Many clinicians would agree that a vegetative outcome is a fate worse than death after a severe traumatic brain injury （TBI）. In an effort to avoid poor outcomes of this nature, neurotrauma practitioners draw from t...Many clinicians would agree that a vegetative outcome is a fate worse than death after a severe traumatic brain injury （TBI）. In an effort to avoid poor outcomes of this nature, neurotrauma practitioners draw from their training and experience to make the monumental decision of when to recommend against aggressive care in severe TBI patients. Such judgements are,展开更多
We report on silent brain infarction (SBI) and leuko- araiosis (LA) of 23 patients with clinically diagnosed “first-ever” acute ischemic lacunar stroke. The lacunar syndromes were pure motor hemiparesis (10), pure s...We report on silent brain infarction (SBI) and leuko- araiosis (LA) of 23 patients with clinically diagnosed “first-ever” acute ischemic lacunar stroke. The lacunar syndromes were pure motor hemiparesis (10), pure sensory syndrome (2), ataxic hemiparesis (3), dysarthria clumsy hand syndrome (3), and sensory- motor deficit (5). Nineteen out of the 23 patients presented with completed strokes on arrival to the hospital, and 4 (17%) developed evolving-stroke within 24 hours of stroke onset. A lacune corresponded to the acute stroke could be found in all patients on brain magnetic resonance imaging (MRI), and in 18 (78%) on brain computed tomography (CT). MRI showed additional subclinical or asymptomatic “silent brain infarctions or lacunes” (SBI) in 19 (83%) of 23 patients, and leuko-araiosis (LA) of moderate to severe degree (> grade 2) was present in 61% of patients although dementia was absent. Hypertension is the risk factor in 78% of cases followed by diabetes mellitus, smoking, and elevated plasma cholesterol level. Independence of the types of lacunar syndromes, patients with hypertension and diabetes mellitus are associated with high grade LA. None with normal blood pressure and plasma glucose had grade 3 or grade 4 LA (p < 0.05). In conclusion, evolving-stroke occurs in one- fifth of patients with “first-ever” lacunar infarct within the first 24 hours of stroke onset. SBI was found in 83% of cases. Hypertension and diabetes mellitus are associated with additional SBI and high grade LA. The severity of leuko-araiosis per se dictates the cerebrovascular risks.展开更多
As a leading global trade fair,ISPO MUNICH is on the most important industry and network platforms in the sports business：More than 2,700 exhibitors present trends and new products for the upcoming season each year i...As a leading global trade fair,ISPO MUNICH is on the most important industry and network platforms in the sports business：More than 2,700 exhibitors present trends and new products for the upcoming season each year in 16 halls.ISPO MUNICH 2018 will focus on major topics like digitalization,cross-industry,women in sports and sustainability.展开更多
文摘Many clinicians would agree that a vegetative outcome is a fate worse than death after a severe traumatic brain injury （TBI）. In an effort to avoid poor outcomes of this nature, neurotrauma practitioners draw from their training and experience to make the monumental decision of when to recommend against aggressive care in severe TBI patients. Such judgements are,
文摘We report on silent brain infarction (SBI) and leuko- araiosis (LA) of 23 patients with clinically diagnosed “first-ever” acute ischemic lacunar stroke. The lacunar syndromes were pure motor hemiparesis (10), pure sensory syndrome (2), ataxic hemiparesis (3), dysarthria clumsy hand syndrome (3), and sensory- motor deficit (5). Nineteen out of the 23 patients presented with completed strokes on arrival to the hospital, and 4 (17%) developed evolving-stroke within 24 hours of stroke onset. A lacune corresponded to the acute stroke could be found in all patients on brain magnetic resonance imaging (MRI), and in 18 (78%) on brain computed tomography (CT). MRI showed additional subclinical or asymptomatic “silent brain infarctions or lacunes” (SBI) in 19 (83%) of 23 patients, and leuko-araiosis (LA) of moderate to severe degree (> grade 2) was present in 61% of patients although dementia was absent. Hypertension is the risk factor in 78% of cases followed by diabetes mellitus, smoking, and elevated plasma cholesterol level. Independence of the types of lacunar syndromes, patients with hypertension and diabetes mellitus are associated with high grade LA. None with normal blood pressure and plasma glucose had grade 3 or grade 4 LA (p < 0.05). In conclusion, evolving-stroke occurs in one- fifth of patients with “first-ever” lacunar infarct within the first 24 hours of stroke onset. SBI was found in 83% of cases. Hypertension and diabetes mellitus are associated with additional SBI and high grade LA. The severity of leuko-araiosis per se dictates the cerebrovascular risks.
文摘As a leading global trade fair,ISPO MUNICH is on the most important industry and network platforms in the sports business：More than 2,700 exhibitors present trends and new products for the upcoming season each year in 16 halls.ISPO MUNICH 2018 will focus on major topics like digitalization,cross-industry,women in sports and sustainability.
