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121 results of 25 texts with exact phrase : 'history'.

1. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 1, 2005, No. 2 , , ,

Although it does not have a long history, it has become an established alternative to CEA for high-risk patients not suitable for surgery.
Carotid angioplasty with stenting is a relatively new endovascular treatment for carotid stenosis. Although it does not have a long history, it has become an established alternative to CEA for high-risk patients not suitable for surgery. It is a minimally invasive procedure requiring only a small incision in the groin and local anaesthesia.
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Despite a long history of the studies treating the problems of stroke, epileptic seizures and epilepsy associated with cerebrovadcular incidence arise many questions.
Despite a long history of the studies treating the problems of stroke, epileptic seizures and epilepsy associated with cerebrovadcular incidence arise many questions. This review summarizes the most important data concerning terminology, epidemiology, pathophysiology, risk factors, diagnosis and treatment of epileptic seizures and epilepsy after stroke. Controversial results between different studies and the future directions have been analyzed.
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2. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 2, 2006, No. 1 , , ,

Family history of coronary heart disease and pre-clinical carotid artery atherosclerosis in African-Americans and whites: the ARIC study: Atherosclerosis Risk in Communities. Genet
Bensen JT, Li R, Hutchinson RG, Province MA, Tyroler HA. Family history of coronary heart disease and pre-clinical carotid artery atherosclerosis in African-Americans and whites: the ARIC study: Atherosclerosis Risk in Communities. Genet
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Increased carotid intima-media thickness in children-adolescents, and young adults with a parental history of premature myocardial infarction.
Cuomo S, Guarini P, Gaeta G, De Michele M, Boeri F, Dorn J, Bond M, Trevisan M. Increased carotid intima-media thickness in children-adolescents, and young adults with a parental history of premature myocardial infarction.
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Evaluating the genetic component of ischemic stroke subtypes: a family history study.
Jerrard-Dunne P, Cloud G, Hassan A, Markus HS. Evaluating the genetic component of ischemic stroke subtypes: a family history study.
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Early carotid atherosclerosis and family history of vascular disease: specific effects on arterial sites have implications for genetic studies.
Jerrard-Dunne P, Markus HS, Steckel DA, Buehler A, von Kegler S, Sitzer M. Early carotid atherosclerosis and family history of vascular disease: specific effects on arterial sites have implications for genetic studies.
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Differential association of common carotid intima-media thickness and carotid atherosclerotic plaques with parental history of premature death from coronary heart disease: the EVA study.
Zureik M, Touboul PJ, Bonithon-Kopp C, Courbon D, Ruelland I, Ducimetiere P. Differential association of common carotid intima-media thickness and carotid atherosclerotic plaques with parental history of premature death from coronary heart disease: the EVA study.
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3. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 2, 2006, No. 2 , , ,

The natural history of patients with asymptomatic carotid stenosis.
Bornstein NM, Norris JW . The natural history of patients with asymptomatic carotid stenosis. In: Moore WS (ed) Surgery for Cerebrovascular Disease, 264-267; 1996, Philadelphia: W.B. Saunders.
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4. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 3, 2007, No. 2 , , ,

G-induced Loss of Conscionsness:Definition, History, Curent Status.
Burton RR. G-induced Loss of Conscionsness:Definition, History, Curent Status.
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5. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 4, 2008, No. 1 , , ,

History of spontaneous dissection of the cervical carotid artery.
de Bray JM, Baumgartner RW. History of spontaneous dissection of the cervical carotid artery.
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A detailed history of the disease is taken and a profound clinical and electromyographic examination including electroneurograophy is performed.
We have included in this paper 30 patients, 15 male and 15 female, aged 19 to 77 years (mean age 47.2) with CRF. A detailed history of the disease is taken and a profound clinical and electromyographic examination including electroneurograophy is performed.
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Natural history of uremic polyneuropathy and effects of dialysis.
Jebsen RH, Tenckhoff H, Honet JC. Natural history of uremic polyneuropathy and effects of dialysis.
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6. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 5, 2009, No. 1 , , ,

The documentation was done by Eva Bartels on October 6, 1989 – this seems to be the eldest documentation of a transcranial color coded image in the history of TCCS.
View of a color coded image of the middle cerebral artery with a corresponding Doppler spectral analysis, performed under visual control using a transtemporal insonation (the sample volume is placed in 57 mm depth). The documentation was done by Eva Bartels on October 6, 1989 – this seems to be the eldest documentation of a transcranial color coded image in the history of TCCS.
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7. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 5, 2009, No. 1 , , ,

Natural history and classification of occlusive
Ishikawa K. Natural history and classification of occlusive
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8. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 6, 2010, No. 1 , , ,

Natural history of symptomatic intracranial arterial stenosis.
Kasner SE. Natural history of symptomatic intracranial arterial stenosis.
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Depressive symptoms and history of depression predict rehabilitation efficiency in stroke patients.
Gillen R, Tennen H, McKee TE, Gernert-Dott P, Affleck G. Depressive symptoms and history of depression predict rehabilitation efficiency in stroke patients.
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Is Family History of Depression a Risk Factor for Poststroke Depression?
Tenev VT, Robinson RG, Jorge RE. Is Family History of Depression a Risk Factor for Poststroke Depression?
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Annual Meeting of the International Society for the History of the Neurosciences
Annual Meeting of the International Society for the History of the Neurosciences
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9. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 6, 2010, No. 2 , , ,

The disease has an autosomal dominant trait of inheritance, as the patient has a family history of affected mother, aunt, uncle and cousins on his mother’s side [12].
, bilateral coxarthrosis. The disease has an autosomal dominant trait of inheritance, as the patient has a family history of affected mother, aunt, uncle and cousins on his mother’s side [12].
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10. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 7, 2011, No. 1 , , ,

Mobile carotid plaques: The natural history of two asymptomatic and non-operated cases.
Szendro G, Sabetai MM, Tegos TJ, Dhanjil S, Lennox AF, Nicolaides AN. Mobile carotid plaques: The natural history of two asymptomatic and non-operated cases.
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History data for cognitive impairment of different severity, neuropsychological assessment, clinical and neurological examination, provide enough motivation to consider AD and MCI in our cases, according to commonly accepted diagnostic criteria [22, 16].
History data for cognitive impairment of different severity, neuropsychological assessment, clinical and neurological examination, provide enough motivation to consider AD and MCI in our cases, according to commonly accepted diagnostic criteria [22, 16]. Structural neuroimaging findings correspond to degenerative etiology. The characteristic FDGPET findings not only support the diagnosis of
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We present a 50-years-old man with known history of coronary artery disease – stable angina pectoris from 2 years, selective coronary arteriography in September 2009 which revealed one-vessel coronary involvement.
We present a 50-years-old man with known history of coronary artery disease – stable angina pectoris from 2 years, selective coronary arteriography in September 2009 which revealed one-vessel coronary involvement. Percutaneous coronary intervention was performed on the left anterior descending coronary artery with implantation of one bare-metal stent. After the
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We stay with great respect to his life and activities, which will leave behind a lasting trace in the history of Bulgarian Neurology, Military Medicine and the memory of his students and followers.
We stay with great respect to his life and activities, which will leave behind a lasting trace in the history of Bulgarian Neurology, Military Medicine and the memory of his students and followers.
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11. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 8, 2012, No. 1 , , ,

2013. The participants from all over the world will have the opportunity to enjoy the history and the beauty of Sofia – one of the oldest capitals in Europe.
2013. The participants from all over the world will have the opportunity to enjoy the history and the beauty of Sofia – one of the oldest capitals in Europe.
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The early onset of DM and the presence of family history imposed the differential diagnosis with MODY disease (maturityonset diabetes of the young) [5], characterized by early onset (before age 25), AD mode of inheritance, primary defect in glucose-stimulated insulin secretion and heterogeneity in genetic, metabolic and clinical treatment.
We presented a patient with insulin dependent diabetes with AD mode of inheritance and diabetic neuropathy occurring 30 years after disease onset. The early onset of DM and the presence of family history imposed the differential diagnosis with MODY disease (maturityonset diabetes of the young) [5], characterized by early onset (before age 25), AD mode of inheritance, primary defect in glucose-stimulated insulin secretion and heterogeneity in genetic, metabolic and clinical treatment. Genetic mutations determine the development of MODY and
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We stay with great respect to his life and activities, which will leave behind a lasting trace in the history of Bulgarian Neurology.
We stay with great respect to his life and activities, which will leave behind a lasting trace in the history of Bulgarian Neurology.
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WHO. He was member of the Specialized commission of medicine at the HAC, and the Specialized Scientific Councils of neurology and psychiatry, history of medicine and social medicine.
WHO. He was member of the Specialized commission of medicine at the HAC, and the Specialized Scientific Councils of neurology and psychiatry, history of medicine and social medicine. He was member of Bulgarian and international scientific societies and foundations.
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He is co-author of a book about its history.
Prof. Milenkov developed publicistic and educational activities with over 500 public lectures, 200 articles in newspapers and magazines, 15 brochures, 50 TV and radio presentations. He has greatly contributed to the restoration of the Bulgarian Medical Union, the regulation of its functions and search for its archives and property. He is co-author of a book about its history. He was active collaborator to the Bulgarian Red Cross. His broad and multilateral activity is an example of a fulfilled medical and civil duty.
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A deep bow to his life and activity, which leaves a lasting trace in the history of the Bulgarian psychiatry and medicine!
A deep bow to his life and activity, which leaves a lasting trace in the history of the Bulgarian psychiatry and medicine!
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The meeting was accompanied by an exciting social program that allowed participants to experience the ancient culture and history of Chinese people.
The meeting was accompanied by an exciting social program that allowed participants to experience the ancient culture and history of Chinese people.
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12. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 2, 2012, No. 2 , , ,

The presentation of this clinical case, based on the clinical picture (history, clinical symptoms, development) and changes in neuroimaging studies (type of signal abnormalities, location of changes) shows the differential diagnostic prob-
The presentation of this clinical case, based on the clinical picture (history, clinical symptoms, development) and changes in neuroimaging studies (type of signal abnormalities, location of changes) shows the differential diagnostic prob-
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2013. The participants from all over the world will have the opportunity to enjoy the history and the beauty of Sofia – one of the oldest capitals in Europe.
2013. The participants from all over the world will have the opportunity to enjoy the history and the beauty of Sofia – one of the oldest capitals in Europe.
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13. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 9, 2013, No. 1 , , ,

A detailed questionnaire on the medical history and physical state of the patients was filled in by an experienced neurologist.
We studied 47 (26 males and 21 females) ischemic stroke patients (mean age 63 years), who were admitted to the Neurology Clinic of University Hospital, Pleven (2008) within 24 hours of onset. Patients with brain hemorrhage, dementia, concomitant liver, kidney and cancerous diseases, and previous surgery were excluded from the study. A detailed questionnaire on the medical history and physical state of the patients was filled in by an experienced neurologist. Data regarding demographics, vascular risk factors, and concomitant treatment were also collected. CT scan of the brain was performed on admission to the clinic. An informed consent was obtained from the patients. The study was approved by the Ethics Committee of the Medical University Pleven.
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История за инсулт/Stroke history, n (%)
История за инсулт/Stroke history, n (%)
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Hyperglycemia is often found in acute stroke, even in cases without a history of diabetes mellitus [3].
Hyperglycemia is often found in acute stroke, even in cases without a history of diabetes mellitus [3]. It causes lactic acidosis, tissue acidosis and exerts direct neurotoxicity. Hyperglycemia worsens functional outcome of cerebral ischemia and influences negatively the cognitive state of patients in the acute phase of ischemic stroke [3] by impairing mainly the executive functions [18]. According to our results baseline hyperglycemia was a significant determinant of cognitive impairment at discharge due to its positive correlation with systolic arterial hypertension (Rs=0.358; p=0.016).
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2013. The participants from all over the world will have the opportunity to enjoy the history and the beauty of Sofia – one of the oldest capitals in Europe.
2013. The participants from all over the world will have the opportunity to enjoy the history and the beauty of Sofia – one of the oldest capitals in Europe.
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14. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 9, 2013, No. 2 , , ,

2013. The participants from all over the world will have the opportunity to enjoy the history and the beauty of Sofia – one of the oldest capitals in Europe.
2013. The participants from all over the world will have the opportunity to enjoy the history and the beauty of Sofia – one of the oldest capitals in Europe.
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Hiroshi Furuhata, history, sonothrombolysis.
Hiroshi Furuhata, history, sonothrombolysis.
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This position might be solidified in natural history studies of asymptomatic individuals with carotid plaques, having as an end point the development of stroke.
Our results suggested that juxtaluminal 25% plaque echogenicity might have a more adequate ability over global plaque echogenicity in separating symptomatic and asymptomatic carotid plaques, only in the presence of significant stenosis. This position might be solidified in natural history studies of asymptomatic individuals with carotid plaques, having as an end point the development of stroke.
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However, more patients in the ISR group had a history of cancer than did those in the no-ISR group.
No significant difference was observed due to small number, when comparing the no-ISR group and the high-grade ISR group. However, more patients in the ISR group had a history of cancer than did those in the no-ISR group. The in-
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We found the cancer-history as the risk factor of late-onset ISR.
We found the cancer-history as the risk factor of late-onset ISR. The in-stent max IMT of CDU was a predictor of late-onset ISR. We advocated aftercare management by CDU for the stented patient.
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Her previous medical history displayed hypertension.
The subject is a 86-year old female presenting with sudden loss of consciousness lasting few seconds after flexing neck. After the episode the patient remained with dizziness and vertigo. Her previous medical history displayed hypertension. At admission, she presented with right apendicular ataxia and left homonymous hemyanopsia. She performed skull computadorized tomography (CT), which revealed a large ischemic zone in right cerebellar hemisphere and ipsilateral occipital lobe. TCD was then performed before and during mechanical maneuvers. The vessel chosen was the posterior cerebral artery. There was an important amplitude in mean flow velocity: 38 cm/s before maneuver, 20 cm/s during cervical flexion and rotation maneuver (reduction of 48%); 50 cm/s after assuming neutral position (increase in 24% – reactive hyperemia).
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The Web-based program for simulation of the virtual patient displays the case history, data from physical examination, laboratory tests, other investigations, diagnosis making, discussion of disease mechanism, therapy, casespecific help with reference values, links to internal or external sources and additional information.
The Web-based program for simulation of the virtual patient displays the case history, data from physical examination, laboratory tests, other investigations, diagnosis making, discussion of disease mechanism, therapy, casespecific help with reference values, links to internal or external sources and additional information. To solve the case, the students choose decisions among suggested ones or enter their independent decision via the keyboard. The feedback is after each chosen decision in the form of detailed comments.
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15. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 10, 2014, No. 1 , , ,

For the first time in the history of Bulgarian Neurology a world scientific forum was held in our country hosted and organized Ьy the Bulgarian Society of Neurosonology and CereЬral Hemodynamics in cooperation with the Neurosonology Research Group of the World Federation of Neurology.
For the first time in the history of Bulgarian Neurology a world scientific forum was held in our country hosted and organized Ьy the Bulgarian Society of Neurosonology and CereЬral Hemodynamics in cooperation with the Neurosonology Research Group of the World Federation of Neurology. This scientific Forum was under the aegis of the Mayor of Sofia Mrs. Yordanka Fandakova and went under the motto
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All delegates will have the opportunity to enjoy the history and the beauty of Sofia – one of the oldest capitals in Europe.
All delegates will have the opportunity to enjoy the history and the beauty of Sofia – one of the oldest capitals in Europe.
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16. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 10, 2014, No. 2 , , ,

In the past year, 2013, the 16th World Neurosonology Meeting of the World Federation of Neurology took its rightful place in history with its immense success that we achieved as hosts and organizers.
In the past year, 2013, the 16th World Neurosonology Meeting of the World Federation of Neurology took its rightful place in history with its immense success that we achieved as hosts and organizers.
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Fabry disease patients, without prior history of stroke or transient ischemic attack, had disturbed neurovascular coupling in the visual cortex.
Functional TCD can also be useful for evaluating presymptomatic and even prelesional subjects with genetic diseases afecting the endothelial function. Fabry disease patients, without prior history of stroke or transient ischemic attack, had disturbed neurovascular coupling in the visual cortex.
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The authors concluded that Fabry disease patients of both genders, without prior history of stroke or transient ischemic attack, may have disturbed neurovascular coupling in the visual cortex, as well as decreased resting posterior cerebral artery BFV.
Functional transcranial Doppler can also be useful for evaluating presymptomatic and even prelesional subjects with genetic diseases affecting the endothelial function. As cerebrovascular disease is known to progress asymptomatically in the early stages of Fabry disease, a cohort of patients from families with the classical phenotype were studied with functional transcranial Doppler. The authors concluded that Fabry disease patients of both genders, without prior history of stroke or transient ischemic attack, may have disturbed neurovascular coupling in the visual cortex, as well as decreased resting posterior cerebral artery BFV. These findings support the role of functional TCD, along with duplex ultrasound and MR techniques, in the evaluation of these patients, since early stages of disease [4]. Finally, interesting findings seem to show that cerebral blood flow regulation may reflect the neurological dysfunction caused by cerebral microvascular disease [22, 23]. Data from the MOBILIZE Boston study shows that changes in CBF velocity responses to an N-Back task to study the NVC was significantly associated with gait speed and that subjects with higher NVC were able to suppress the negative relationship between white matter hyperintensities and gait speed [23]. A better understanding of the relationship between cerebral hemodynamics and structural changes in the aging brain is an essential step towards identifying preventive and therapeutic strategies
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There is no history of gradually progressive cognitive deficits before or after the stroke that suggests the presence of a nonvascular neurodegenerative disorder.
There is no history of gradually progressive cognitive deficits before or after the stroke that suggests the presence of a nonvascular neurodegenerative disorder.
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A history of other neurodegenerative disorders (eg, Parkinson disease, progressive supranuclear palsy, dementia with Lewy bodies); b.
There is evidence of other neurodegenerative diseases or conditions in addition to cerebrovascular disease that may affect cognition, such as: a. A history of other neurodegenerative disorders (eg, Parkinson disease, progressive supranuclear palsy, dementia with Lewy bodies); b. The presence of Alzheimer disease biology is confirmed by biomarkers (eg, PET, CSF, amyloid ligands) or genetic studies (eg, PS1mutation); or c. A history of active cancer, psychiatric or metabolic disorders that may affect cognitive function.
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A history of active cancer, psychiatric or metabolic disorders that may affect cognitive function.
There is evidence of other neurodegenerative diseases or conditions in addition to cerebrovascular disease that may affect cognition, such as: a. A history of other neurodegenerative disorders (eg, Parkinson disease, progressive supranuclear palsy, dementia with Lewy bodies); b. The presence of Alzheimer disease biology is confirmed by biomarkers (eg, PET, CSF, amyloid ligands) or genetic studies (eg, PS1mutation); or c. A history of active cancer, psychiatric or metabolic disorders that may affect cognitive function.
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There is no history of gradually progressive cognitive deficits before or after the stroke that suggests the presence of a nonvascular neurodegenerative disorder.
There is no history of gradually progressive cognitive deficits before or after the stroke that suggests the presence of a nonvascular neurodegenerative disorder.
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A history of other neurodegenerative disorders (eg, Parkinson disease, progressive supranuclear palsy, dementia with Lewy bodies); b.
There is evidence of other neurodegenerative diseases or conditions in addition to cerebrovascular disease that may affect cognition, such as: a. A history of other neurodegenerative disorders (eg, Parkinson disease, progressive supranuclear palsy, dementia with Lewy bodies); b. The presence of Alzheimer disease biology is confirmed by biomarkers (eg, PET, CSF, amyloid ligands) or genetic studies (eg, PS1mutation); or c. A history of active cancer or psychiatric or metabolic disorders that may affect cognitive function.
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A history of active cancer or psychiatric or metabolic disorders that may affect cognitive function.
There is evidence of other neurodegenerative diseases or conditions in addition to cerebrovascular disease that may affect cognition, such as: a. A history of other neurodegenerative disorders (eg, Parkinson disease, progressive supranuclear palsy, dementia with Lewy bodies); b. The presence of Alzheimer disease biology is confirmed by biomarkers (eg, PET, CSF, amyloid ligands) or genetic studies (eg, PS1mutation); or c. A history of active cancer or psychiatric or metabolic disorders that may affect cognitive function.
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17. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 11, 2015, No. 1 , , ,

The study was carried out in 28 clinically healthy subjects (15 men and 13 women in the age range from 22 to 79, mean age 51.3±20.5 years without a history of ophthalmic diseases and syndromes) and 20 patients (12 women and 8 men in the age range from 21 to 85 years, mean age 45±17 years) with ocular pathology: 10 of the patients were with papilledema caused by various pathological processes (bilateral papillitis or intracranial hypertension, brain tumors, arteriovenous malformation, dural transverse sinus venous thrombosis), 6 of the patients were with retinal detachment, 1 – with macular degeneration, 1 – with intraocular metastasis of the right eye, 1 – with amaurosis and visual hallucinations and 1 – with hemophthalmos.
The study was carried out in 28 clinically healthy subjects (15 men and 13 women in the age range from 22 to 79, mean age 51.3±20.5 years without a history of ophthalmic diseases and syndromes) and 20 patients (12 women and 8 men in the age range from 21 to 85 years, mean age 45±17 years) with ocular pathology: 10 of the patients were with papilledema caused by various pathological processes (bilateral papillitis or intracranial hypertension, brain tumors, arteriovenous malformation, dural transverse sinus venous thrombosis), 6 of the patients were with retinal detachment, 1 – with macular degeneration, 1 – with intraocular metastasis of the right eye, 1 – with amaurosis and visual hallucinations and 1 – with hemophthalmos.
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The forms are accompanied by a medical history of the patient.
An electronic database for each patient with stroke in the neurological clinic is created. The forms are accompanied by a medical history of the patient.
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The scientific programme was enriched by the great possibility to explore Istanbul – a city with centuries-old history and culture.
The scientific programme was enriched by the great possibility to explore Istanbul – a city with centuries-old history and culture.
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Tsvetelina Tsankova, MD (MU – Pleven) presented the medical history and neurological status of patients.
At Neurosonology section the demonstrative practical exercises with patients were conducted by Prof. Stefan Schreiber (Berlin) and Prof. Ekaterina Titianova (Sofia). Assist. Prof. Tsvetelina Tsankova, MD (MU – Pleven) presented the medical history and neurological status of patients.
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In the past year, 2014, three significant events of the Bulgarian Society of Neurosonology and Cerebral Hemodynamics took their rightful place in history:
In the past year, 2014, three significant events of the Bulgarian Society of Neurosonology and Cerebral Hemodynamics took their rightful place in history:
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18. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 11, 2015, No. 2 , , ,

4. It has been also recorded whether the patient is a smoker or non-smoker from medical history.
4. It has been also recorded whether the patient is a smoker or non-smoker from medical history.
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Тhe history of BSNCH is rich on scientific events, creative activities and practical initiatives.
Тhe history of BSNCH is rich on scientific events, creative activities and practical initiatives. We created a school in Neurosonology with a potential to offer highly qualified Bulgarian healthcare and European certified specialists in the field of ultrasound diagnostics of the nervous system throughout the country.
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His previous medical history included hypertension, hyperlipidemia, aortic regurgitation (2 grade) and mitral regurgitation (1 grade).
A 41 year old right-handed man presented with acute onset of inability to speak and right-sided weakness. His previous medical history included hypertension, hyperlipidemia, aortic regurgitation (2 grade) and mitral regurgitation (1 grade). Two years ago he suffered anterior ST elevation myocardial infarction, with primary PCI: PTCA/stent on proximal LAD. The patient was on two antihypertensive medications, a statin, a beta-blocker and antiplatelet therapy (Clopidogrel) 75mg/day. The patient was not a candidate for tPa because of the inability to determine the time of onset of symptoms. At admission, his blood pressure was 140/90 mmHg, regular heart rate of 95/min, central right facial palsy, aphasia with right-sided hemiplegia. Initial brain CT showed a small post-ischemic zone in the left parietal lobe.
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His previous medical history was negative, not smoking.
We present a case of a 25 year old right-handed man with abrupt onset of moderate grade right sided weakness. His previous medical history was negative, not smoking. Initial Computed Tomography of the brain (CT) was normal. He was treated with intravenous (iv) fibrinolytic therapy with recombinant tissue plasminogen activator r-tPA (Actilyse) 90mg total dose. At the first 24 hours he had stable vital parameters. The control brain CT scan was normal. In the next days his neurological condition became better with mild weakness of the right extremities.
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Patients with ≥ 70% stenosis and stroke history have always been considered the best candidates for carotid surgery.
Patients with ≥ 70% stenosis and stroke history have always been considered the best candidates for carotid surgery. Any benefit of surgery for other patients has not been proven. Recent literature cast doubts on the necessity of surgical treatment for all patients with even severe carotid stenosis but selection criteria are to be more defined. Therefore cerebral autoregulation (CA), being one of the most important factors of the compensatory capacity of the cerebral hemodynamics, seems to be useful in proper choice between surgery and conservative treatment.
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Fourteen patients had a history of stroke, 25 were always asymptomatic.
Thirty-nine patients (27 men and 12 women) with atherosclerotic stenosis or thrombosis of carotid arteries aged 48-78 years were studied. Critical stenosis was revealed in 28 patients. Severe stenosis was found in 5 patients, thrombosis – in 6. Fourteen patients had a history of stroke, 25 were always asymptomatic. Stenting of the carotid artery was performed in 16 patients, carotid endartherectomy – in 17, upper cervical sympathectomy – in 4, extra-intracranial arterial bypass
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A 46 years old male patient, smoker, with history of stroke in the immediate family without comorbidities (normal blood pressure with normal values of lipids and glucose) was admitted in the Emergency Service after 2 hours of acute weakness in right limbs and speech difficulties.
A 46 years old male patient, smoker, with history of stroke in the immediate family without comorbidities (normal blood pressure with normal values of lipids and glucose) was admitted in the Emergency Service after 2 hours of acute weakness in right limbs and speech difficulties. Physical and neurological examination were performed immediately. The CT examination was normal. Afterwards fibrinolytic therapy was administered as per protocol for the treatment of ischemic stroke, with good tolerance of the drug and a good therapeutic response. Nine hours after the administration of the drug almost complete recovery of right motor deficit was present, with persisting speech difficulties. Treatment was continued with low molecular weight heparin.
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The diagnostic possibilities based on clinical (previous history, clinical symptoms and evolution) and imaging data (type of signal abnormalities, location of lesions) are presented in this clinical case.
The diagnostic possibilities based on clinical (previous history, clinical symptoms and evolution) and imaging data (type of signal abnormalities, location of lesions) are presented in this clinical case. The diagnosis of the underlying etiology may be difficult to reveal by the performed imaging studies.
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The study was performed in 31 clinically healthy volunteers (17 men and 14 women, ranged from 22 to 97 years, mean age 51±20 years) without history of ophthalmic disorders or neuro-ophthalmic syndromes.
The study was performed in 31 clinically healthy volunteers (17 men and 14 women, ranged from 22 to 97 years, mean age 51±20 years) without history of ophthalmic disorders or neuro-ophthalmic syndromes. The optic nerves were evaluated by multimodal 2D/3D/4D neurosonography at power output ranged from 50% to 100%. The diameters of the optic nerve/sheath complex and their ratio were measured 3 mm behind the globe. The effect of refractive error was tested experimentally by changing of two hydrophilic aspheric contact lenses (+6 and -10 diopters) on the right eye. Correlations between the anthropological factors (age, sex, height, weight and body mass index – BMI), power output, refractive errors (myopia and hypermetropia) and ultrasound parameters of the optic nerves were evaluated.
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The present report describes a 35-year-old man with a history of intermittent pain in the left retrobulbar area lasting approximately six months.
The present report describes a 35-year-old man with a history of intermittent pain in the left retrobulbar area lasting approximately six months. The disease debuted with a general infectious syndrome, leftsided exophthalmos with transient visual disturbances and local inflammation of the conjunctiva. The condition was considered initially as conjunctivitis, and later – as TolosaHunt syndrome, which was successfully treated with eye drops, nonsteroidal anti-inflammatory drugs (NSAIDs), antibiotics and three courses of corticosteroids. For the final diagnosis prospective clinical and neuroimaging investigations (2D/3D/4D multimodal neurosonology, CT and MRI of the head) were performed.
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The presentation of this clinical case based on clinical (medical history, clinical symptoms development), neuroimaging studies and changes in CSF showed differential diagnostic problems.
The presentation of this clinical case based on clinical (medical history, clinical symptoms development), neuroimaging studies and changes in CSF showed differential diagnostic problems.
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19. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 12, 2016, No. 1 , , ,

There is history of a single febrile seizure at 8-months of age, followed by antiepileptic medical treatment with phenobarbital and tegretol since 2-years of age until year 2000.
A 23-year-old male with dysgenesis of the corpus callosum is examined. The male is adopted, therefore there are no records of his prenatal development. There is history of a single febrile seizure at 8-months of age, followed by antiepileptic medical treatment with phenobarbital and tegretol since 2-years of age until year 2000. During that period no imaging studies were made. There are conclusions from routine electroencephalograms (EEG) most of which are normal (last EEG from 1999). According to the father, the patient has poor vocabulary background, cannot execute coordinated activities with both hands, has a periodic migraine accompanied by copious amounts of perspiration and irritability of noise, followed by falling asleep; suffers from various phobias. Sometimes he experiences quivering of the limbs and problem swallowing solid foods. He finished high school with low grades after a lot of extra work.
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The present report describes a 35-year-old man with a history of intermittent pain in the left retrobulbar area lasting approximately six months.
The present report describes a 35-year-old man with a history of intermittent pain in the left retrobulbar area lasting approximately six months. The disease debuted with a general infectious syndrome, left-sided exophthalmos with transient visual disturbances and local inflammation of the conjunctiva. The condition was considered initially as conjunctivitis, and later – as Tolosa-Hunt syndrome, which was successfully treated with eye drops, nonsteroidal anti-inflammatory drugs (NSAIDs), antibiotics and corticosteroids. For the final diagnosis prospective clinical and neuroimaging investigations (2D/3D/4D multimodal neurosonology, CT and MRI of the head) were performed.
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The wide differential diagnosis of Tolosa-Hunt syndrome requires taking an accurate history, conducting prospective clinical, paraclinical and neuroimaging studies (CT and/or MRI).
The wide differential diagnosis of Tolosa-Hunt syndrome requires taking an accurate history, conducting prospective clinical, paraclinical and neuroimaging studies (CT and/or MRI). Recently the neuro-ophthalmo-sonology has been applied as a fast and highly informative method for imaging normal and pathological eye structures aiding to distinguish the ophthalmological from the neuro-ophthalmological symptoms and syndromes [1, 2, 10].
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The present report describes a 35-year-old man with a history of intermittent pain in the left
The present report describes a 35-year-old man with a history of intermittent pain in the left
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Initial steps in evaluating a patient with potential ACAS are medical history and physical examination.
Initial steps in evaluating a patient with potential ACAS are medical history and physical examination. Carotid stenosis, coronary artery disease and peripheral arterial occlusive disease have similar risk factors such as hypertension, diabetes mellitus, smoking and elevated blood cholesterol levels, but may include patient age and sex. A carotid bruit is an often overlooked sign and is not necessarily indicative of carotid stenosis.
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Further, indications for CAS also include inability to tolerate general anesthesia for CEA, history of damage to the contralateral vocal cord (previous CEA or neck surgery), previous neck surgery on the ipsilateral side, neck irradiation and restenosis after CEA.
CAS is less invasive and newer option in the treatment of ACAS. CAS is currently used in patients with ACAS (> 80% stenosis) and with a high surgical risk as long as the complication rate of CAS can be shown to be less than 3%. Nevertheless, Food and Drug Administration (FDA) approved CAS for standard surgical risk patients with > 60% stenosis. Further, indications for CAS also include inability to tolerate general anesthesia for CEA, history of damage to the contralateral vocal cord (previous CEA or neck surgery), previous neck surgery on the ipsilateral side, neck irradiation and restenosis after CEA. Older patients (>70 years) had worse outcomes with CAS [31] than younger. However the risks of CEA and CAS have been reduced which enhances the overall benefit of these methods [32]. There are a small number of studies, which compare CAS with CEA that achieved the final valuable conclusion. Carotid Revascularization Endarterectomy Versus Stenting Trial (CREST) compared CAS with CEA
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Internal carotid artery stenosis: natural history and management.
Lanzino G, Tallarita T, Rabinstein AA. Internal carotid artery stenosis: natural history and management.
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Natural history of asymptomatic carotid artery disease.
Bock RW, Gray-Weale AC, Mock PA, App Stats M, Robinson DA, Irwig L, Lusby RJ. Natural history of asymptomatic carotid artery disease.
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A. Natural history of carotid artery stenosis contralateral to endarterectomy: results from two randomized prospective trials.
A. Natural history of carotid artery stenosis contralateral to endarterectomy: results from two randomized prospective trials.
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20. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 12, 2016, No. 2 , , ,

Her past medical history was negative.
Strength in the left upper and lower limb was normal (5/5), with brisk deep tendon reflexes and patellar subclonus on both sides. There were no positive meningeal or cerebellar signs. Clinical examination of both temporal arteries showed normal findings, without tenderness, swelling and pain. Except for a body temperature of 38.5°C and fetor ex ore, the systemic examination was normal. She had three maxillary teeth extractions three days prior to symptoms onset. Her past medical history was negative.
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Тhe past 2015 shall remain in history with a number of significant achievements of the Bulgarian Society of Neurosonology and Cerebral Hemodynamics, namely:
Тhe past 2015 shall remain in history with a number of significant achievements of the Bulgarian Society of Neurosonology and Cerebral Hemodynamics, namely:
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We present a 39 years old patient with history of abrupt neck pain and headache ten days before the hospitalization.
We present a 39 years old patient with history of abrupt neck pain and headache ten days before the hospitalization. On this occasion a massage of his neck and back was performed on the hospitalization day. A few hours after the procedure, he felt dizziness and nausea, had double vision and weakness of the left limbs. Laboratory tests show two untreated risk factors for cerebrovascular disease: hypertension and dyslipidemia. MRA was obtained.
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21. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 13, 2017, No. 1 , , ,

Natural history of angina pectoris in the framingham study.
Kannel WB, Feinleib M. Natural history of angina pectoris in the framingham study. Prognosis and survival.
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Several studies have shown that admission blood glucose is elevated in over 40% of patients with AIS, most commonly among patients with a history of diabetes mellitus [22].
Hyperglycemia is common during AIS. Several studies have shown that admission blood glucose is elevated in over 40% of patients with AIS, most commonly among patients with a history of diabetes mellitus [22]. Recent observational studies have found that admission and in-hospital hyperglycemia have worse clinical outcomes than admission and in-hospital normoglycemia [23]. Also, several studies have found an association between AIS hyperglycemia and worse outcomes defined by magnetic resonance imaging infarct volume [24]. Although multiple observational studies consistently found this association, on the basis of such studies it cannot be determined whether this is a cause and effect relationship [20]. Similar to the high blood pressure, there are several detrimental effects of hyperglycemia, such as tissue acidosis, increased blood–brain barrier permeability, decreased vascular reactivity, and risk of hemorrhagic transformation, which are most probably pathophysiological substrates of poor outcome in stroke patients with hyperglycemia. First studies considering the effect of hyperglycemia on stroke outcome have been conducted on animal models [25]; there are many studies and much evidence that acute hyperglycemia predicts increased risk of in-hospital mortality and poor functional recovery after AIS in non-diabetic stroke survivors.
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Georgiev leave a lasting trace in the Bulgarian Neurology and the history of our society.
The life and work of Prof. Georgiev leave a lasting trace in the Bulgarian Neurology and the history of our society.
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All delegates will have the opportunity to enjoy the history and the beauty of Sofia – one of the oldest capitals in Europe.
All delegates will have the opportunity to enjoy the history and the beauty of Sofia – one of the oldest capitals in Europe.
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22. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 13, 2017, No. 2 , , ,

Along with the training, all delegates will have the opportunity to enjoy the history and the beauty of Sofia – one of the oldest capitals in Europe.
More than 150 specialists, residents and students in Neurology, Physical Medicine, Rehabilitation, and Kinesiotherapy from Albania, Austria, Bosnia and Herzegovina, Bulgaria, Croatia, Georgia, Germany, Greece, Israel, Italy, Latvia, Macedonia, Montenegro, Poland, Portugal, Romania, Serbia, etc. have been registered for this event. Along with the training, all delegates will have the opportunity to enjoy the history and the beauty of Sofia – one of the oldest capitals in Europe.
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Merrill Spencer Award 2009, Golden Hyppocratic Oath of the Balkan Association for History and Philosophy of Medicine, Honorary Plaque of the Bulgarian Ministry of Defense, and a number of best poster prizes.
Merrill Spencer Award 2009, Golden Hyppocratic Oath of the Balkan Association for History and Philosophy of Medicine, Honorary Plaque of the Bulgarian Ministry of Defense, and a number of best poster prizes.
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Mediterranean Diet and Incidence and Mortality from Coronary Heart Disease and Stroke in Women study [12] was performed in 4886 women, with no history of cardiovascular disease and diabetes (Nurses’ Health Study) and followed up.
Meta-analysis of 12 studies (25) (n=1574299) evaluating the association of the adherence to a Mediterranean diet and the mortality and incidence of major cardiovascular diseases (CVD) and chronic neurodegenerative diseases showed that the greater adherence to a Mediterranean diet was associated with significant reduction in overall mortality (9%), mortality from CVD (9%), incidence of or mortality from cancer (6%), and incidence of Parkinson’s disease and Alzheimer’s disease (13%) [25]. Mediterranean Diet and Incidence and Mortality from Coronary Heart Disease and Stroke in Women study [12] was performed in 4886 women, with no history of cardiovascular disease and diabetes (Nurses’ Health Study) and followed up. Alternate Mediterranean Diet Score (aMED), focusing on higher consumption of plant foods, including plant proteins, monounsaturated fat, fish and lower consumption of animal products and saturated fat ranged from 0 to 9, with a higher score representing closer resemblance to the
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A brief history of musculoskeletal ultrasound: from bats and ships to babies and hips.
Kane D, Grassi W, Sturrock R, Balint PV. A brief history of musculoskeletal ultrasound: from bats and ships to babies and hips.
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For correct diagnosis the history of the disease, the neurological status at the time of investigation and the experience of the investigator have also an important role.
nerve damage. For correct diagnosis the history of the disease, the neurological status at the time of investigation and the experience of the investigator have also an important role.
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23. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 14, 2018, No. 1 , , ,

Some authors determine additional risks such as: females, renal impairment, smoking, ejection fraction under 40%, history of previous ischemic stroke or transient ischemic attack, aortic calcification, prolonged surgery, emergency surgery, surgery for aortocoronary bypass and others [7].
The major risk factors are determined to be carotid stenosis, the presence of insulin-dependent diabetes, and peripheral arterial disease. According to some authors, age of 70 or more is a minor risk factor [7], while others deem old age to be a dominant risk factor [12]. Some authors determine additional risks such as: females, renal impairment, smoking, ejection fraction under 40%, history of previous ischemic stroke or transient ischemic attack, aortic calcification, prolonged surgery, emergency surgery, surgery for aortocoronary bypass and others [7].
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She was diagnosed with an autoimmune disorder at the age of 12, due to positive family history and clinical findings.
Thirty-eight years ago a 50-year old female patient presented with slightly swollen lower neck region. She was diagnosed with an autoimmune disorder at the age of 12, due to positive family history and clinical findings. The diagnosis was “transient thyroid insufficiency” with hereditary etiogenesis. Fine needle cytopunction (FNAC) of the right thyroid lobe was performed using anatomical
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In recent medical history the patient was diagnosed with hypokinesis of left ventricle including reduced global systolic function with reduced ejection fraction to 50%.
In recent medical history the patient was diagnosed with hypokinesis of left ventricle including reduced global systolic function with reduced ejection fraction to 50%. Further cardiological treatment included coronarography and again thyroid Color Doppler ultrasound (CDUS) due to the primary diagnosis.
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Descriptive statistics was used to present clinical characteristics, risk factors and other comorbidities from medical history, as well as clinical outcome.
Data of 25 patients admitted to the Neurology Department, clinically presented with CCAD, during a two-year period were analyzed. Risk factors and 3-month outcome were assessed separately for single and multiple artery involvement. Descriptive statistics was used to present clinical characteristics, risk factors and other comorbidities from medical history, as well as clinical outcome. Intergroup comparison was performed.
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Descriptive statistics was used to present clinical characteristics, risk factors and other comorbidities from medical history, as well as clinical outcome for each group.
Descriptive statistics was used to present clinical characteristics, risk factors and other comorbidities from medical history, as well as clinical outcome for each group.
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study showed that multiple artery dissections compared to single artery dissection were more often associated with remote history of head or neck surgery [2], but thyroid abnormalities were not included in the analysis.
study showed that multiple artery dissections compared to single artery dissection were more often associated with remote history of head or neck surgery [2], but thyroid abnormalities were not included in the analysis. Two case reports were linking thyrotoxicosis with CCAD [3, 10].
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remodeling of vascular wall in persons with family history of hypertension.
remodeling of vascular wall in persons with family history of hypertension. Kardiologiia 55(2), 2015:27-31.
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Along with the training, delegates had the opportunity to enjoy the history and the beauty of Sofia – one of the oldest capitals in Europe.
Along with the training, delegates had the opportunity to enjoy the history and the beauty of Sofia – one of the oldest capitals in Europe. On the second day of the course although heavy raining, a walking City tour was organized for the delegates for seeing the ancient and modern atmosphere of Sofia. The Gala dinner was organized to all participants in a traditional Bulgarian restaurant. The evening was full of many positive emotions due to the delicious Bulgarian food, folklore dances program.
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24. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 14, 2018, No. 2 , , ,

MES detection was also performed in 30 young healthy adults (10 males, mean age 28.1±7 years) without history of cerebrovascular or cardiac disease, without any vascular risk factors and not taking any drugs.
protocol which included the examination of the contralateral homologous artery [1]. The settings of the sonograph (Spencer ST3 Power M-mode Transcranial Doppler, Spencer Technologies, Redmond WA, USA) were appropriately adjusted to maximize the possibility of detection and the safety for long ultrasound exposure. Automated MES counting software was activated, but an operator was always present throughout the monitoring period to exclude artifacts and to reposition the probes if necessary. All examinations were performed with the patient in supine position by an experienced neurosonographer (A.P.). MES detection was also performed in 30 young healthy adults (10 males, mean age 28.1±7 years) without history of cerebrovascular or cardiac disease, without any vascular risk factors and not taking any drugs.
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The presence of MES was also associated with a history of DVT, which might suggest an underlying prothrombotic disorder, not evidenced by our current coagulation tests.
regardless of other vascular risk factors, signaling a still active embolic source. MES detection in a low percentage of non-ESUS patients reveals a possible embolic etiology, questioning the clinical and neuroradiological distinction between ESUS and non-ESUS patients. The presence of MES was also associated with a history of DVT, which might suggest an underlying prothrombotic disorder, not evidenced by our current coagulation tests. If this finding is confirmed in a larger study population, it should prompt a more extensive hematologic work-up and probably a different therapy, namely anticoagulants rather than antiplatelets.
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No family history or pre-morbid anamnesis for dementia or mental retardation; 11.
7. Lack of data for other brain diseases; 8. Lack of previous hospitalization for stroke and size of lacunar lesions below 4 mm in diameter for patients with multi-infarct encephalopathy; 9. Lack of decompensated somatic diseases; 10. No family history or pre-morbid anamnesis for dementia or mental retardation; 11. No previous history for psychiatric diseases; 12. No severe psychiatric syndromes during the study; 13. No treatment
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No previous history for psychiatric diseases; 12.
7. Lack of data for other brain diseases; 8. Lack of previous hospitalization for stroke and size of lacunar lesions below 4 mm in diameter for patients with multi-infarct encephalopathy; 9. Lack of decompensated somatic diseases; 10. No family history or pre-morbid anamnesis for dementia or mental retardation; 11. No previous history for psychiatric diseases; 12. No severe psychiatric syndromes during the study; 13. No treatment
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Medical history, full neurological and somatic examination, laboratory data, brain computer tomography and electrocardiography were performed in all patients.
Medical history, full neurological and somatic examination, laboratory data, brain computer tomography and electrocardiography were performed in all patients. MMSE was applied in all patients. The same scale was used at the 90th day after the incident. The results were considered at 95% confidential level.
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Relevant Past Medical History
Relevant Past Medical History
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52 year-old female with previous history of breast cancer metastatic to axillary lymph node, operated in 2005, treated with radio and chemotherapy
52 year-old female with previous history of breast cancer metastatic to axillary lymph node, operated in 2005, treated with radio and chemotherapy
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Medical history revealed prior breast cancer metastatic to the lymph nodes that was surgically treated seven years earlier by performing a partial mastectomy with axillary lymphadenectomy.
Medical history revealed prior breast cancer metastatic to the lymph nodes that was surgically treated seven years earlier by performing a partial mastectomy with axillary lymphadenectomy. The sugery was followed by an adjuvant radiotherapeutic and chemotherapeutic treatment. Three weeks after the procedure she received six cycles of chemotherapy (5-FU, cyclophosphamide, doxorubicin, metotrexate, docetaxel). After completing the treatment, she received 30 regional radiotherapies to the axilla and supraclavicular fossa that was complicated with development of postradiation dermatitis at the application site.
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She had a positive family history of breast cancer (both mother and sister) and was a smoker for more than 20 years.
She had a positive family history of breast cancer (both mother and sister) and was a smoker for more than 20 years.
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The clinical manifestations of carotid artery dissection are often non-specific, therefore a thorough investigation of a patient's past medical history has a critical role in diagnosing radiation-induced carotid artery dissection [21].
Recognition of associated factors facilitates identification of those at risk [17]. The clinical manifestations of carotid artery dissection are often non-specific, therefore a thorough investigation of a patient's past medical history has a critical role in diagnosing radiation-induced carotid artery dissection [21]. Those patients should be closely surveilled and screening may be considered [5, 18]. The condition may progress rapidly, therefore an early diagnosis and appropriate treatment are crucial. Ultrasonographic evaluation plays an important role in the assessment of further treatment and therapeutic procedures (endovascular treatment, antithrombotic therapy). The ultrasound signs of dissection are: mural hematoma and thrombus as a thickened hypoechoic wall, increase in the external caliber of the artery or an intimal flap; the non-specific signs are: stenosis or occlusion with repercussions on haemodynamics [2]. Ultrasound sensitivity is high for most internal carotid artery dissections, as they begin near the carotid bulb in the mid-neck where ultrasound has easier access to the vessel [12]; the principal limitation is the inability to examine the entire vascular axis [3].
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Development of Late Left Ventricle Apical Thrombus in a Patient with Atrial Fibrillation and History of Anterior Stemi, Leading Peripheral Embolization – a Case Report.
Development of Late Left Ventricle Apical Thrombus in a Patient with Atrial Fibrillation and History of Anterior Stemi, Leading Peripheral Embolization – a Case Report.
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A 66-year-old man with a history for ischemic stroke in the left middle cerebral artery (MCA) territory in the past received a sudden visual loss of the left eye.
A 66-year-old man with a history for ischemic stroke in the left middle cerebral artery (MCA) territory in the past received a sudden visual loss of the left eye. He was investigated in the first 7 days after the onset of the symptoms using multimodal ultrasound (color duplex, B-Flow and 3D/4D imaging), CT and MRI studies. The evolution of the clinical symptoms and the ophthalmic status are followup.
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They were interviewed for history of accompanying CAD, cerebrovascular disease and PAD.
25 patients, 13 men and 12 women with Degenerative Aortic Stenosis (AS) were studied. They were hospitalized in the Cardiology Clinic and in the Vascular Surgery Clinic of the “Heart and Brain” Hospital in Pleven for the period of May-July 2018. They were interviewed for history of accompanying CAD, cerebrovascular disease and PAD. The anklebrachial index (ABI), intima-media thickness (IMT), the presence of a plaque/stenosis of the carotid arteries were measured by color coded duplex sonography. A selective coronary angiography was performed on 16 of them, and a CT peripheral arteriography – on 8.
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DEVELOPMENT OF LATE LEFTVENTRICLE APICALTHROMBUS IN A PATIENT WITH ATRIAL FIBRILLATION AND HISTORY OF ANTERIOR STEMI, LEADING PERIPHERAL EMBOLIZATION
DEVELOPMENT OF LATE LEFTVENTRICLE APICALTHROMBUS IN A PATIENT WITH ATRIAL FIBRILLATION AND HISTORY OF ANTERIOR STEMI, LEADING PERIPHERAL EMBOLIZATION
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Clinical history was remarkable for anterior STEMI 5 years ago, for which he had percutaneous coronary intervention.
83-year old male presented to our hospital due to sudden pain in calves. Clinical history was remarkable for anterior STEMI 5 years ago, for which he had percutaneous coronary intervention. Despite that he was left with apical aneurysm of the left ventricle (LV) and systolic dysfunction. 1 year after the acute coronary syndrome, atrial fibrillation was detected, a decision for rate control was made and acenocoumarol was commenced. Despite the acenocoumarol, a year before the admission he suffered an ischemic stroke, whilst INR was low. The patient claimed to have taken acenocoumarol regularly. He was advised to move to NOAC, but he refused.
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Two young men without any specific complaint, concomitant diseases or family history.
Two young men without any specific complaint, concomitant diseases or family history. In these patients the examination of the cervical vessels and upper limbs vessels with color coded duplex sonography (CCDS) was the first stage in diagnosing two different malignancies with CT of the chest and MRI phlebography.
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In her professional carrier Ekaterina Titianova has received prestigious national and international awards – Merrill Spencer Award (2009), Golden Hippocratic Oath of the Balkan Association for History and Philosophy of Medicine, Honorary Plaque of the Bulgarian Ministry of Defense (2016), "Peter Beron" Medal of the Bulgarian Academy of Sciences and Arts (2017), the National Medical Awards in two categories: “World Recognition
In her professional carrier Ekaterina Titianova has received prestigious national and international awards – Merrill Spencer Award (2009), Golden Hippocratic Oath of the Balkan Association for History and Philosophy of Medicine, Honorary Plaque of the Bulgarian Ministry of Defense (2016), "Peter Beron" Medal of the Bulgarian Academy of Sciences and Arts (2017), the National Medical Awards in two categories: “World Recognition
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„Merrill Spencer Award“ на Европейското дружество по невросонология и мозъчна хемодинамика (2009), „Golden Hyppocratic Oath“ на Balkan Association for History and Philosophy of Medicine (2015), Националната медицинска награда в категориите „Световно признание в медицинската наука“ (2017) и „Медицина и образование“ за създаване на школа по невросонология (2018).
„Merrill Spencer Award“ на Европейското дружество по невросонология и мозъчна хемодинамика (2009), „Golden Hyppocratic Oath“ на Balkan Association for History and Philosophy of Medicine (2015), Националната медицинска награда в категориите „Световно признание в медицинската наука“ (2017) и „Медицина и образование“ за създаване на школа по невросонология (2018). Тя е удостоена с Почетен знак на Министерството на отбраната (2016), медал „Петър Берон“ на БАНИ (2017) и почетна грамота на Българския червен кръст за проявен хуманизъм (2018). Носител е на голямата награда „Питагор“ 2018 г. за цялостен принос на Министерството на образованието и науката. Има награди от национални и международни научни форуми.
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25. NEUROSONOLOGY AND CEREBRAL HEMODYNAMICS, vol. 15, 2019, No. 1 , , ,

A 66-year-old man with a history for ischemic stroke in the left middle cerebral artery (MCA) territory in the past and sudden visual loss of the left eye was examined.
A 66-year-old man with a history for ischemic stroke in the left middle cerebral artery (MCA) territory in the past and sudden visual loss of the left eye was examined. He was investigated in the first 7 days after the onset of the symptoms using multimodal ultrasound (color duplex, B-Flow and 3D/4D imaging), computed tomography (CT), and magnetic resonance imaging (MRI). The evolution of the clinical symptoms, the ophthalmic status, and the change in sonographic findings before and after carotid endarterectomy were followed up.
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The inclusion criteria were: clinical PD diagnosis according to the criteria of the UK Parkinson's disease Society, Brain Bank [13], lack of cognitive impairment as assessed by the Mini-Mental State Examination (MMSE), no history of chronic somatic or other diseases affecting primarily or secondarily the autonomic nervous system and administration of antiparkinsonian therapy alone.
The study included 55 patients with PD and 40 agerelated healthy individuals. The inclusion criteria were: clinical PD diagnosis according to the criteria of the UK Parkinson's disease Society, Brain Bank [13], lack of cognitive impairment as assessed by the Mini-Mental State Examination (MMSE), no history of chronic somatic or other diseases affecting primarily or secondarily the autonomic nervous system and administration of antiparkinsonian therapy alone. Most of the patients (76%) were on levodopa therapy, with an average daily dose 522.2±379.1 mg/day.
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For the first time in the Society’s history, the “Neurosonologist of the Year” prize was awarded for contributions to the ultrasound diagnostics of the nervous system.
For the first time in the Society’s history, the “Neurosonologist of the Year” prize was awarded for contributions to the ultrasound diagnostics of the nervous system. For 2018, the prize was awarded by Prof. Kurt Niederkorn to the founder and chairman of the Society Acad. Eketerina Titianova. In her thank-you speech, she shared the great success of the Neurosology and Cerebral Hemodynamics Journal, which is already referred in several international science databases: Emerging Source Citation Index of Clarivate Analytics, NLM Catalog of Pub Med, Web of Science Core Collection, VINITI Reference Journal, National Center for Information and Documentation (NCID).
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The forum, under the motto „History meets the Future“, was a joint meeting with the Neurosonology Research Group of the World Federation of Neurology (NSRG).
Meeting of the European Society of Neurosonology and Cerebral Hemodynamics (ESNCH) took place in Linz, Austria. The forum, under the motto „History meets the Future“, was a joint meeting with the Neurosonology Research Group of the World Federation of Neurology (NSRG). It was opened with a welcoming speech by the presidents of the conference (Dr. Milan Vosko, Austria) and ESNCH (Prof. Claudio Baracchini, Italy). The opening ceremony was followed by a scientific session, where key lecturers were selected by a secret vote, among them was Acad. Ekaterina Titianova.
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