Panos Koumellis

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BACKGROUND Stroke is a leading cause of death and disability world wide. Thrombolysis with recombinant tissue plasminogen activator (rt-PA) is licensed for treatment of acute ischaemic stroke in the early hours after symptom onset. It has been shown in randomised controlled trials (RCTs) and the 2009 Cochrane review of thrombolysis for acute ischaemic(More)
OBJECTIVE To examine the incidence of spinal pathology in infants with non-accidental head injury. METHODS 18 infants with non-accidental head injury were investigated between 2000 and 2007 with dedicated MRI of the brain and spine. During the earlier years, the spine was imaged only when there were suspicious features on other imaging to suggest a spinal(More)
The fornix is a discrete white matter tract bundle that is critical for normal cognitive functioning. Although clearly visualized at magnetic resonance imaging, its involvement in pathologic processes is often overlooked. Certain disease processes show a predilection for involvement of the fornix; in other pathologic conditions, its involvement is a rare(More)
BACKGROUND Poor prognosis after intracerebral haemorrhage (ICH) is related to haemorrhage characteristics. Along with developing therapeutic interventions, we sought to understand the performance of haemorrhage descriptors in large clinical trials. METHODS Clinical and neuroimaging data were obtained for 548 participants with ICH from the Efficacy of(More)
BACKGROUND AND PURPOSE A significant minority of aneurysms treated by endovascular means undergo additional subsequent therapy to treat aneurysm recurrence. Our study was undertaken to determine the risk of additional coil embolization of aneurysms recurring following endovascular therapy. MATERIALS AND METHODS Patients were identified during a 10-year(More)
BACKGROUND AND PURPOSE More than 50% of patients with acute intracerebral hemorrhage (ICH) are taking antihypertensive drugs before ictus. Although antihypertensive therapy should be given long term for secondary prevention, whether to continue or stop such treatment during the acute phase of ICH remains unclear, a question that was addressed in the(More)
BACKGROUND AND PURPOSE The Efficacy of Nitric Oxide in Stroke (ENOS) trial found that transdermal glyceryl trinitrate (GTN, a nitric oxide donor) lowered blood pressure but did not improve functional outcome in patients with acute stroke. However, GTN was associated with improved outcome if patients were randomized within 6 hours of stroke onset. METHODS(More)
Pheochromocytomas are catecholamine-releasing tumors that can be found in an extraadrenal location in 10% of the cases. Almost half of all pheochromocytomas are now discovered incidentally during cross-sectional imaging for unrelated causes. We present a case of a paragaglioma of the organ of Zuckerkandl that was discovered incidentally during a magnetic(More)
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