Learn More
Thirty (2.5%) of 1200 consecutive patients with a first stroke had a spontaneous dissection with occlusion of the cervical internal carotid artery (ICA). A suggestive picture with ipsilateral headache and oculosympathetic paresis was uncommon (17%), so that diagnosis was uncertain before angiography. Seven patients died within one week. During follow-up(More)
We studied clinical characteristics and coexisting causes of stroke in 305 patients admitted to a population-based primary care center with an initial ischemic stroke and a potential cardiac source of embolism (PCSE). Using systematic standardized cardiac, arterial, and cerebral investigations and the logistics of the prospective Lausanne Stroke Registry,(More)
We present normative data on the auditory brainstem response (ABR) derived from 91 premature infants, and illustrate a simple procedure that uses deviations from these norms to differentiate a hearing disorder from a neurological disorder involving the brainstem. In an infant intensive care unit the procedure identified 11 patients with hearing disorder, 3(More)
Though the role of cerebral ischemia as an etiologic factor for epilepsy is accepted, the effect of seizures on stroke sequelae has received little attention. We describe 10 patients with poststroke partial epileptic seizures that were followed by persistent worsening of the previous neurologic deficit. Of 38 other patients with poststroke seizures who were(More)
Postpartum cerebral angiopathy is a distinct reversible clinicoradiological syndrome which develops shortly after a normal pregnancy. It may belong to the poorly defined group of acute benign cerebral angiopathy, in which multisegmental narrowings of cerebral arteries are also reversible. In a 22-year-old woman with postpartum cerebral angiopathy,(More)
We report two patients with subacute diffuse encephalopathy characterized by confusion, myoclonic encephalopathy, and mild akineto-rigid extrapyramidal signs in one case and by apathy, memory deficit, and partial complex seizures in the other. Hashimoto's thyroiditis with high titers of anti-thyroglobulin antibodies was diagnosed in both patients, who were(More)
BACKGROUND The risk of stroke and the long-term prognosis of recurrent strokes in young patients with patent foramen ovale (PFO) are not well known. For this reason, the treatment of these patients remains empirical. An alternative treatment to prolonged antithrombotic therapy may be surgical closure of the PFO. METHODS Thirty patients (20 men and 10(More)
Fourteen of 100 babies in an intensive care nursery showed abnormal BAEPs. An analysis of the clinical records identified nine risk factors. Neonatal asphyxia appeared to be associated with hearing loss only when repeated episodes of acidosis accompanied it. We conclude that the BAEPs can identify hard-of-hearing babies and estimate the type and amount of(More)
We followed 38 patients with a neck bruit due to symptomless internal carotid artery (ICA) stenosis greater than 90% for a mean period of 48 months. The annual rate of death or stroke was 7.2%. The cardiac death rate was 5.3% per year. Each year 1.7% of the patients had an unheralded ipsilateral infarct; after transient ischemic attacks, the proportion(More)
Spontaneous excitatory movements have been observed during recovery from propofol anaesthesia in children. Epilepsy has been postulated as a possible mechanism to explain these movements. We report the first case in which these spontaneous excitatory movements were studied using simultaneous multichannel EEG recordings.