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  • ISSN: 2334-2307
    Volume 7, Issue 4
    Short Communication
    Erzsebet Balogh* and Eva Feketene Szabo
    Impaired coordination caused by cerebral, cerebellar or spinal impairment, with hypoxic or genetic causes, answer to the Peto’s conductive education quite fair. It might mean the most favorable facilitation for developmental processes and by the so called structural cerebellar reserve or by extra-cerebellar parts of the brain.
    Narges Karimi and Athena Sharifi-Razavi*
    Reported frequency of embolic stroke of undetermined source (ESUS) ranged from 7-33%. An estimated annual stroke recurrence risk in these patients is 2.3–6.8 % and, mortality rate is 5.2%. There is no documented data about ESUS frequency and the recurrence rate in Asia. Present study aimed to demonstrate, the incidence and recurrence rate of ESUS. We analyzed the ESUS subgroup data form TOSSI study and fallow them after 1 year by telephone call. All thromboembolic event including ischemic stroke, transient ischemic attack, myocardial infarction, pulmonary thromboemboli and deep vein thrombosis and all deaths was recorded. The rate of ESUS was 42.77%, higher than even reported data. ESUS recurred in 12.12% of patients during 1 year follow up. The annual mortality rate was 8.45%. In Conclusion, incidence, recurrence and mortality rate of ESUS in Iran is higher than international reported rates.
    Beatriz Kinjo*, Juan José Mezzadri, Lourdes Molina, Daniel Gestro, Pablo Jalón, and María de Lourdes Figuerola
    Chiari type I malformation (CM1) is characterized by the caudal displacement of the cerebellar tonsils in a cone-shaped projection through the foramen magnum into the cervical spinal canal. Headache is the most common and at times only symptom. In a patient with headaches, neuroimages may be necessary to rule out a secondary cause of the pain. If CM1 is found on imaging studies, headache is generally attributed to the malformation and the patient is referred to the neurosurgeon for surgical intervention. Although headache is the most common symptom of CM1, the malformation is often an incidental finding in a pain study and there is no causal relation between both entities. Therefore, in an interdisciplinary approach, the Departments of Neurology and Neurosurgery evaluated those patients with headache and evidence of CM1 on brain magnetic resonance imaging (MRI), as part of the surgical work-up to characterize the type of pain and thereby to determine the most appropriate therapeutic approach. The results showed that in 85% of the patient’s headache was not secondary to CM1, and surgical resolution was no longer an option in these cases.
    Review Article
    Tiffany Brown and Robin L. Brey*
    Ischemic stroke in young adults is a challenge globally and a potential source of major morbidity. Antiphospholipid Syndrome (APS) is a risk factor for stroke at any age, but particularly so in young adults. Young adults with APS have a higher risk for recurrent stroke and other vascular events. Here we review the current literature regarding APS and its impact on stroke in young adults. Primary and secondary stroke prevention is also discussed.
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