Effect of head-down tilt on clinical outcome and cerebral perfusion in ischemic stroke patients: A case series
BackgroundThe effect of head position on stroke is not clear. The current study aimed to observe the effect of head-down tilt on acute ischemic stroke (AIS) patients with large vessel occlusion.MethodsWe observed the influence of head-down tilt position on clinical outcomes, myocardial enzymogram an...
Ausführliche Beschreibung
Autor*in: |
Zi-Ai Zhao [verfasserIn] Nan-Nan Zhang [verfasserIn] Lin Tao [verfasserIn] Yu Cui [verfasserIn] Meng Li [verfasserIn] Shou-Liang Qi [verfasserIn] Hui-Sheng Chen [verfasserIn] |
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Englisch |
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2022 |
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In: Frontiers in Neurology - Frontiers Media S.A., 2010, 13(2022) |
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Übergeordnetes Werk: |
volume:13 ; year:2022 |
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DOI / URN: |
10.3389/fneur.2022.992885 |
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Katalog-ID: |
DOAJ031753175 |
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520 | |a BackgroundThe effect of head position on stroke is not clear. The current study aimed to observe the effect of head-down tilt on acute ischemic stroke (AIS) patients with large vessel occlusion.MethodsWe observed the influence of head-down tilt position on clinical outcomes, myocardial enzymogram and N-terminal pro b-type Natriuretic Peptide in 4 AIS patients who suffered early neurological deterioration (END). Cerebral perfusion imaging was performed in 3 patients using arterial spin labeling.ResultsIn series of AIS patients with END, head down tilt (-20°) prevented further neurological deterioration and improved clinical outcomes. An increase in cerebral blood flow was observed by arterial spin labeling after head down tilt treatment. No obvious adverse events occurred.ConclusionThe case series suggest that head-down tilt may improve clinical outcome in AIS patients through increasing the cerebral perfusion with no obvious adverse events. The finding needs to be confirmed in future clinical trials. | ||
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10.3389/fneur.2022.992885 doi (DE-627)DOAJ031753175 (DE-599)DOAJ195056074d7049dc9ff1b876b2dfa74a DE-627 ger DE-627 rakwb eng RC346-429 Zi-Ai Zhao verfasserin aut Effect of head-down tilt on clinical outcome and cerebral perfusion in ischemic stroke patients: A case series 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundThe effect of head position on stroke is not clear. The current study aimed to observe the effect of head-down tilt on acute ischemic stroke (AIS) patients with large vessel occlusion.MethodsWe observed the influence of head-down tilt position on clinical outcomes, myocardial enzymogram and N-terminal pro b-type Natriuretic Peptide in 4 AIS patients who suffered early neurological deterioration (END). Cerebral perfusion imaging was performed in 3 patients using arterial spin labeling.ResultsIn series of AIS patients with END, head down tilt (-20°) prevented further neurological deterioration and improved clinical outcomes. An increase in cerebral blood flow was observed by arterial spin labeling after head down tilt treatment. No obvious adverse events occurred.ConclusionThe case series suggest that head-down tilt may improve clinical outcome in AIS patients through increasing the cerebral perfusion with no obvious adverse events. The finding needs to be confirmed in future clinical trials. arterial spin labeling cerebral blood flow head-down tilt stroke early neurological deterioration Neurology. Diseases of the nervous system Nan-Nan Zhang verfasserin aut Lin Tao verfasserin aut Yu Cui verfasserin aut Meng Li verfasserin aut Shou-Liang Qi verfasserin aut Hui-Sheng Chen verfasserin aut In Frontiers in Neurology Frontiers Media S.A., 2010 13(2022) (DE-627)631498753 (DE-600)2564214-5 16642295 nnns volume:13 year:2022 https://doi.org/10.3389/fneur.2022.992885 kostenfrei https://doaj.org/article/195056074d7049dc9ff1b876b2dfa74a kostenfrei https://www.frontiersin.org/articles/10.3389/fneur.2022.992885/full kostenfrei https://doaj.org/toc/1664-2295 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2022 |
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10.3389/fneur.2022.992885 doi (DE-627)DOAJ031753175 (DE-599)DOAJ195056074d7049dc9ff1b876b2dfa74a DE-627 ger DE-627 rakwb eng RC346-429 Zi-Ai Zhao verfasserin aut Effect of head-down tilt on clinical outcome and cerebral perfusion in ischemic stroke patients: A case series 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundThe effect of head position on stroke is not clear. The current study aimed to observe the effect of head-down tilt on acute ischemic stroke (AIS) patients with large vessel occlusion.MethodsWe observed the influence of head-down tilt position on clinical outcomes, myocardial enzymogram and N-terminal pro b-type Natriuretic Peptide in 4 AIS patients who suffered early neurological deterioration (END). Cerebral perfusion imaging was performed in 3 patients using arterial spin labeling.ResultsIn series of AIS patients with END, head down tilt (-20°) prevented further neurological deterioration and improved clinical outcomes. An increase in cerebral blood flow was observed by arterial spin labeling after head down tilt treatment. No obvious adverse events occurred.ConclusionThe case series suggest that head-down tilt may improve clinical outcome in AIS patients through increasing the cerebral perfusion with no obvious adverse events. The finding needs to be confirmed in future clinical trials. arterial spin labeling cerebral blood flow head-down tilt stroke early neurological deterioration Neurology. Diseases of the nervous system Nan-Nan Zhang verfasserin aut Lin Tao verfasserin aut Yu Cui verfasserin aut Meng Li verfasserin aut Shou-Liang Qi verfasserin aut Hui-Sheng Chen verfasserin aut In Frontiers in Neurology Frontiers Media S.A., 2010 13(2022) (DE-627)631498753 (DE-600)2564214-5 16642295 nnns volume:13 year:2022 https://doi.org/10.3389/fneur.2022.992885 kostenfrei https://doaj.org/article/195056074d7049dc9ff1b876b2dfa74a kostenfrei https://www.frontiersin.org/articles/10.3389/fneur.2022.992885/full kostenfrei https://doaj.org/toc/1664-2295 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2022 |
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10.3389/fneur.2022.992885 doi (DE-627)DOAJ031753175 (DE-599)DOAJ195056074d7049dc9ff1b876b2dfa74a DE-627 ger DE-627 rakwb eng RC346-429 Zi-Ai Zhao verfasserin aut Effect of head-down tilt on clinical outcome and cerebral perfusion in ischemic stroke patients: A case series 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundThe effect of head position on stroke is not clear. The current study aimed to observe the effect of head-down tilt on acute ischemic stroke (AIS) patients with large vessel occlusion.MethodsWe observed the influence of head-down tilt position on clinical outcomes, myocardial enzymogram and N-terminal pro b-type Natriuretic Peptide in 4 AIS patients who suffered early neurological deterioration (END). Cerebral perfusion imaging was performed in 3 patients using arterial spin labeling.ResultsIn series of AIS patients with END, head down tilt (-20°) prevented further neurological deterioration and improved clinical outcomes. An increase in cerebral blood flow was observed by arterial spin labeling after head down tilt treatment. No obvious adverse events occurred.ConclusionThe case series suggest that head-down tilt may improve clinical outcome in AIS patients through increasing the cerebral perfusion with no obvious adverse events. The finding needs to be confirmed in future clinical trials. arterial spin labeling cerebral blood flow head-down tilt stroke early neurological deterioration Neurology. Diseases of the nervous system Nan-Nan Zhang verfasserin aut Lin Tao verfasserin aut Yu Cui verfasserin aut Meng Li verfasserin aut Shou-Liang Qi verfasserin aut Hui-Sheng Chen verfasserin aut In Frontiers in Neurology Frontiers Media S.A., 2010 13(2022) (DE-627)631498753 (DE-600)2564214-5 16642295 nnns volume:13 year:2022 https://doi.org/10.3389/fneur.2022.992885 kostenfrei https://doaj.org/article/195056074d7049dc9ff1b876b2dfa74a kostenfrei https://www.frontiersin.org/articles/10.3389/fneur.2022.992885/full kostenfrei https://doaj.org/toc/1664-2295 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2022 |
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10.3389/fneur.2022.992885 doi (DE-627)DOAJ031753175 (DE-599)DOAJ195056074d7049dc9ff1b876b2dfa74a DE-627 ger DE-627 rakwb eng RC346-429 Zi-Ai Zhao verfasserin aut Effect of head-down tilt on clinical outcome and cerebral perfusion in ischemic stroke patients: A case series 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundThe effect of head position on stroke is not clear. The current study aimed to observe the effect of head-down tilt on acute ischemic stroke (AIS) patients with large vessel occlusion.MethodsWe observed the influence of head-down tilt position on clinical outcomes, myocardial enzymogram and N-terminal pro b-type Natriuretic Peptide in 4 AIS patients who suffered early neurological deterioration (END). Cerebral perfusion imaging was performed in 3 patients using arterial spin labeling.ResultsIn series of AIS patients with END, head down tilt (-20°) prevented further neurological deterioration and improved clinical outcomes. An increase in cerebral blood flow was observed by arterial spin labeling after head down tilt treatment. No obvious adverse events occurred.ConclusionThe case series suggest that head-down tilt may improve clinical outcome in AIS patients through increasing the cerebral perfusion with no obvious adverse events. The finding needs to be confirmed in future clinical trials. arterial spin labeling cerebral blood flow head-down tilt stroke early neurological deterioration Neurology. Diseases of the nervous system Nan-Nan Zhang verfasserin aut Lin Tao verfasserin aut Yu Cui verfasserin aut Meng Li verfasserin aut Shou-Liang Qi verfasserin aut Hui-Sheng Chen verfasserin aut In Frontiers in Neurology Frontiers Media S.A., 2010 13(2022) (DE-627)631498753 (DE-600)2564214-5 16642295 nnns volume:13 year:2022 https://doi.org/10.3389/fneur.2022.992885 kostenfrei https://doaj.org/article/195056074d7049dc9ff1b876b2dfa74a kostenfrei https://www.frontiersin.org/articles/10.3389/fneur.2022.992885/full kostenfrei https://doaj.org/toc/1664-2295 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2022 |
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10.3389/fneur.2022.992885 doi (DE-627)DOAJ031753175 (DE-599)DOAJ195056074d7049dc9ff1b876b2dfa74a DE-627 ger DE-627 rakwb eng RC346-429 Zi-Ai Zhao verfasserin aut Effect of head-down tilt on clinical outcome and cerebral perfusion in ischemic stroke patients: A case series 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier BackgroundThe effect of head position on stroke is not clear. The current study aimed to observe the effect of head-down tilt on acute ischemic stroke (AIS) patients with large vessel occlusion.MethodsWe observed the influence of head-down tilt position on clinical outcomes, myocardial enzymogram and N-terminal pro b-type Natriuretic Peptide in 4 AIS patients who suffered early neurological deterioration (END). Cerebral perfusion imaging was performed in 3 patients using arterial spin labeling.ResultsIn series of AIS patients with END, head down tilt (-20°) prevented further neurological deterioration and improved clinical outcomes. An increase in cerebral blood flow was observed by arterial spin labeling after head down tilt treatment. No obvious adverse events occurred.ConclusionThe case series suggest that head-down tilt may improve clinical outcome in AIS patients through increasing the cerebral perfusion with no obvious adverse events. The finding needs to be confirmed in future clinical trials. arterial spin labeling cerebral blood flow head-down tilt stroke early neurological deterioration Neurology. Diseases of the nervous system Nan-Nan Zhang verfasserin aut Lin Tao verfasserin aut Yu Cui verfasserin aut Meng Li verfasserin aut Shou-Liang Qi verfasserin aut Hui-Sheng Chen verfasserin aut In Frontiers in Neurology Frontiers Media S.A., 2010 13(2022) (DE-627)631498753 (DE-600)2564214-5 16642295 nnns volume:13 year:2022 https://doi.org/10.3389/fneur.2022.992885 kostenfrei https://doaj.org/article/195056074d7049dc9ff1b876b2dfa74a kostenfrei https://www.frontiersin.org/articles/10.3389/fneur.2022.992885/full kostenfrei https://doaj.org/toc/1664-2295 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 13 2022 |
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The current study aimed to observe the effect of head-down tilt on acute ischemic stroke (AIS) patients with large vessel occlusion.MethodsWe observed the influence of head-down tilt position on clinical outcomes, myocardial enzymogram and N-terminal pro b-type Natriuretic Peptide in 4 AIS patients who suffered early neurological deterioration (END). Cerebral perfusion imaging was performed in 3 patients using arterial spin labeling.ResultsIn series of AIS patients with END, head down tilt (-20°) prevented further neurological deterioration and improved clinical outcomes. An increase in cerebral blood flow was observed by arterial spin labeling after head down tilt treatment. No obvious adverse events occurred.ConclusionThe case series suggest that head-down tilt may improve clinical outcome in AIS patients through increasing the cerebral perfusion with no obvious adverse events. 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Effect of head-down tilt on clinical outcome and cerebral perfusion in ischemic stroke patients: A case series |
abstract |
BackgroundThe effect of head position on stroke is not clear. The current study aimed to observe the effect of head-down tilt on acute ischemic stroke (AIS) patients with large vessel occlusion.MethodsWe observed the influence of head-down tilt position on clinical outcomes, myocardial enzymogram and N-terminal pro b-type Natriuretic Peptide in 4 AIS patients who suffered early neurological deterioration (END). Cerebral perfusion imaging was performed in 3 patients using arterial spin labeling.ResultsIn series of AIS patients with END, head down tilt (-20°) prevented further neurological deterioration and improved clinical outcomes. An increase in cerebral blood flow was observed by arterial spin labeling after head down tilt treatment. No obvious adverse events occurred.ConclusionThe case series suggest that head-down tilt may improve clinical outcome in AIS patients through increasing the cerebral perfusion with no obvious adverse events. The finding needs to be confirmed in future clinical trials. |
abstractGer |
BackgroundThe effect of head position on stroke is not clear. The current study aimed to observe the effect of head-down tilt on acute ischemic stroke (AIS) patients with large vessel occlusion.MethodsWe observed the influence of head-down tilt position on clinical outcomes, myocardial enzymogram and N-terminal pro b-type Natriuretic Peptide in 4 AIS patients who suffered early neurological deterioration (END). Cerebral perfusion imaging was performed in 3 patients using arterial spin labeling.ResultsIn series of AIS patients with END, head down tilt (-20°) prevented further neurological deterioration and improved clinical outcomes. An increase in cerebral blood flow was observed by arterial spin labeling after head down tilt treatment. No obvious adverse events occurred.ConclusionThe case series suggest that head-down tilt may improve clinical outcome in AIS patients through increasing the cerebral perfusion with no obvious adverse events. The finding needs to be confirmed in future clinical trials. |
abstract_unstemmed |
BackgroundThe effect of head position on stroke is not clear. The current study aimed to observe the effect of head-down tilt on acute ischemic stroke (AIS) patients with large vessel occlusion.MethodsWe observed the influence of head-down tilt position on clinical outcomes, myocardial enzymogram and N-terminal pro b-type Natriuretic Peptide in 4 AIS patients who suffered early neurological deterioration (END). Cerebral perfusion imaging was performed in 3 patients using arterial spin labeling.ResultsIn series of AIS patients with END, head down tilt (-20°) prevented further neurological deterioration and improved clinical outcomes. An increase in cerebral blood flow was observed by arterial spin labeling after head down tilt treatment. No obvious adverse events occurred.ConclusionThe case series suggest that head-down tilt may improve clinical outcome in AIS patients through increasing the cerebral perfusion with no obvious adverse events. The finding needs to be confirmed in future clinical trials. |
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Effect of head-down tilt on clinical outcome and cerebral perfusion in ischemic stroke patients: A case series |
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https://doi.org/10.3389/fneur.2022.992885 https://doaj.org/article/195056074d7049dc9ff1b876b2dfa74a https://www.frontiersin.org/articles/10.3389/fneur.2022.992885/full https://doaj.org/toc/1664-2295 |
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