Gerben J.J. Plas's research while affiliated with Medisch Spectrum Twente and other places

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Publications (7)

Surgery After Primary Dexamethasone Treatment for Patients with Chronic Subdural Hematoma—A Retrospective Study
Article
  • Mar 2022
Background We aim to quantify the need for additional surgery in chronic subdural hematoma (CSDH) patients primarily treated with dexamethasone and to identify patient characteristics associated with additional surgery. Method Data were retrospectively collected from 283 CSDH patients, primarily treated with dexamethasone, in three hospitals from...
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Fig. 1. Flowchart of patient inclusion.
Agreement of AF detection by the stroke unit team and ST/AR algorithm.
AF detection by the stroke unit team and ST/AR algorithm after...
The additional value of an algorithm for atrial fibrillation at the stroke unit
Article
Full-text available
  • Aug 2020
Background and purpose The rate of newly detected (paroxysmal) atrial fibrillation (AF) during inpatient cardiac telemetry is low. The objective of this study was to evaluate the additional diagnostic yield of an automated detection algorithm for AF on telemetric monitoring compared with routine detection by a stroke unit team in patients with rece...
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Nonfocal Symptoms in Patients with Transient Ischemic Attack or Ischemic Stroke: Occurrence, Clinical Determinants, and Association with Cardiac History
Article
  • Aug 2016
Background: Transient ischemic attacks (TIAs) accompanied by nonfocal symptoms are associated with a higher risk of cardiovascular events, in particular cardiac events. Reported frequencies of TIAs accompanied by nonfocal symptoms range from 18 to 53%. We assessed the occurrence of nonfocal symptoms in patients with TIA or minor ischemic stroke in...
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Table 1 . Patient Characteristics 
Table 2 . Types of Nonfocal Symptoms 
N‐Terminal Pro–Brain Natriuretic Peptide (NT‐proBNP) Levels are Increased in Patients With Transient Ischemic Attack Accompanied by Nonfocal Symptoms
Article
Full-text available
  • Dec 2015
Background: Transient nonfocal neurological symptoms may serve as markers of cardiac dysfunction. We assessed whether serum N-terminal pro-brain natriuretic peptide (NT-proBNP) levels, a biomarker of cardiac disease, are increased in patients with transient ischemic attack (TIA) accompanied by nonfocal symptoms and in patients with attacks of nonf...
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Diagnostic yield of external loop recording in patients with acute ischemic stroke or TIA
Article
  • Jan 2015
Atrial fibrillation (AF) is a strong risk factor for first-ever stroke and stroke recurrence. The detection rate is low and detection is often costly and time-consuming. We evaluated the diagnostic yield of an external loop recorder (ELR) in patients with acute ischemic stroke or TIA, and assessed factors that are associated with AF detection. We p...
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Table 1 . Baseline Characteristics of the Study Population
Table 3 . Univariable and Multivariable Analysis of Risk Factors...
Prevalence and Calcification of Intracranial Arterial Stenotic Lesions as Assessed With Multidetector Computed Tomography Angiography
Article
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  • Mar 2011
Intracranial arterial stenosis (ICAS) in patients with recent ischemic stroke is associated with a high risk of recurrent stroke. More insight into the pathophysiology of ICAS could help identify patients at high risk requiring more aggressive secondary prevention. We evaluated the prevalence, distribution, calcification, and the risk factors predi...
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Intracranial Arterial Stenoses Are Not Associated with Ischemic Cortical Stroke
Conference Paper
  • Nov 2009
PURPOSE Whereas lacunar strokes are associated with local occlusive disease of the deep perforating arteries, cortical strokes are supposed to be caused by thromboembolism from the heart, and stenotic atherosclerotic disease in the extracranial and intracranial arteries. The current study aimed to explore the prevalence of symptomatic intracranial...
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Citations

... 40 However, further studies did not support the findings. 38 The emerging results could not be established as high-grade evidence in multiple systematic reviews due to high selection bias and significant heterogeneity in the individual primary research studies. ...
Reference: How Dexamethasone Affects Necessity for Surgical Intervention for Chronic Subdural Hematoma: Systematic Review and Meta-Analysis
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... From January 1, 2018, to December 31, 2018, adult patients ≥40 years old with nonfocal stroke symptoms presenting to the Emergency Department (ED) and having a head CT were included ( Figure 1). Nonfocal stroke symptoms were defined as common stroke confusing symptoms including altered consciousness, dizziness, headache, and memory loss, as reported in previous studies (18)(19)(20). In our hospital, patients with nonfocal stroke symptoms were firstly evaluated by an ED neurologist. ...
Reference: Application of neutrophil to lymphocyte ratio to identify CT-negative cerebral infarction with nonfocal symptoms
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... Consensus on the etiology of TNAs and its pathogenesis is still lacking. Both transient and chronic global cerebral hypoperfusion have been suggested to be an important causal factor [3,6]. However, as there is no clear evidence to support this hypothesis, debate remains [3,6]. ...
Reference: Cerebral Perfusion and the Occurrence of Nonfocal Transient Neurological Attacks
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... It also records the "event," which will be further analyzed by the doctor. The proportion of cases of atrial fibrillation identified was from 4.7% to 15.5% [63][64][65]. Plas and coauthors noted that the proportion of detected cases of atrial fibrillation was significantly higher if patients with cryptogenic stroke had cortical and subcortical brain lesions reaching 17% [63]. Table 3. ...
Reference: Cryptogenic Stroke and Embolic Stroke of Undetermined Source: Risk Factors and Approaches for Detection of Atrial Fibrillation
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... Distribution of vessel affection in total occlusionHowever, in the study by Moustafa et al.[16], it was reported that MCA was seen in 30.8%, basilar in 9.1%, supraclenoid ICA in 25.9%, PCA in 42%, VA in 7.7%, and ACA in 3.5% of patients. However, the study by Homburg et al.[14], reported that MCA was seen in 16%, basilar in 11%, supraclenoid ICA in 10%, PCA in 26%, VA in 30%, and ACA in 6% of patients. In our study, there was no significant difference between male and female affection with ICAS, and this is consistent with the study by Haghighi et al.[10]; Ssi-Yan-Kai et al.[11]; Shariat et al.[12] and Suri et al.[17]. ...
Reference: Al-AzharAssiutMedJ20185-7202316 200023
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