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Table of Content

    20 April 2013, Volume 8 Issue 04
    Practice Makes Perfect Theory
    WANG Yong-Jun
    2013, 8(04):  237-239. 
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    Inflammatory Factors in Ischemic Stroke
    LI Ji-Mei, LIU Shui-Qiao
    2013, 8(04):  241-245. 
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    New Evidence and Inspiration for Statins’ Treatment in Acute Ischemic Stroke
    WANG Yong-Jun
    2013, 8(04):  246-249. 
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    Changes of Inflammatory Biomarkers in Ischemic Stroke Patients with Middle Cerebral Artery Occlusion or Stenosis
    DENG Li, XIE Dan, ZHANG Yong-Bo, et al.
    2013, 8(04):  250-254. 
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    【Abstract】 Objective To analyze the risk factors and the changes of white blood cell(WBC), erythrocyte sedimentation rate(ESR) and high-sensitivity C-reactive protein(hs-CRP) in ischemic stroke patients with middle cerebral artery occlusion(MCAO) and stenosis. Methods From January 2005 to January 2011, 262 unselected ischemic stroke patients who were admitted to Department of Neurology in Beijing Friendship Hospital were enrolled into our study. It included 98 patients with MCAO(MCAO group), 23 patients with 70%~99% stenosis in middle cerebral artery(MCA)(severe stenosis group), 60 patients with 50%~69% stenosis in MCA(moderate stenosis group), and 81 patients with less 50% stenosis in MCA(mild stenosis group). The risk factors and WBC, ESR and hs-CRP in 24 h after admission were compared among four groups. Results The proportion of history of diabetes mellitus in the MCAO group, severe stenosis group and moderate stenosis group was significantly higher than that in the mild stenosis group(P =0.008, 0.044, 0.018), There were no significant differences in other risk factors among the four groups. WBC, ESR and hs-CRP levels in the MCAO group was significant higher than those in the mild stenosis group(P =0.005, 0.002, 0.001). The level of ESR in the severe stenosis group was also significantly higher than that in the mild stenosis group(P =0.026). Conclusion WBC, ESR and hs-CRP levels elevated in stroke patients with occlusion and severe stenosis in MCA.

    Current Situation of Rehabilitation for Stroke Survivors Living in Community in Three Cities
    RU Xiao-Juan*, DAI Hong, JIANG Bin, WU Sheng-Ping, LI Ning-Hua, ZHAO Xing-
    2013, 8(04):  255-260. 
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    【Abstract】 Objective To identify the current situation of rehabilitation awareness, demand for rehabilitation therapy of stroke patients in the communities of Chinese cities, in order to provide reference for rehabilitation education and suitable rehabilitation programs. Methods This community-based survey involving 964 stroke patients from three metropolises assesses rehabilitation awareness, the status of rehabilitation therapy and demands for rehabilitation therapy for stroke patients. Results Of the 964 patients, 33.7%(325) reported that they had received information on stroke rehabilitation and only 10.4%(100) patients were well informed of the topic. Seven hundred and fourteen(74.1%) had been hospitalized and 30.4%(294/964) received acute rehabilitation therapy during hospitalization. Of them, 198(20.5%) patients only received acupuncture and massage or manipulation; 178(18.5%) received physical therapy. After discharge, 35%(250/714) received continuous rehabilitation services. Among the reasons of not receiving rehabilitation services, "Don't know rehabilitation therapy" was placed on the first rank of all reasons. Most stroke patients(74.3%) preferred to receiving rehabilitation services in the centers of community health service. In fact, only 80(8.3%) received community-based rehabilitation(CBR) after discharge. Conclusion The status of rehabilitation therapy is worse than expected. The lack of awareness is an important barrier to early rehabilitation therapy. The importance of establishing an effective education and rehabilitation program to improve status of rehabilitation for stroke survivors should be emphasized.

    Clinical and Imaging Analysis of Ischemic Moyamoya Disease in Children
    ZHANG Qian,WANG Rong, ZHANG Dong, ZHANG Yan, ZHAO Yuan-Li, ZHAO Ji-Zong.
    2013, 8(04):  261-265. 
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    【Abstract】 Objective To analyze the clinical and radiological findings of ischemic moyamoya disease(MMD) in children and the risk factors of cerebral infarction in these patients. Methods The clinical and imaging data of 27 patients(54 cerebral hemispheres) with pediatric and ischemic MMD from June 2011 to June 2012 were analyzed retrospectively. Fifty-four cerebral hemispheres were divided into hemisphere without infarction(32) and with infarction(22). The relationship between cerebral infarction and patient's gender, age, as well as characteristics of angiography(including Suzuki stage, posterior cerebral artery[PCA] stage, collateral circulation from ophthalmic artery or superficial temporal artery or meningeal artery or occipital artery, or internal maxillary artery or extracranial artery or posterior circulation) were analyzed with χ 2 test and Mann-Whitney U test. Results Patient's gender and age were not associated with the risk of cerebral infarction(χ 2=2.095, P =0.148; χ 2=4.286, P =0.453). Among all the cerebral hemispheres, there are 17 cortical infarction(17/22), 14 frontal lobe infarction(14/22), and 9 subcortical infarction(9/22). The disparity between Suzuki stage of hemispheres without infarction and with infarction is of statistical significance(Mann-Whitney U test Z =-3.054, P =0.002). The similar result was also observed by PCA stage(Mann-Whitney U test Z =-4.557, P <0.001). There were no statistically significant differences between cerebral infarction and every collateral circulation from ophthalmic artery or superficial temporal artery or meningeal artery or occipital artery, or internal maxillary artery or posterior circulation. Conclusion Cortical infarction is more common than the subcortical one in children with ischemic MMD. And frontal lobe infarction has the highest prevalence. The occurrence of cerebral infarction is associated with steno-occlusive lesions of advanced Suzuki stage and PCA stage.

    Protection of Alcohol to Ischemia-reperfusion Brain Tissue in Rats
    WANG Bin, LIU Zhi Hui, ZHANG Pei, LI Jian.
    2013, 8(04):  266-270. 
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    【Abstract】 Objective To investigate the influence of alcohol on the infarction area and expression of apoptosis induced factor(AIF), hypoxia induced factor-1α(HIF-1α) in the brain tissue of rats with cerebralreperfusion. Methods Fifty-four healthy male Wistar rats were randomly divided into 3 groups, sham operation group, ischemia-reperfusion group(control group), and ischemia-reperfusion with alcohol group(therapy group). The infarction models were established by blocking the middle cerebral artery, after 2 hours the line was pulled out, forming ischemia-reperfusion in the brain tissue of the rats. Alcohol(absolute alcohol was diluted to 50% alcohol) 1.5 g/kg was intraperitoneally injected to the therapy group when reperfusion, and the control group and sham operation group with the same amount of saline. The infarct size was stained by 2, 3, 5-triphenyltetrazolium chlorice and the expression of AIF and HIF-1α in the brain tissue of the rats was tested by the immunohistochemical method. Results The infarction area in the therapy group was significantly smaller than that in the control group([35.33 6.06]mm2 vs [55.50 3.62]mm2, P <0.001). The expression of AIF and HIF-1α in the brain cortex of rats was (36.75 8.99)/HP and (49.25 12.04)/HP in the control group and (20.75 7.46)/HP and (70.25 11.12)/HP in the therapy group, both of them were higher than the sham operation group(both P <0.001), but the expression of AIF in the brain cortex of rats in the therapy group was significantly lower(P <0.001) and the expression of HIF-1α was significantly higher than the control group(P <0.001).

    Conclusion Alcohol(1.5 g/kg) has neuroprotective effects on brain tissue of rats with ischemiareperfusion. In brain ischemia -reperfusion injury, alcohol may reduce the brain damage by the enhancement of nerve cells to adapt the anaerobic environment and reducing apoptosis of the nerve cells.

    Speical Reviews: Inflammatory Factors and Stroke
    LI Ji-Mei,
    2013, 8(04):  271-271. 
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    Inflammation as Therapeutic Target of Intracerebral Hemorrhage
    LIU Xiao-Jing, ZHANG Yong-Bo, LI Ji-Mei.
    2013, 8(04):  272-276. 
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    【Abstract】 The mechanisms of brain damage induced by cerebral hemorrhage are complicated. Inflammation plays an important role in the secondary process of brain damage. It involves a lot of inflammatory cells and mediators. There are few treatments of cerebral hemorrhage. We conclude the potential drugs which target the inflammatory process during cerebral hemorrhage.

    Inflammatory Biomarkers of Stroke
    ZHANG Qin, WANG Yun-Feng, ZHANG Yong-Bo, LI Ji-Mei.
    2013, 8(04):  276-280. 
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    【Abstract】 Inflammation and inflammatory biomarkers play an important role in stroke. Many studies implicate inflammation in stroke diagnosis, prognosis and treatment, and could give clinical physicians important information. We review the kind and the role of inflammatory biomarkers in diagnosis, risk stratification, prognosis and treatment in stroke.

    One Case Report of Acute Cerebral Infarction Caused by Rhino-orbital-cerebral Mucormycosis
    YU Hui-Yan, DONG Min, CAO Su-Yan
    2013, 8(04):  281-284. 
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    Consensus Statement of Evaluation and Management of Collateral Circulation after Ischemic
    Stroke
    2013, 8(04):  285-293. 
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    AHA/ASA Guideline:Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage
    (Part 2)
    SHEN Dong-Chao, QI Dong, BIAN Li-Heng
    2013, 8(04):  294-300. 
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    The intracranial vertebral artery: a neglected species
    Louis R.Caplan
    2013, 8(04):  301-310. 
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    Autophagy after Ischemic Stroke
    SUN Jin-Mei, ZHANG Yong-Bo, LI Ji-Mei
    2013, 8(04):  311-315. 
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    【Abstract】 Autophagy is an important way to remove the aging protein and damaged organelles. As a subtype of cell death, autophagy plays an important role in pathological and physiological conditions. There indeed is an autophagic phenomenon after ischemic insult in brain. Discussing the autophagy activation pathways and how to evaluate it in quality and quantity will be helpful to figure out the role of autophay after ischemic stroke.

    Ischemic Stroke and Immune Reaction
    WANG Ji-Xian, ZHANG Bo-Ai, YANG Guo-Yuan
    2013, 8(04):  316-321. 
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    【Abstract】 Immunity, including innate and adaptive immunity, and inflammation response are important pathological process during ischemic stroke. This process not only leads to inflammatory damages and corresponding modulations in the peripheral blood and immune organs, but also plays a crucial role in the brain tissue repair and reconstruction. Suppression of inflammation and immunomodulation exert remarkable neuroprotection, providing a novel approach for the treatment of ischemic brain injury. However, there are many problems in immune therapy for the ischemic brain injury. The interaction between immune system and ischemic brain injury needs to be further studied to ensure the efficacy and safety of immunotherapy.

    Schema Theory in Culturing Medical English Reading Ability of Cerebral Vascular Disease in
    Neurologist
    TANG Jie, MA Jun, SUI Bing-Bing, et al.
    2013, 8(04):  322-324. 
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