Publications by authors named "R A Libman"

Cerebrospinal fluid (CSF) fistulas have recently been recognized as a cause of spontaneous intracranial hypotension (SIH), predominantly presenting with headaches, especially positional headaches. Atypical presentations like tinnitus and cranial nerve symptoms have also been reported. SIH has been linked to venous sinus thrombosis; however, to our knowledge, no prior cases describe a CSF venous fistula causing SIH that leads to cerebral venous thrombosis and coma.

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Introduction: Flow augmentation is the mainstay treatment for moyamoya disease as hemodynamic failure is believed to be the dominant mechanism. We aimed to investigate the mechanisms of stroke in moyamoya disease by assessing the relationship between infarction patterns and quantitative magnetic resonance angiography flow state.

Methods: A retrospective study of adult patients with suspected MMD who presented with MRI confirmed acute ischemic stroke predating or following QMRA by a maximum of six months between 2009 and 2021 was conducted.

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Article Synopsis
  • Tenecteplase is being adopted as a primary treatment for acute ischemic stroke due to its proven safety and effectiveness, resulting in increased research publications on the topic.
  • A study used Scopus to analyze 2683 references on tenecteplase, focusing on research trends, leading authors, and impactful journals in stroke treatment.
  • Findings revealed that ischemic stroke research is prominent, particularly in the U.S., with significant focus on areas like perfusion imaging, while the European Heart Journal and Stroke emerged as top journals in tenecteplase research.
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