scholarly journals UJI VALIDITAS SIRIRAJ STROKE SCORE, ALGORITMA STROKE GADJAH MADA, SKOR STROKE NUARTHA TERHADAP COMPUTERIZED TOMOGRAPHY SCAN KEPALA DALAM MENENTUKAN JENIS STROKE PADA FASE AKUT

2020 ◽  
Vol 5 (2) ◽  
pp. 9
Author(s):  
Trisna Lestari ◽  
Yuli Artini ◽  
Farida Noor ◽  
Ariebuana Permanaputra ◽  
Claranur Ramadani
Keyword(s):  
Emergency Room ◽  
Computerized Tomography ◽  
Cause Of Death ◽  
Hemorrhagic Stroke ◽  
Surgical Intervention ◽  
Vascular Disorder ◽  
Brain Disorder ◽  
Global Brain ◽  
The Brain ◽  
Tomography Scan

Stroke is a syndrome that is characterized by sudden functional focal and global brain disorder that develops very quickly lasting more than 24 hours (unless there is surgical intervention or bringing death) caused by vascular disorder in the brain (Gofir, 2009). Stroke is the number one cause of serious disability settled worldwide. Stroke is also a leading cause of death worldwide. This research had 87 sample, consisting of 50 men and 37 women. The study was done using patient suspect stroke that enter the emergency room. The analysis result was nuartha’s stroke score has the highest sensitivity and specificity compared to Siriraj Stroke Score and Gadjah Mada Stroke Score. The sensitivity of the Nuartha Stroke Score in diagnosing non hemorrhagic stroke was 94,87 and with a specificity of 94.12%. Whereas for  diagnosing hemorrhagic stroke, nuartha stroke score has a sensitivity of 94,12% and specificity of 94.87%. With an accuracy of 94.64%  

scholarly journals Profil Pasien Stroke Hemoragik yang Dirawat di ICU RSUP Prof. Dr. R.D. Kandou Manado Periode Desember 2014 sampai November 2015

e-CliniC ◽  
2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Maria Estefina Siwi ◽  
Diana Lalenoh ◽  
Harold Tambajong
Keyword(s):  
Mortality Rate ◽  
Blood Vessels ◽  
Medical Record ◽  
Cause Of Death ◽  
Cerebral Edema ◽  
Hemorrhagic Stroke ◽  
Stroke Mortality ◽  
Probability Sampling ◽  
The Brain ◽  
Very High

Abstract: Hermorrhagic stroke is a disease caused by rupture of blood vessels of the brain that causes bleeding intro the brain parenchym tissue, cerebrospinal space around the brain or combination of both. Cause of death from hemorrhagic stroke is presence of complications or other comorbodities, like cerebral edema were reported the highest cause of death of hemorrhagic stroke. This study aimed to determine the profile of patients with hemorrhagic stroke in ICU, using descriptive retropective method. The samples were Prof. Dr. R.D. Kandou Manado ICU’s patients with hemorrhagic stroke based on the data in the medical record from December 2014 – November 2015. Hemorrhagic stroke mortality rate is very high (89%). From total 35 samples were examined, there 4 survivors (11%) and 31 deaths (89%), which consisted of 24 males (69%) and 11 females (31%). Most patients are 45-59 years old.Keywords: hemorrhagic stroke, ICUAbstrak: Stroke hemoragik adalah penyakit yang disebabkan oleh pecahnya pembuluh darah otak yang menyebabkan keluarnya darah ke jaringan parenkim otak, ruang serebrospinalis disekitar otak atau kombinasi keduanya. Penyebab kematian dari stroke hemoragik sendiri adalah adanya komplikasi atau penyakit penyerta lainnya, salah satu contohnya yaitu edema serebri yang dilaporkan merupakan penyebab kematian terbanyak. Penelitian ini bertujuan untuk mengetahui profil pasien stroke hemoragik yang dirawat di ICU RSUP Prof. Dr. R.D. Kandou Manado, menggunakan metode penelitian deskriptif retrospektif. Besar sampel ditentukan dengan metode non probability sampling yaitu purposive sampling. Sampel penelitian adalah pasien ICU RSUP Prof. Dr. R.D. Kandou Manado dengan diagnosa stroke hemoragik berdasarkan data di bagian Rekam Medik periode Desember 2014 sampai November 2015. Angka mortalitas stroke hemoragik sangatlah tinggi (89%). Total 35 sampel yang diteliti dengan 4 orang yang selamat (11%) dan 31 orang meninggal dunia (89%), terdiri dari 24 orang laki-laki (69%) dan 11 orang perempuan (31%). Sebagian besar adalah pasien umur 45-59 tahun.Kata kunci: stroke hemoragik, ruang rawat intensif

Computerized Tomography Scan of the Brain in a Community Study of Neurological Impairment in Kenya

2007 ◽  
Vol 22 (1) ◽  
pp. 26-32 ◽  
Author(s):  
P.W. Njuguna ◽  
V. Mungala-Odera ◽  
W.K. Chong ◽  
R.A. Meehan ◽  
C.R.J.C. Newton
Keyword(s):  
Computerized Tomography ◽  
Neurological Impairment ◽  
Community Study ◽  
The Brain ◽  
Tomography Scan

Focal histiocytosis X of the parietal lobe

1980 ◽  
Vol 52 (3) ◽  
pp. 431-433 ◽  
Author(s):  
Arfa Khan ◽  
John D. Fulco ◽  
Ashok Shende ◽  
Alan Rosenthal ◽  
Joseph A. Marc
Keyword(s):  
Computerized Tomography ◽  
Parietal Lobe ◽  
Histiocytosis X ◽  
Review Of The Literature ◽  
Content Type ◽  
The Brain ◽  
Tomography Scan ◽  
Space Occupying Lesion ◽  
Fine Print

✓ The authors describe a case of histiocytosis X of the parietal lobe presenting as a space-occupying lesion on a computerized tomography scan of the brain. The clinical, radiographic, and therapeutic aspects of the case are discussed. A brief review of the literature is presented.

Stroke Epidemiology and Impact

2017 ◽  
Author(s):  
Virginia J Howard
Keyword(s):  
United States ◽  
Cause Of Death ◽  
Cerebrovascular Accident ◽  
Respiratory Diseases ◽  
Hemorrhagic Stroke ◽  
The United States ◽  
Common Type ◽  
Stroke Epidemiology ◽  
The Brain ◽  
Brain Ischemic Stroke

A cerebrovascular accident or stroke is an acute disease of blood vessels of the brain. Ischemic stroke is the most common type of stroke, estimated to be about 87% of all strokes. Ten percent are estimated to be intracerebral hemorrhagic stroke (ICH), and 3% subarachnoid hemorrhagic stroke (SAH). Stroke remains the fourth leading cause of death in the United States in 2012, only surpassed by diseases of the heart, cancer, and chronic lower respiratory diseases. Stroke is the 2nd leading cause of death worldwide. This chapter examines the epidemiology and impact of stroke in the United States and globally.

scholarly journals A Rare Case of Fatal Hemorrhagic Stroke in a Young Female with Early Mixed Connective Tissue Disease

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
James R. Agapoff IV
Keyword(s):  
Magnetic Resonance ◽  
Connective Tissue ◽  
Connective Tissue Disease ◽  
Computerized Tomography ◽  
Mixed Connective Tissue Disease ◽  
Rare Case ◽  
Hemorrhagic Stroke ◽  
Parietal Lobe ◽  
Connective Tissue Diseases ◽  
The Brain

Mixed connective tissue disease (MCTD) often presents as a slow progressive illness with low morbidity and mortality. Serious central nervous system disease is uncommon, and fatal outcomes are rarely seen. Here, we report a rare case of fatal hemorrhagic stroke in a 43-year-old female with a rapidly progressive MCTD. She presented to primary care with a history of headaches, visual disturbances, and unprovoked lower extremity swelling and pain. A rheumatological workup showed positive antinuclear (ANA) and ribonucleoprotein (RNP) antibodies. Magnetic resonance imaging (MRI) found a 12 mm hemorrhage along a cortical sulcus of the right frontal lobe, and a follow-up magnetic resonance angiography (MRA) and ophthalmological exam showed no definitive signs of vasculitis. Over the course of her workup, she developed swollen hands, Raynaud’s syndrome, myalgias, and synovitis characteristic of evolving MCTD. The patient then began to experience severe headaches over one month. Repeat MRI was ordered, but never completed, and the patient presented to the emergency department (ED) with a severe, right-sided headache, and left-sided visual disturbance. In the ED, she began to display evidence of delirium and seizure activity and became unresponsive. A computerized tomography scan (CT) of the brain showed a right parietal lobe intraparenchymal hemorrhage approximately 5 × 3 × 5 cm in size with secondary mass effect including mid- and hind-brain herniation. Computerized tomography angiography (CTA) of the brain showed signs of large vessel vasculitis. A craniectomy was performed; however, the patient never regained consciousness and died several days later. Vasculitis, while rare in connective tissue diseases, should be aggressively assessed for and managed in patients with any early signs and symptoms of cerebrovascular involvement to prevent fatal outcomes.

scholarly journals Computerized Tomography of the Brain for Elderly Patients Presenting to the Emergency Room with Acute Confusion State in Eastern Nepal

2018 ◽  
Vol 1 (2) ◽  
pp. 95-100
Author(s):  
Shakuntala Kumari ◽  
B.K. Rai ◽  
R. Bhandari ◽  
S.N. Gupta ◽  
K. Ahmed
Keyword(s):  
Elderly Patients ◽  
Emergency Room ◽  
Ct Scan ◽  
Computerized Tomography ◽  
Hemorrhagic Stroke ◽  
Cerebral Atrophy ◽  
Neurological Deficits ◽  
Limb Weakness ◽  
Cross Sectional ◽  
Acute Confusion

Background: Acute confusion is a common reason for presentation of elderly patients to the emergency which may be of neurological or non-neurological origin. Computerized tomography (CT) scans are often routinely ordered to investigate the cause. Objective: To determine the usefulness of CT scan brain in confused elderly patients. Methods: A cross-sectional observational study was conducted in emergency room (ER) of B. P. Koirala Institute of Health Sciences over a period of 6 months in 84 patients above the age of 65 years who had CT scan brain done in view of acute confusion. They were reviewed for symptoms, indications of CT scan and presence of focal neurological deficits (FND). Results: Among patients presenting in confusion and with loss of consciousness or limb weakness, CT scan was abnormal in 90% and 92% cases respectively (p <0.05) whereas those presenting with fever, cough, headache, dizziness, seizure in confusion also had abnormal CT but was statistically not significant (p> 0.05). Out of 84 elderly cases of acute confusion, 52 had FND and the remaining 32 cases were without FND. Among those with FND, 40% and 46% cases had features of ischemic and hemorrhagic stroke respectively. Among the 32 without FND, 66% patients had normal scan and 38% had cerebral atrophy. In patients with Glasgow Coma Scale (GCS) < 9 with FND, 75% had CT scan suggestive of hemorrhagic stroke whereas those with GCS> 13 with FND, 57% and 29% cases had ischemic and hemorrhagic stroke respectively. Conclusion: CT scan brain for confused elderly should be advised for those with focal neurological symptoms and may be suggested in cases of head trauma or alleged history of fall irrespective of GCS and symptomatology.

Thrombolysis in Arterial Occlusion

1999 ◽  
Vol 82 (S 01) ◽  
pp. 109-111 ◽  
Author(s):  
Raymond Verhaeghe
Keyword(s):  
Clinical Practice ◽  
Thrombolytic Therapy ◽  
Hemorrhagic Stroke ◽  
Surgical Intervention ◽  
Bypass Graft ◽  
Surgical Techniques ◽  
Arterial Occlusion ◽  
Second Step ◽  
Severe Bleeding ◽  
Initial Management

SummaryIntra-arterial thrombolytic therapy has replaced systemic intravenous infusion of thrombolytic agents as a treatment modality for arterial occlusion in the limbs. Several catheter-guided techniques and various infusion methods and schemes have been developed. At present there is no scientific proof of definite superiority of any agent in terms of efficacy or safety but clinical practice favours the use of urokinase or alteplase. Studies which compared thrombolysis to surgical intervention suggest that thrombolytic therapy is an appropriate initial management in patients with acute occlusion of a native leg artery or a bypass graft. Underlying causative lesions are treated in a second step by endovascular or open surgical techniques. Severe bleeding is the most feared complication: the risk of hemorrhagic stroke is 1-2%.

scholarly journals The unbalanced reorganization of weaker functional connections induces the altered brain network topology in schizophrenia

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Rossana Mastrandrea ◽  
Fabrizio Piras ◽  
Andrea Gabrielli ◽  
Nerisa Banaj ◽  
Guido Caldarelli ◽  
...  
Keyword(s):  
Resting State ◽  
Functional Organization ◽  
Functional Integration ◽  
Brain Network ◽  
Modular Organization ◽  
Node Degree ◽  
Imaging Data ◽  
Brain Disorder ◽  
Functional Connections ◽  
The Brain

AbstractNetwork neuroscience shed some light on the functional and structural modifications occurring to the brain associated with the phenomenology of schizophrenia. In particular, resting-state functional networks have helped our understanding of the illness by highlighting the global and local alterations within the cerebral organization. We investigated the robustness of the brain functional architecture in 44 medicated schizophrenic patients and 40 healthy comparators through an advanced network analysis of resting-state functional magnetic resonance imaging data. The networks in patients showed more resistance to disconnection than in healthy controls, with an evident discrepancy between the two groups in the node degree distribution computed along a percolation process. Despite a substantial similarity of the basal functional organization between the two groups, the expected hierarchy of healthy brains' modular organization is crumbled in schizophrenia, showing a peculiar arrangement of the functional connections, characterized by several topologically equivalent backbones. Thus, the manifold nature of the functional organization’s basal scheme, together with its altered hierarchical modularity, may be crucial in the pathogenesis of schizophrenia. This result fits the disconnection hypothesis that describes schizophrenia as a brain disorder characterized by an abnormal functional integration among brain regions.

Hyperthermia catheter implantation and therapy in the brain

1990 ◽  
Vol 72 (6) ◽  
pp. 975-979 ◽  
Author(s):  
J. Alexander Marchosky ◽  
Christopher J. Moran ◽  
Neal E. Fearnot ◽  
Charles F. Babbs
Keyword(s):  
Computerized Tomography ◽  
Malignant Gliomas ◽  
Twist Drill ◽  
Ct Scanner ◽  
Tumor Blood Flow ◽  
Content Type ◽  
Catheter Implantation ◽  
Computer Controlled ◽  
Drill Holes ◽  
The Brain

✓ For the treatment of malignant gliomas, a technique for implanting hyperthermia catheters was developed that utilized a stereotactic template and head-stabilization frame mounted on a computerized tomography (CT) scanner. Computerized tomography scans were used to measure tumor dimensions and to determine the number, implantation depths, and active heating lengths of the catheters, which were implanted through twist-drill holes while the patient was in the CT room. Heat was subsequently delivered via implanted catheters using a computer-controlled hyperthermia system, which partially compensates for heterogeneous and time-varying tumor blood flow.

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