- Diffusion Tensor Imaging Correlates with the Clinical Assessment of Disease Severity in Cervical Spondylotic Myelopathy and Predicts Outcome following Surgery
The relationship between DTI findings and clinical severity of cervical myelopathy due to spondylosis was studied in 30 patients. Low fractional anisotropy correlated with initial clinical assessments and patients with high FA showed better outcome. T2 signal intensity was associated with functional status but did not predict outcome whereas degree of stenosis lacked correlation with all clinical parameters. Thus, DTI may be a useful diagnostic tool for assessing disease severity in these patients and its predictive value regarding postoperative outcome may improve surgical decision making.
- Microcatheter to Recanalization (Procedure Time) Predicts Outcomes in Endovascular Treatment in Patients with Acute Ischemic Stroke: When Do We Stop?
This study addresses the relationship among procedure time, recanalization, and clinical outcomes in patients with acute ischemic stroke undergoing endovascular treatment. Demographics, NIHSS scores before and 1 day after the procedure, and modified Rankin Scale scores were assessed in 209 patients. Patients with procedure times ≤30 minutes had lower rates of unfavorable outcome at discharge compared with patients with procedure times ≥30 minutes. Rates of favorable outcomes in endovascularly treated patients after 60 minutes were lower than rates observed with placebo treatment. Unfavorable outcome was positively associated with age, admission NIHSS strata, and longer procedure times.
- Prospective Comparison of Angio-Seal versus Manual Compression for Hemostasis after Neurointerventional Procedures under Systemic Heparinization
This article addresses the utility of Angio-Seal versus manual hemostasis in anticoagulated patients following neurointerventional procedures. In a study of 174 punctures, 104 were closed with Angio-Seal and the rest with manual compression. All patients had activated clotting time values between 250–500 seconds at the time of closure. Mean hemostasis times were significantly longer with manual compression and hematomas 3 times more common. Using Angio-Seal led to arterial occlusion in 1 patient who was successfully revascularized. Thus, Angio-Seal is fast and effective in this setting.
AJNR Awards, New Junior Editors, and more. Read the latest AJNR updates
Improved Turnaround Times | Median time to first decision: 12 days