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  1. Article: [No title information]

    Heldner, Mirjam R

    Therapeutische Umschau. Revue therapeutique

    2021  Volume 78, Issue 6, Page(s) 247

    Title translation Primär- und Sekundärprävention des Hirnschlags.
    MeSH term(s) Humans ; Secondary Prevention ; Stroke
    Language German
    Publishing date 2021-07-21
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 82044-1
    ISSN 1664-2864 ; 0040-5930
    ISSN (online) 1664-2864
    ISSN 0040-5930
    DOI 10.1024/0040-5930/a001268
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Reader Response: Thrombectomy vs Medical Management in Low NIHSS Acute Anterior Circulation Stroke.

    Heldner, Mirjam R

    Neurology

    2021  Volume 97, Issue 11, Page(s) 558–559

    MeSH term(s) Humans ; Stroke/diagnostic imaging ; Stroke/drug therapy ; Thrombectomy
    Language English
    Publishing date 2021-09-13
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 207147-2
    ISSN 1526-632X ; 0028-3878
    ISSN (online) 1526-632X
    ISSN 0028-3878
    DOI 10.1212/WNL.0000000000012551
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Reader response: Optimizing in-hospital triage for large vessel occlusion using a novel clinical scale (GAI

    Heldner, Mirjam R

    Neurology

    2020  Volume 95, Issue 10, Page(s) 459

    MeSH term(s) Brain Ischemia ; Humans ; Stroke ; Triage
    Language English
    Publishing date 2020-09-08
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 207147-2
    ISSN 1526-632X ; 0028-3878
    ISSN (online) 1526-632X
    ISSN 0028-3878
    DOI 10.1212/WNL.0000000000010445
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Successful Thrombectomy of the Posterior Cerebral Artery P2 Segment in a 61-Year-Old Man with Acute Ischaemic Stroke: A Case Report.

    Palazzo, Paola / Piechowiak, Eike I / Heldner, Mirjam R

    The American journal of case reports

    2024  Volume 25, Page(s) e941441

    Abstract: BACKGROUND Acute ischemic stroke in the posterior cerebral artery (PCA) territory can lead to persistent disabling deficits. The PCA is divided into 4 segments. The P2 segment begins at the posterior communicating artery and curves around the midbrain ... ...

    Abstract BACKGROUND Acute ischemic stroke in the posterior cerebral artery (PCA) territory can lead to persistent disabling deficits. The PCA is divided into 4 segments. The P2 segment begins at the posterior communicating artery and curves around the midbrain and above the tentorium cerebelli. This report is of a 61-year-old man with acute ischemic stroke involving the left hippocampus treated with direct thrombectomy of the P2 segment of the PCA. CASE REPORT A 61-year-old white man presented with transient amnesia, aphasia, right-sided hemianopia, dizziness, and persistent acute memory deficits. Magnetic resonance imaging (MRI) showed a left hippocampal acute ischemic stroke with left PCA occlusion in the P2 segment. Despite a low National Institutes of Health Stroke Scale (NIHSS) score and the already-formed lesion in the hippocampus, successful stent retriever thrombectomy was performed due to a considerable perfusion-diffusion mismatch and a persistent potentially disabling neurocognitive deficit. Due to partial thrombus dislocation, occlusion of the common origin of the right posterior inferior cerebellar artery (PICA) and anterior inferior cerebellar artery (AICA) occurred and was immediately treated by thrombectomy to prevent severe cerebellar infarction. His clinical symptoms completely resolved and a neuropsychological exam showed no residual deficits. CONCLUSIONS Thrombectomy of the P2 segment of the PCA is feasible and can be considered to treat patients with acute occlusion at risk for persistent disabling deficits, based on clinical estimation of the impact of such deficits and the presence of potentially salvageable brain tissue. Potential procedural complications should be sought out and immediately treated, if technically feasible.
    MeSH term(s) United States ; Male ; Humans ; Middle Aged ; Posterior Cerebral Artery/diagnostic imaging ; Posterior Cerebral Artery/surgery ; Ischemic Stroke ; Brain Ischemia ; Stroke/etiology ; Stroke/surgery ; Dura Mater
    Language English
    Publishing date 2024-03-05
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2517183-5
    ISSN 1941-5923 ; 1941-5923
    ISSN (online) 1941-5923
    ISSN 1941-5923
    DOI 10.12659/AJCR.941441
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Editorial: Challenges in Acute Minor Ischemic Stroke.

    Heldner, Mirjam R / Seners, Pierre / Li, Linxin

    Frontiers in neurology

    2022  Volume 13, Page(s) 896716

    Language English
    Publishing date 2022-04-06
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2564214-5
    ISSN 1664-2295
    ISSN 1664-2295
    DOI 10.3389/fneur.2022.896716
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  6. Article ; Online: Journal Club: Trends in Incidence and Epidemiologic Characteristics of Cerebral Venous Thrombosis in the United States.

    Raptis, Nikolaos / Zuurbier, Susanna M / Heldner, Mirjam R

    Neurology

    2021  Volume 97, Issue 3, Page(s) 144–147

    Language English
    Publishing date 2021-07-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 207147-2
    ISSN 1526-632X ; 0028-3878
    ISSN (online) 1526-632X
    ISSN 0028-3878
    DOI 10.1212/WNL.0000000000011760
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Transient perivascular inflammation of the carotid artery-A transient but potentially recurrent disease.

    Peycheva, Marieta / Zdravkova, Tina / Zlatareva, Dora / Viteva, Ekaterina / Harizanova, Zdravka / Meinel, Thomas R / Heldner, Mirjam R

    Clinical case reports

    2024  Volume 12, Issue 1, Page(s) e8322

    Abstract: Transient perivascular inflammation of the carotid artery (TIPIC syndrome) is a rare, unclassified vascular syndrome that usually affects the distal part of the common carotid artery and has a favorable prognosis. The disease is often misdiagnosed even ... ...

    Abstract Transient perivascular inflammation of the carotid artery (TIPIC syndrome) is a rare, unclassified vascular syndrome that usually affects the distal part of the common carotid artery and has a favorable prognosis. The disease is often misdiagnosed even by neurologists due to the moderate intensity of clinical symptoms and their transient character. We present a case of a 52-year-old man who experienced two episodes of transient neck pain and moderate local tenderness one and a half years apart. Different imaging modalities, such as ultrasound, CT angiography, and high-resolution 3T MR, were applied to better visualize the perivascular inflammation of the common carotid arteries. Based on the clinical-radiological characteristics of our case and applying the diagnostic criteria, we established the diagnosis of TIPIC syndrome. The patient was treated with nonsteroidal anti-inflammatory drugs for few weeks, and reduction in perivascular changes was observed in both episodes. The case raises questions about the phases of the disease, its duration and the intervals between follow-ups. Our article also increases the awareness of this rare clinical-radiological entity and presents recent data from the literature.
    Language English
    Publishing date 2024-01-18
    Publishing country England
    Document type Case Reports
    ZDB-ID 2740234-4
    ISSN 2050-0904
    ISSN 2050-0904
    DOI 10.1002/ccr3.8322
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Vascular Events, Vascular Disease and Vascular Risk Factors-Strongly Intertwined with COVID-19.

    Scutelnic, Adrian / Heldner, Mirjam R

    Current treatment options in neurology

    2020  Volume 22, Issue 11, Page(s) 40

    Abstract: Purpose of review: To elucidate the intertwining of vascular events, vascular disease and vascular risk factors and COVID-19.: Recent findings: Strokes are a leading cause of disability and death worldwide. Vascular risk factors are important drivers ...

    Abstract Purpose of review: To elucidate the intertwining of vascular events, vascular disease and vascular risk factors and COVID-19.
    Recent findings: Strokes are a leading cause of disability and death worldwide. Vascular risk factors are important drivers of strokes. There are unmodifiable vascular risk factors such as age and ethnicity and modifiable vascular risk factors. According to the INTERSTROKE study, the 10 most frequent modifiable vascular risk factors are arterial hypertension, physical inactivity, overweight, dyslipidaemia, smoking, unhealthy diet, cardiac pathologies, diabetes mellitus, stress/depression and overconsumption of alcohol. Also, infection and inflammation have been shown to increase the risk of stroke. There is high-quality evidence for the clinical benefits of optimal primary and secondary stroke prevention. The COVID-19 pandemic brought a new perspective to this field. Vascular events, vascular disease and vascular risk factors-and COVID-19-are strongly intertwined. An increased risk of vascular events-by multifactorial mechanisms-has been observed in COVID-19 patients. Also, a higher rate of infection with COVID-19, severe COVID-19 and bad outcome has been demonstrated in patients with pre-existing vascular disease and vascular risk factors.
    Summary: At present, we suggest that regular interactions between healthcare professionals and patients should include education on COVID-19 and on primary and secondary vascular prevention in order to reduce the burden of disease in our ageing populations.
    Keywords covid19
    Language English
    Publishing date 2020-10-08
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2057342-X
    ISSN 1534-3138 ; 1092-8480
    ISSN (online) 1534-3138
    ISSN 1092-8480
    DOI 10.1007/s11940-020-00648-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Acute ischemic stroke after enjoying Top of Europe.

    Krasteva, Marina P / Pospieszny, Katarzyna / Heldner, Mirjam R

    Clinical case reports

    2021  Volume 9, Issue 5, Page(s) e04016

    Abstract: Sudden onset of disturbed consciousness, neurocognitive deficits, and weakness of the proximal limbs are typical findings of a watershed stroke. Occurrence after an intense emotional experience and electrocardiogram changes are hints toward the rare ... ...

    Abstract Sudden onset of disturbed consciousness, neurocognitive deficits, and weakness of the proximal limbs are typical findings of a watershed stroke. Occurrence after an intense emotional experience and electrocardiogram changes are hints toward the rare cause of stroke of a takotsubo cardiomyopathy, even more if the stroke pattern is embolic.
    Language English
    Publishing date 2021-05-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 2740234-4
    ISSN 2050-0904
    ISSN 2050-0904
    DOI 10.1002/ccr3.4016
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  10. Article: Editorial: Cerebral venous thrombosis.

    Heldner, Mirjam R / Aguiar de Sousa, Diana / Field, Thalia S / Coutinho, Jonathan M / Zuurbier, Susanna M

    Frontiers in neurology

    2022  Volume 13, Page(s) 1021547

    Language English
    Publishing date 2022-09-23
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2564214-5
    ISSN 1664-2295
    ISSN 1664-2295
    DOI 10.3389/fneur.2022.1021547
    Database MEDical Literature Analysis and Retrieval System OnLINE

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