Reliability and validity of the Turkish version of the Danish Prostatic Symptom Score to assess lower urinary tract symptoms in stroke patients.

Background: Lower urinary tract dysfunction (LUTD) is one of the most frequently encountered problems in stroke.OBJECTİVE:To assess the validity and reliability of the Turkish Danish Prostatic Symptom Score (DAN-PSS) in stroke patients with LUTD.

Methods: A total of 50 patients were included in the study.

Cognitive Decline in Patients with Leukoaraiosis Within 5 Years after Initial Stroke.

Background: Leukoaraiosis (LA) is closely associated with cognitive deficits. The association between LA and cognitive disorders, such as mild cognitive impairment (MCI) and dementia, after initial stroke has not been systematically studied. In this study, we sought to identify whether LA contributes to the occurrence of certain type of cognitive disorders after initial stroke.

Association of leukoaraiosis with stroke recurrence within 5 years after initial stroke.

Background: Leukoaraiosis (LA) is closely associated with stroke. Despite the fact that LA has consistently been shown to predict development of recurrent stroke, prior studies on the association of LA and stroke subtypes have been unsatisfactory. In this study, we sought to identify whether LA contributes to the recurrence of certain subtypes of stroke at long term.

Association of baseline dyslipidemia with stroke recurrence within five-years after ischemic stroke.

Background And Purpose: The association between dyslipidemia (DL) and stroke recurrence is unclear, but may be influenced by different subtypes of stroke. This study aims to explore whether DL contributes to the recurrence of certain subtypes of ischemic stroke.

Methods: Data from the Ege Stroke Registry was examined, and five-years follow-up data for stroke recurrence was analyzed.

Hyposchematia without spatial neglect in 2 patients with lesions involving the insula.

Background: : Hyposchematia is a rare variant of aschematia in which patients underestimate the size of part or all of their body. The term also describes an abnormality in drawing tasks, in which patients underestimate the size of 1 side of an image and draw it too small. Little is known about the neuroanatomy of the syndrome.

Clinical spectrum of pontine infarction. Clinical-MRI correlations.

We sought clinical and radiological findings of 150 consecutive patients with acute isolated pontine infarct who were admitted to our Stroke Unit over 6 years. In all patients CT, MRI and magnetic resonance angiography (MRA) were performed during the hospitalization. On clinico-radiological analysis regarding the pontine lesion boundaries there were five main clinical patterns that depended on the constant territories of intrinsic pontine arteries: (1).

Spectrum of anterior cerebral artery territory infarction: clinical and MRI findings.

To evaluate and review the clinical spectrum of anterior cerebral artery (ACA) territory infarction, we studied 48 consecutive patients who admitted to our stroke unit over a 6-year period. We performed magnetic resonance imaging (MRI) and magnetic resonance angiography (MRA) in all patients, and diffusion magnetic resonance imaging (DWI) in 21. In our stroke registry, patients with ACA infarction represented 1.

Detection of microembolic signals in patients with neuropsychiatric lupus erythematosus.

The pathogenesis of central nervous system involvement in systemic lupus erythematosus (SLE) is not completely understood. In this study, we investigated the association of microembolic signals (MES) with a variety of neuropsychiatric SLE manifestations and compared our results with those from SLE patients without neuropsychiatric lupus and normal controls. Fifty-three patients with SLE (45 females and 8 males), all fulfilling the revised classification criteria for SLE, and 50 control subjects (44 females and 6 males) were enrolled in this study.

Microembolus detection in patients with Takayasu's arteritis.

Background And Purpose: Takayasu's arteritis (TA) is a chronic inflammatory disease of unknown etiology that can affect the aorta and its branches. The cerebral ischemia in TA can be caused by a variety of mechanisms, and the focus of this study is to detect the possible contribution of microembolus in the pathogenesis of stroke.

Methods: Eighteen patients with TA according to the criteria for the classification of TA of the American College of Rheumatology and 100 age-matched healthy controls were studied.

Microembolic signal detection in patients with symptomatic and asymptomatic lone atrial fibrillation.

Background And Purpose: There are few data on the occurrence of microembolic signals (MES) in patients with lone atrial fibrillation (LAF). The aim of this work was to systematically study the frequency of MES in patients with symptomatic and asymptomatic LAF and to compare it with that of nonvalvular atrial fibrillation (NVAF).

Methods: 37 consecutive acute stroke patients with LAF, 10 asymptomatic patients with LAF and 100 age-matched healthy controls were studied.

Microembolic signals in patients undergoing coronary artery bypass grafting. Effect of aortic atherosclerosis.

The aim of this prospective study was to determine whether aortic atherosclerotic plaques are associated with increased frequency of microembolic signals and stroke in patients who undergo coronary artery bypass grafting. A total of 69 such patients were monitored by transcranial Doppler ultrasonography for 30 minutes before and after surgery. To our knowledge, this study is the 1st in which in vivo pathologic analysis of aortic plaques was systematically performed-and microembolic signals monitored-before and after open-heart surgery.

Visuospatial stimulus-bound automatic writing behavior: a right hemispheric stroke syndrome.

Three cases of visuospatial stimulus-bound automatic writing behavior were identified among 80 patients (4%) with acute right cerebral hemispheric stroke. All cases had similar clinical characteristics and writing behavior, and visuospatial stimulus-bound automatic writing was related to visually perceived letters. This syndrome might be specific for right hemispheric stroke and might be included among other hypergraphic syndromes attributable to right hemispheric damage.

Bilateral thalamic infarction. Clinical, etiological and MRI correlates.

To determine clinical, behavioral, topographic and etiological patterns in patients with simultaneous bilateral thalamic infarction in varied thalamic artery territories, we studied 16 patients who were admitted to our stroke unit over a 7-year period. Patients with bithalamic infarction represented 0.6% of our registry which included 2,750 ischaemic stroke patients.

Transcranial Doppler detection of microembolic signals in patients with Behçet's disease.

We evaluated the prevalence of microembolic signals (MES) in patients with Behçet's disease (BD). We also attempted to determine the frequency of MES in BD patients with or without neurological involvement. This study enrolled 55 patients fulfilling the diagnostic criteria of International Study Group for BD.

Pontine anosognosia for hemiplegia.

Four patients had anosognosia for hemiplegia (AHP) as a manifestation of pontine infarction in the mediolateral region. Patients with AHP syndrome had no mental and neuropsychologic disturbances, and all had involvement of the medial or lateral part of the pons (medial or lateral pontine reticular nuclei). Brainstem lesions, which activate frontoparietosubcortical areas, may be a critical factor in the development of AHP syndrome.

Associated exploratory-motor and perceptual-sensory neglect without hemiparesis.

Four of 688 consecutive patients with right hemisphere ischemic stroke showed acute associated exploratory-motor and perceptual-sensory neglect without hemiparesis (AMSNWH). All cases had anterior cortical and posterior cortical infarctions in which motor strip and corticospinal pathways were spared. Acute AMSNWH is highly suggestive of embolic infarction in the anterior and posterior pial artery territories.

Acute caudate vascular lesions.

Background And Purpose: We sought to evaluate demographic features, risk factors, clinical profiles, and behavioral abnormalities in patients with caudate lesion, either with infarct or with hemorrhage involving the caudate nucleus.

Methods: We studied all patients with acute caudate stroke confirmed by CT or MRI who were admitted to our stroke unit over a 5-year period. A database containing risk factors, clinical features, type and mechanism of stroke, and caudate vascular territories was analyzed.

[Callosal infarction after bilateral occlusion of the internal carotid arteries with hemineglect syndrome and astasia-abasia].

We report a patient who had a callosal infarct, showed by Computer Tomography and Magnetic Resonance Imaging, without injury to the adjacent hemispheres. Angiography revealed an occlusion of both internal carotid arteries. Besides interhemispheric disconnection with unilateral left agraphia, left tactile anomia, left ideomotor apraxia and left ear auditivoverbal extinction, the patient showed signs of left hemineglect and astasia-abasia, both persistent.