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Cerebral infarction presenting with bilateral sudden deafness as the primary symptom: a case report.
J Int Med Res
December 2024
Department of Otorhinolaryngology Head and Neck Surgery, Western Theater Air Force Hospital of PLA, Chengdu, China.
The current case report presents a rare occurrence of cerebral infarction with bilateral sudden deafness as the primary symptom. The patient was a 59-year-old man with hypertension who tested positive for new coronary antibodies and had a long history of smoking and alcohol consumption. Despite receiving treatment for sudden deafness, the patient's condition rapidly deteriorated and he was diagnosed with basilar artery occlusion and stenosis.
View Article and Find Full Text PDFNavigating the Rare and Dangerous: Successful Clipping of a Superior Cerebellar Artery Aneurysm Against the Odds of Uncontrolled Hypertension.
J Clin Med
December 2024
Department of Neurosurgery "Carol Davila", University of Medicine and Pharmacy, 020021 Bucharest, Romania.
: Superior cerebellar artery (SCA) aneurysms are exceedingly rare, posing unique diagnostic and management challenges due to their complex anatomical location within the posterior circulation. The proximity of the SCA to vital structures, such as the brainstem and cerebellum, along with the significant role of poorly controlled hypertension in aneurysm formation, further complicates treatment. This case aims to highlight the surgical approach and management strategies employed in treating a rare SCA aneurysm in a patient with longstanding hypertension.
View Article and Find Full Text PDFEffective Strategies and a Ten-Point Plan for Cardio-Kidney-Metabolic Health in Croatia: An Expert Opinion.
J Clin Med
November 2024
Division of Metabolic Diseases, University Hospital Center Zagreb, 10000 Zagreb, Croatia.
Article Synopsis
- Cardiovascular diseases (CVD) are the top cause of illness and death globally, including in Croatia, often linked to shared risk factors across multiple health disorders.
- The emerging concept of cardio-renal-metabolic (CKM) syndrome highlights the interconnectedness of heart, kidney, and metabolic health, emphasizing the need to include brain health in patient care.
- A group of experts aims to incorporate CKM health into a national strategy for preventing chronic diseases, particularly CVD, by creating mandatory guidelines based on professional recommendations.
Large-scale brainstem neuroimaging and genetic analyses provide new insights into the neuronal mechanisms of hypertension.
HGG Adv
December 2024
Norwegian Centre for Mental Disorders Research (NORMENT), Division of Mental Health and Addiction, Oslo University Hospital and University of Oslo, 0424 Oslo, Norway; Section for Precision Psychiatry, Division of Mental Health and Addiction, Oslo University Hospital, 0424 Oslo, Norway; Center for Precision Psychiatry, Division of Mental Health and Addiction, Institute of Clinical Medicine, University of Oslo, 0424 Oslo, Norway.
While brainstem regions are central regulators of blood pressure, the neuronal mechanisms underlying their role in hypertension remain poorly understood. Here, we investigated the structural and genetic relationships between global and regional brainstem volumes and blood pressure. We used magnetic resonance imaging data from n=32,666 UK Biobank participants, and assessed the association of volumes of the whole brainstem and its main regions with blood pressure.
View Article and Find Full Text PDFNeurological Pupil Index and Intracranial Hypertension in Patients With Acute Brain Injury: A Secondary Analysis of the ORANGE Study.
JAMA Neurol
December 2024
School of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
Importance: Invasive intracranial pressure (ICP) is the standard of care in patients with acute brain injury (ABI) with impaired consciousness. The Neurological Pupil Index (NPi) obtained by automated pupillometry is promising for noninvasively estimating ICP.
Objectives: To evaluate the association between repeated NPi and invasive ICP values.
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