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BACKGROUND The eligibility for recombinant tissue plasminogen activator (rtPA) is rare. We analyze the reasons for exclusion from rtPA among patients who were admitted to our hospital within 3 h. METHODS A strict protocol for hyperacute stroke was set in a university teaching hospital. Consecutive patients activating the protocol from June 2004 to October(More)
Susceptibility weighted imaging (SWI) is a newly developed magnetic resonance (MR) protocol. Recent studies have found that SWI may be useful in the field of cerebrovascular diseases, especially for detecting the presence of prominent veins, microbleeds and the susceptibility vessel sign (SVS). Some authors have even suggested that SWI can be used to(More)
The biggest hurdle for early hospital presentation is the narrow therapeutic window after stroke. The aims of our study were to investigate the time lags and the factors causing pre-hospital and emergency department (ED) delay during acute ischemic stroke attack. Between June 2004 and October 2005, we prospectively studied 129 acute ischemic stroke patients(More)
Brown adipose tissue (BAT) is a highly specialized thermogenic tissue and has profound effects on body weight, energy balance, and glucose metabolism. Body temperature regulation depends on the integrated activities of the autonomic nervous system, which is centered predominantly in the hypothalamus. The purpose of this study was to explore the interaction(More)
BACKGROUND Acquired idiopathic generalized anhidrosis (AIGA) is a rarely encountered clinical syndrome. Sixty-five cases have been reported and 62 of them are Japanese. AIGA was further classified into 3 subgroups with idiopathic pure sudomotor failure being the most common. However, it is burdensome to diagnose AIGA and identify its subgroups. Some of the(More)
BACKGROUND there are several variants of Wallenberg's syndrome. Wallenberg's syndrome with proximal quadriparesis has not been reported before. CASE SUMMARY we report a 25-year-old woman presenting with sudden onset of vertigo, hoarseness, dysphagia, right facial numbness, and proximal quadriparesis. Brain magnetic resonance imaging revealed right(More)
OBJECTIVE Currently, no practical biomarker is available for the diagnosis of acute ischemic stroke. Matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) has being applied extensively to analyze large biomolecules such as proteins. The technique is likely to be of remarkable value as indicators of systemic processes(More)
In the era of thrombolytic therapy for hyperacute ischemic stroke, most investigators have focused their attention on the factors influencing mortality and functional outcomes in patients treated with thrombolysis, but very few have focused on these factors among patients not receiving thrombolysis. The aim of this study was to investigate the prognostic(More)