Recurrent-strokes: Causes & Reasons

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Possible Causes for recurrent strokes

Transient Ischemic Attack

stroke. [ncbi.nlm.nih.gov]

[…] of recurrent stroke. [ncbi.nlm.nih.gov]

However, there are no effective rating scales to predict recurrent stroke following it. [ncbi.nlm.nih.gov]

Stroke

However, patient defaulted treatment for 18 months prior to the onset of recurrent stroke. [ncbi.nlm.nih.gov]

[…] of recurrent stroke. [ncbi.nlm.nih.gov]

[…] high risks of otherwise preventable early recurrent stroke. [ncbi.nlm.nih.gov]

Pediatric Arterial Ischemic Stroke

The 5-year cumulative recurrence rates were 1.2% after perinatal stroke and 19% after later childhood stroke. [pediatrics.aappublications.org]

Arterial ischemic stroke in children represents a significant disorder with a concerning high rate of adverse outcomes, including potentially preventable recurrent stroke. [journals.lww.com]

Among 181 incident childhood stroke cases (84 perinatal; 97 later childhood), there were 16 recurrent strokes (1 after a perinatal stroke) at a median of 2.7 months. [pediatrics.aappublications.org]

Patent Foramen Ovale

The primary end point was a composite of recurrent stroke and transient ischemic attack. [ncbi.nlm.nih.gov]

The summary RD of recurrent stroke significantly favored closure (RD 1.68%, 95% CI 3.18% to 0.19%). [n.neurology.org]

The clinical benefit of patent foramen ovale (PFO) closure in patients with cryptogenic stroke (CS) for recurrent stroke prevention has been a subject of extensive debate. [ncbi.nlm.nih.gov]

Atrial Septal Aneurysm

(Dec. 13 issue) 1 describe multiple potential thromboembolic mechanisms that may account for the increased risk of recurrent stroke in young patients with both patent foramen [nejm.org]

There are inconclusive data on the efficacy of PFO closure to prevent stroke recurrence. [ncbi.nlm.nih.gov]

The risk of recurrent stroke increased with age. [nejm.org]

CADASIL Syndrome

The CADASIL is an adult-onset neurologic disorder (average age of onset is 45 years) characterized by recurrent strokes and dementia. [ncbi.nlm.nih.gov]

It is a late onset neurological disorder recognized by recurrent strokes and dementia. [ncbi.nlm.nih.gov]

The disease is characterized by recurrent small strokes that begin in early adulthood and culminates in a subcortical dementia. [medium.com]

Atrial Septal Defect

We report a case of recurrent strokes in a healthy teenager after complete closure of atrial septal defect with Gore Septal Occluder (W.L. [ncbi.nlm.nih.gov]

(Dec. 13 issue) 1 describe multiple potential thromboembolic mechanisms that may account for the increased risk of recurrent stroke in young patients with both patent foramen [nejm.org]

[…] the prevention of recurrent stroke or TIA. [doi.org]

Carotid Stenosis

recurrence in stroke patients with carotid disease. [ncbi.nlm.nih.gov]

The timely re-establishment of intracranial perfusion, the effective prevention of early recurrent strokes, and the limitation of the incidence of reperfusion injury are the [ncbi.nlm.nih.gov]

A 78-year-old man presented with multiple recurrent strokes and transient ischemic attacks that consistently occurred with eating. [ncbi.nlm.nih.gov]

Paradoxical Embolism

venous thrombosis or Valsalva maneuver) are associated with radiologic markers of recurrent strokes in patients with patent foramen ovale (PFO) and cryptogenic stroke [ncbi.nlm.nih.gov]

[…] disorders and stroke; and recurrence rates of stroke in patients with PFO. [ncbi.nlm.nih.gov]

Recent studies have shown a rather low stroke recurrence rate in patients with PFO and stroke but suggest that some subgroups of patients with a higher stroke recurrence risk [link.springer.com]

Carotid Artery Occlusion

[…] of recurrent stroke in case of compromised cerebral blood flow. [ncbi.nlm.nih.gov]

Primary endpoint was early neurologic deterioration, recurrent ischemic stroke, or transient ischemic attack. [ncbi.nlm.nih.gov]

[…] due to symptomatic acute ICAO, who developed a recurrent stroke with hemispheric hypoperfusion and was treated in the emergency department with ICAO revascularization after [ncbi.nlm.nih.gov]

Cerebrovascular Disorder

This approach may be effective in preventing stroke recurrence. [doi.org]

Recurrent stroke is frequent; about 25 percent of people who recover from their first stroke will have another stroke within 5 years. [ninds.nih.gov]

Secondary prevention is very important, given the high rate of stroke recurrence. [doi.org]

Reversible Ischemic Neurologic Deficit

[…] control group (18) sustained a recurrent stroke (p less than 0.05). [ncbi.nlm.nih.gov]

More recently, a multiracial study performed in the Cincinnati metropolitan area found that more than 730,000 first-ever and recurrent strokes occur each year in this country [thoracickey.com]

• In one series, patients with TIA had a 3-month stroke risk of 10.5%, equal to the recurrence rate following a stroke. [slideshare.net]

Cerebellar Stroke

Accurately diagnosing the condition is crucial to help rule out other brain conditions or issues that could lead to recurrent strokes. [healthline.com]

Moyamoya Disease

There were significant differences between the 2 groups when the authors compared the overall recurrent stroke rate at the end of the follow-up period. [ncbi.nlm.nih.gov]

[OR], 0.39; 95% confidence interval [CI], 0.24-0.65), including ischemic stroke recurrence (OR, 0.31; 95% CI, 0.12-0.79) and hemorrhage recurrence (OR, 0.45; 95% CI, 0.26 [ncbi.nlm.nih.gov]

Direct extracranial-intracranial (EC-IC) bypass is one of the fundamental techniques to prevent recurrent stroke in patients with adult-onset ischemic moyamoya disease. [ncbi.nlm.nih.gov]

Hypertension

Read More Conference Coverage Intensive blood pressure lowering may not reduce risk of recurrent stroke Author: Erik Greb HONOLULU – Intensive treatment significantly reduces [mdedge.com]

Moderate-quality evidence showed that treating hypertension in older adults with previous TIA or stroke to an SBP target of 130 to 140 mm Hg reduces stroke recurrence (ARR [doi.org]

[…] or transient ischemic attack to achieve a target systolic blood pressure of less than 140 mm Hg to reduce the risk for recurrent stroke. [doi.org]

MELAS Syndrome

We present the case of a 63-year-old female in whom the symptoms of MELAS were initially misdiagnosed as episodes of recurrent ischemic strokes. [ncbi.nlm.nih.gov]

Indeed, our patient was misdiagnosed as having recurrent strokes of arterio-arterial embolic origin. [bmcneurol.biomedcentral.com]

Abstract Mitochondrial myopathy encephalopathy, lactic acidosis and stroke-like episodes syndrome (MELAS) is a type of mitochondrial disease characterized by recurrently stroke-like [jstage.jst.go.jp]

Disorder of Basilar Artery

Figure 3 Risk for recurrent events in the first 90 days after initial event for patients with and without 50% VB stenosis: (A) stroke and TIA; (B) stroke. [academic.oup.com]

Vertebrobasilar stenosis predicts high early recurrent stroke risk in posterior circulation stroke and TIA. Stroke 2009;40(8):2732-2737. [jaocr.org]

The mechanism of stroke is an important characteristic of ischemic strokes and help predict outcomes after stroke and assess risk of stroke recurrence. [clevelandclinicmeded.com]

Meningovascular Syphilis

We describe a case of a 49-year-old man who presented with recurrent strokes in the left middle cerebral artery territory, manifesting with dysphasia, higher cognitive deficits [ncbi.nlm.nih.gov]

Reminder of important clinical lesson Meningovascular syphilis causing recurrent stroke and diagnostic difficulties: a scourge from the past Sunil Munshi, Senthil K Raghunathan [casereports.bmj.com]

The authors present a 46-year-old male with recurrent stroke who was found to have cerebrospinal fluid compatible with syphilitic involvement of the central nervous system [ncbi.nlm.nih.gov]

Vitamin D Deficiency

Liu, Vitamin D status and the risk of recurrent stroke and mortality in ischemic stroke patients: Data from a 24-month follow-up study in China, The journal of nutrition, [doi.org]

Vertebrobasilar Insufficiency

Vertebrobasilar stenosis predicts high early recurrent stroke risk in posterior circulation stroke and TIA. Stroke 2009;40(8):2732-2737. [jaocr.org]

[…] this trial, in 2006, subgroup analysis of the PCI patients was published indicating no significant difference in recurrent stroke rates between the two therapies. 19 The trial [jaocr.org]

[…] on a case history of a 61 year old man who had recurrent strokes. [caringmedical.com]

Vitamin B12 Deficiency

Lowering homocysteine in patients with ischemic stroke to prevent recurrent stroke, myocardial infarction, and death: the Vitamin Intervention for Stroke Prevention (VISP) [ods.od.nih.gov]

Anterior Cerebral Artery Occlusion

It is a chronic progressive disease and cause recurrent stroke, so early diagnosis and management is very important. [jsms.sch.ac.kr]

Incidence of Stroke Stroke incidence in the United States Approximately 750,000 new and recurrent cases of stroke occur each year in the United States. [emedicine.medscape.com]

Recurrence Stroke recurs in as many as 10% of stroke survivors in the first 12 months after stroke, with an incidence of 4% per year thereafter. [emedicine.medscape.com]

Cerebral Embolism

After surgical resection, anticoagulation was started and recurrent stroke did not occur. [ncbi.nlm.nih.gov]

We report 2 cases of paradoxic cerebral embolism after cemented total knee arthroplasty and propose a novel treatment plan to prevent recurrent stroke during subsequent surgery [ncbi.nlm.nih.gov]

The purpose of this case report was to describe clinical, CT, and CT angiography findings in a 79-year-old woman undergoing early recurrent stroke from calcified cerebral [ncbi.nlm.nih.gov]

Posterior Cerebral Artery Occlusion with Infarction

A 73-year-old man suffered from recurrent stroke in the bilateral occipital regions. [nature.com]

recurrent stroke. [emedicine.medscape.com]

In this setting, carotid atheromatous disease would be symptomatic and patients may be considered for carotid endarterectomy or stenting for recurrent stroke prevention. [emedicine.medscape.com]

Acute Atrial Infarction

Rationale Acute ischemic stroke due to atrial fibrillation (AF) carries a high risk for early recurrence. [clinicaltrials.gov]

[…] in progression, and recurrent stroke in outcome analyses). [ahajournals.org]

Questions for consideration: Is there a high likelihood of recurrent strokes in a patient with existing cardiac myxoma? [n.neurology.org]

Carotid Embolism

He had a history of recurrent stroke despite the use of antithrombotics. [j-stroke.org]

In the present case, the diagnosis of CSS following a recurrent ischemic stroke was correct. [spandidos-publications.com]

A total of three recurrent left hemispheric strokes occurred in 3 years. [j-stroke.org]

Multi-Infarct Dementia

Four patients with recurrent stroke and multi-infarct dementia are presented in whom the dementia was progressive and severe. [ncbi.nlm.nih.gov]

Today, the presence of aPLs in the serum is considered as a distinct risk factor for recurrent stroke in young adults. [ncbi.nlm.nih.gov]

Progression is generally considered the consequence of recurrent stroke (Hachinski, 1983): the mainstay of treatment, therefore, is the prevention of further ischemic events [ncbi.nlm.nih.gov]

Essential Hypertension

Effects of a perindopril-based blood pressure-lowering regimen on the risk of recurrent stroke according to stroke subtype and medical history: the PROGRESS Trial. [medscape.com]

stroke ACE inhibitors Angiotensin II receptor blockers Calcium channel blockers Diuretics *Long-term diuretic use may increase mortality in patients with heart failure who [merckmanuals.com]

In the Perindopril Protection Against Recurrent Stroke Study (PROGRESS) trial, recurrent stroke rate was reduced only when a thiazide-type diuretic was added to ACEI background [doi.org]

Gingivitis

[…] ulceration of the gums caused by bacterial infection Several studies have linked gum diseases, such as periodontitis, to cardiovascular diseases, including heart attack or stroke [yakubivdental.com]

Complications include: abscess or infection in the gingiva or jaw bone periodontitis, a more serious condition that can lead to loss of bone and teeth recurrent gingivitis [medicalnewstoday.com]

[…] include: Abscess in the gingiva Abscess in the jaw bones Infection in the jaw bone or gingiva Periodontitis - this is a more serious condition that can lead to loss of teeth Recurrent [yakubivdental.com]

Menopause

The composite 1-year outcome included all-cause mortality, recurrent myocardial infarction and stroke. [ncbi.nlm.nih.gov]

Saturday, May 11, 2019 Study sheds new light on urinary tract infections in postmenopausal women Wednesday, April 10, 2019 Low cholesterol linked to higher risk of bleeding stroke [sciencedaily.com]

[…] of uterine cancer rising, study shows Tuesday, May 21, 2019 Soy foods linked to fewer fractures in younger breast cancer survivors Monday, May 13, 2019 Bacteria's role in recurrent [sciencedaily.com]