Publications by authors named "J A Smaal"

Article Synopsis
  • Cognitive disorders typically develop slowly due to chronic neurodegenerative diseases, but rapid progression may indicate treatable conditions requiring quick diagnosis.
  • A 68-year-old man presented with a few weeks of worsening cognitive impairment; MRI scans revealed specific brain changes leading to diagnosis and treatment for neurolues after initial misdiagnosis of herpesencephalitis and autoimmune encephalitis.
  • The case highlights the challenges in diagnosing neurolues, which can mimic other conditions, emphasizing the need for timely recognition to avoid lasting harm.
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A man in his early 40s was referred to the neurology department with headache, hemianopsia and a palpable fluctuating mass on the back of his head. Investigations revealed a right-sided parieto-occipital mass with involvement of dura, bone and subcutaneous tissue. After debulking, pathological examination revealed a primary high-grade glioma with sarcomatoid features and a small-cell component.

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Background And Purpose: Acute ischemic stroke due to large vessel occlusion is uncommon in young adults. We assessed stroke cause in young patients and compared their outcomes after endovascular thrombectomy with older patients.

Methods: We used data (March 2014 until November 2017) of patients with an anterior circulation large vessel occlusion stroke from the MR CLEAN (Multicenter Randomized Controlled Trial of Endovascular Treatment for Acute Ischemic Stroke in the Netherlands) Registry, a nationwide, prospective study on endovascular thrombectomy in the Netherlands.

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Background: Atrial fibrillation is an important risk factor for ischemic stroke, and is associated with an increased risk of poor outcome after ischemic stroke. Endovascular thrombectomy is safe and effective in acute ischemic stroke patients with large vessel occlusion of the anterior circulation. This meta-analysis aims to investigate whether there is an interaction between atrial fibrillation and treatment effect of endovascular thrombectomy, and secondarily whether atrial fibrillation is associated with worse outcome in patients with ischemic stroke due to large vessel occlusion.

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