorrhage.

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A 71-year-old female, without medical or family history for cerebrovascular disease, presented with basilar and bilateral carotid dolichoectasia manifesting as dysarthria and hemisensory disturbance, which resolved spontaneously within a day. She suffered brainstem infarction 28 months later,

Post mortem detection of early myocardial infarction by determination of the tissue K+/Na+ ratio.

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The K+/Na+ ratio was determined in myocardial specimens obtained post mortem from a total of 90 patients. The ratio was 1.0 or higher 25 cases in which there was firm evidence against myocardial infarction, and 0.7, or less in 30 cases with grossly visible signs of myocardial narcosis. The remaining

Postoperative stupor and coma.

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OBJECTIVE To identify predictive factors for postoperative coma or stupor and to examine the value of neuroimaging techniques in elucidating structural brain damage. METHODS We performed a case-control study of surgical patients admitted to a Mayo Clinic-affiliated hospital. We studied preoperative

[Blepharospasm caused by bilateral paramedian thalamic infarction].

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A 67 year-old woman developed a small infarct in the superficial anterior territory of the left middle cerebral artery, then 2 other successive infarcts in the left then right thalamic paramedian territories. Left thalamic infarct was associated with right hemiparesis and speech disorders of the

Cerebral infarction in a 24-year-old pilot.

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Ischemic stroke is a rare event in young adults. We report on a 24-yr-old pilot with cerebral infarction of undetermined etiology, temporally associated with chain smoking. The patient exhibited dysphasia, stupor (confused consciousness), and right facial-nerve palsy. Computed-tomography revealed a

Targeting apoptotic pathways in myocardial infarction: attenuated by phytochemicals.

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Myocardial infarction (MI) is an insidious disease, gently spreading in developed and developing countries. MI is the consequence of hypoxia in myocardial tissue, which may lead to apoptosis, narcosis and followed by cardiac cell death. Activation of apoptotic pathways during MI is frequently

Brainstem infarcts as an early manifestation of Streptococcus anginosus meningitis.

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OBJECTIVE Vasculitis and infarcts are well-established sequelae of bacterial meningitis. However, early large-vessel involvement is rare, particularly within the brainstem. There has been one previous case report of a young male who presented with pontine infarct as an early manifestation of

Catatonia following biparietal infarction with spontaneous recovery.

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We describe a case of catatonic stupor following simultaneous biparietal infarction. The patient recovered, a result not previously described in catatonia caused by this pattern of cerebral infarct.

Sequential development of cardiac tamponade and subacute stent thrombosis after primary percutaneous coronary intervention for acute ST-segment elevation myocardial infarction: A case report.

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A 42-year-old male suffered from ST elevation myocardial infarction and underwent successful percutaneous coronary intervention (PCI) of the left anterior descending coronary artery (LAD) with drug-eluting stent using intravenous glycoprotein IIB/IIIa inhibitor (Clotinab^®, Isu Abxis).

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