Should posterior cerebral artery occlusions be recanalized? Insights from the Trevo Registry
Background and purpose The purpose of this study was to evaluate the safety and effectiveness of mechanical thrombectomy (MT) in patients with acute ischaemic stroke related to isolated and primary posterior cerebral artery (PCA) occlusions amongst the patients enrolled in the multicentre post‐marke...
Gespeichert in:
| Veröffentlicht in: | European journal of neurology 2020-05, Vol.27 (5), p.787-792 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 792 |
|---|---|
| container_issue | 5 |
| container_start_page | 787 |
| container_title | European journal of neurology |
| container_volume | 27 |
| creator | Clarençon, F. Baronnet, F. Shotar, E. Degos, V. Rolla‐Bigliani, C. Bartolini, B. Veznedaroglu, E. Budzik, R. English, J. Baxter, B. Liebeskind, D. S. Krajina, A. Gupta, R. Miralbes, S. Lüttich, A. Nogueira, R. G. Samson, Y. Alamowitch, S. Sourour, N.‐A. |
| description | Background and purpose
The purpose of this study was to evaluate the safety and effectiveness of mechanical thrombectomy (MT) in patients with acute ischaemic stroke related to isolated and primary posterior cerebral artery (PCA) occlusions amongst the patients enrolled in the multicentre post‐market Trevo Registry.
Method
Amongst the 2008 patients enrolled in the Trevo Registry with acute ischaemic stroke due to large vessel occlusion treated by MT, 22 patients (1.1%) [10 females (45.5%), mean age 66.2 ± 14.3 years (range 28–91)] had a PCA occlusion [17 P1 (77.3%) and five P2 occlusions (22.7%)]. Recanalization after the first Trevo (Stryker, Fremont, CA, USA) pass and at the end of the procedure was rated using the modified Thrombolysis in Cerebral Infarction (mTICI) score. Procedure‐related complications (i.e. groin puncture complication, perforation, symptomatic haemorrhage, embolus in a new territory) were also recorded. The modified Rankin Scale at 90 days was assessed.
Results
Median National Institutes of Health Stroke Scale at admission was 14 (interquartile range 8–16). Stroke aetiology was cardio‐embolic in 68.2% of cases. Half of the patients (11/22) received intravenous tissue plasminogen activator. 54.5% of the patients were treated under general anaesthesia. Reperfusion (i.e. mTICI 2b or 3) after first pass was obtained in 65% of cases. Final mTICI 2b–3 reperfusion was obtained in all cases. Only one (4.5%) procedure‐related complication was recorded (puncture site) that resolved after surgery. At 90‐day follow‐up, modified Rankin Scale 0–2 was obtained in 59% of the patients and 9.1% died within the first 3 months after MT.
Conclusion
Mechanical thrombectomy for PCA occlusions seems to be safe ( |
| doi_str_mv | 10.1111/ene.14154 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_02512399v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2391805073</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4224-112e384ce37f7fd0c04fe3160a1e537816caa2e32eb392f047cd66271164c4133</originalsourceid><addsrcrecordid>eNp10V1LHDEUBuBQlPrRXvQPlIA39WI0J8lMZq6KyPoBi0Jr7wohmznjRrKTNZmxrL_erKsiBXOTcHh4k_AS8g3YEeR1jD0egYRSfiK7IKu6ACFgK59FCUUJDHbIXkp3jDGuOPtMdgQ0jSpZuUv-_p6H0bd0GdKA0YVILUacReOpiXmyosFaPyYX-kRnSCNa0xvvHrH9SS_75G7nQ6JdDAs6zJHeRHwI9BfeujTE1Rey3Rmf8OvLvk_-nE1uTi-K6fX55enJtLCSc1kAcBS1tChUp7qWWSY7FFAxA1gKVUNljcmE40w0vGNS2baquAKopJX5r_vkcJM7N14vo1uYuNLBOH1xMtXrGeMlcNE0D5Dtj41dxnA_Yhr0wiWL3psew5g0F7JWTSXrKtOD_-hdGGP-_Vo1ULOSqXeX2xhSiti9vQCYXtejcz36uZ5sv78kjrMFtm_ytY8Mjjfgn_O4-jhJT64mm8gnIiuXWw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2391805073</pqid></control><display><type>article</type><title>Should posterior cerebral artery occlusions be recanalized? Insights from the Trevo Registry</title><source>Wiley Online Library</source><creator>Clarençon, F. ; Baronnet, F. ; Shotar, E. ; Degos, V. ; Rolla‐Bigliani, C. ; Bartolini, B. ; Veznedaroglu, E. ; Budzik, R. ; English, J. ; Baxter, B. ; Liebeskind, D. S. ; Krajina, A. ; Gupta, R. ; Miralbes, S. ; Lüttich, A. ; Nogueira, R. G. ; Samson, Y. ; Alamowitch, S. ; Sourour, N.‐A.</creator><creatorcontrib>Clarençon, F. ; Baronnet, F. ; Shotar, E. ; Degos, V. ; Rolla‐Bigliani, C. ; Bartolini, B. ; Veznedaroglu, E. ; Budzik, R. ; English, J. ; Baxter, B. ; Liebeskind, D. S. ; Krajina, A. ; Gupta, R. ; Miralbes, S. ; Lüttich, A. ; Nogueira, R. G. ; Samson, Y. ; Alamowitch, S. ; Sourour, N.‐A.</creatorcontrib><description>Background and purpose
The purpose of this study was to evaluate the safety and effectiveness of mechanical thrombectomy (MT) in patients with acute ischaemic stroke related to isolated and primary posterior cerebral artery (PCA) occlusions amongst the patients enrolled in the multicentre post‐market Trevo Registry.
Method
Amongst the 2008 patients enrolled in the Trevo Registry with acute ischaemic stroke due to large vessel occlusion treated by MT, 22 patients (1.1%) [10 females (45.5%), mean age 66.2 ± 14.3 years (range 28–91)] had a PCA occlusion [17 P1 (77.3%) and five P2 occlusions (22.7%)]. Recanalization after the first Trevo (Stryker, Fremont, CA, USA) pass and at the end of the procedure was rated using the modified Thrombolysis in Cerebral Infarction (mTICI) score. Procedure‐related complications (i.e. groin puncture complication, perforation, symptomatic haemorrhage, embolus in a new territory) were also recorded. The modified Rankin Scale at 90 days was assessed.
Results
Median National Institutes of Health Stroke Scale at admission was 14 (interquartile range 8–16). Stroke aetiology was cardio‐embolic in 68.2% of cases. Half of the patients (11/22) received intravenous tissue plasminogen activator. 54.5% of the patients were treated under general anaesthesia. Reperfusion (i.e. mTICI 2b or 3) after first pass was obtained in 65% of cases. Final mTICI 2b–3 reperfusion was obtained in all cases. Only one (4.5%) procedure‐related complication was recorded (puncture site) that resolved after surgery. At 90‐day follow‐up, modified Rankin Scale 0–2 was obtained in 59% of the patients and 9.1% died within the first 3 months after MT.
Conclusion
Mechanical thrombectomy for PCA occlusions seems to be safe (<5% procedure‐related complications) and effective. Larger repository datasets are needed.</description><identifier>ISSN: 1351-5101</identifier><identifier>EISSN: 1468-1331</identifier><identifier>DOI: 10.1111/ene.14154</identifier><identifier>PMID: 31997505</identifier><language>eng</language><publisher>England: John Wiley & Sons, Inc</publisher><subject>Anesthesia ; Blood vessels ; Cardiology and cardiovascular system ; Cerebral blood flow ; Cerebral infarction ; Complications ; Embolism ; Hemorrhage ; Human health and pathology ; Infarction ; Intravenous administration ; Ischemia ; Life Sciences ; mechanical thrombectomy ; Neurons and Cognition ; Occlusion ; posterior cerebral artery ; Reperfusion ; Stroke ; Surgery ; t-Plasminogen activator ; Thrombolysis</subject><ispartof>European journal of neurology, 2020-05, Vol.27 (5), p.787-792</ispartof><rights>2020 European Academy of Neurology</rights><rights>2020 European Academy of Neurology.</rights><rights>Copyright © 2020 European Academy of Neurology</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4224-112e384ce37f7fd0c04fe3160a1e537816caa2e32eb392f047cd66271164c4133</citedby><cites>FETCH-LOGICAL-c4224-112e384ce37f7fd0c04fe3160a1e537816caa2e32eb392f047cd66271164c4133</cites><orcidid>0000-0002-6442-8239</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fene.14154$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fene.14154$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31997505$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.sorbonne-universite.fr/hal-02512399$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Clarençon, F.</creatorcontrib><creatorcontrib>Baronnet, F.</creatorcontrib><creatorcontrib>Shotar, E.</creatorcontrib><creatorcontrib>Degos, V.</creatorcontrib><creatorcontrib>Rolla‐Bigliani, C.</creatorcontrib><creatorcontrib>Bartolini, B.</creatorcontrib><creatorcontrib>Veznedaroglu, E.</creatorcontrib><creatorcontrib>Budzik, R.</creatorcontrib><creatorcontrib>English, J.</creatorcontrib><creatorcontrib>Baxter, B.</creatorcontrib><creatorcontrib>Liebeskind, D. S.</creatorcontrib><creatorcontrib>Krajina, A.</creatorcontrib><creatorcontrib>Gupta, R.</creatorcontrib><creatorcontrib>Miralbes, S.</creatorcontrib><creatorcontrib>Lüttich, A.</creatorcontrib><creatorcontrib>Nogueira, R. G.</creatorcontrib><creatorcontrib>Samson, Y.</creatorcontrib><creatorcontrib>Alamowitch, S.</creatorcontrib><creatorcontrib>Sourour, N.‐A.</creatorcontrib><title>Should posterior cerebral artery occlusions be recanalized? Insights from the Trevo Registry</title><title>European journal of neurology</title><addtitle>Eur J Neurol</addtitle><description>Background and purpose
The purpose of this study was to evaluate the safety and effectiveness of mechanical thrombectomy (MT) in patients with acute ischaemic stroke related to isolated and primary posterior cerebral artery (PCA) occlusions amongst the patients enrolled in the multicentre post‐market Trevo Registry.
Method
Amongst the 2008 patients enrolled in the Trevo Registry with acute ischaemic stroke due to large vessel occlusion treated by MT, 22 patients (1.1%) [10 females (45.5%), mean age 66.2 ± 14.3 years (range 28–91)] had a PCA occlusion [17 P1 (77.3%) and five P2 occlusions (22.7%)]. Recanalization after the first Trevo (Stryker, Fremont, CA, USA) pass and at the end of the procedure was rated using the modified Thrombolysis in Cerebral Infarction (mTICI) score. Procedure‐related complications (i.e. groin puncture complication, perforation, symptomatic haemorrhage, embolus in a new territory) were also recorded. The modified Rankin Scale at 90 days was assessed.
Results
Median National Institutes of Health Stroke Scale at admission was 14 (interquartile range 8–16). Stroke aetiology was cardio‐embolic in 68.2% of cases. Half of the patients (11/22) received intravenous tissue plasminogen activator. 54.5% of the patients were treated under general anaesthesia. Reperfusion (i.e. mTICI 2b or 3) after first pass was obtained in 65% of cases. Final mTICI 2b–3 reperfusion was obtained in all cases. Only one (4.5%) procedure‐related complication was recorded (puncture site) that resolved after surgery. At 90‐day follow‐up, modified Rankin Scale 0–2 was obtained in 59% of the patients and 9.1% died within the first 3 months after MT.
Conclusion
Mechanical thrombectomy for PCA occlusions seems to be safe (<5% procedure‐related complications) and effective. Larger repository datasets are needed.</description><subject>Anesthesia</subject><subject>Blood vessels</subject><subject>Cardiology and cardiovascular system</subject><subject>Cerebral blood flow</subject><subject>Cerebral infarction</subject><subject>Complications</subject><subject>Embolism</subject><subject>Hemorrhage</subject><subject>Human health and pathology</subject><subject>Infarction</subject><subject>Intravenous administration</subject><subject>Ischemia</subject><subject>Life Sciences</subject><subject>mechanical thrombectomy</subject><subject>Neurons and Cognition</subject><subject>Occlusion</subject><subject>posterior cerebral artery</subject><subject>Reperfusion</subject><subject>Stroke</subject><subject>Surgery</subject><subject>t-Plasminogen activator</subject><subject>Thrombolysis</subject><issn>1351-5101</issn><issn>1468-1331</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp10V1LHDEUBuBQlPrRXvQPlIA39WI0J8lMZq6KyPoBi0Jr7wohmznjRrKTNZmxrL_erKsiBXOTcHh4k_AS8g3YEeR1jD0egYRSfiK7IKu6ACFgK59FCUUJDHbIXkp3jDGuOPtMdgQ0jSpZuUv-_p6H0bd0GdKA0YVILUacReOpiXmyosFaPyYX-kRnSCNa0xvvHrH9SS_75G7nQ6JdDAs6zJHeRHwI9BfeujTE1Rey3Rmf8OvLvk_-nE1uTi-K6fX55enJtLCSc1kAcBS1tChUp7qWWSY7FFAxA1gKVUNljcmE40w0vGNS2baquAKopJX5r_vkcJM7N14vo1uYuNLBOH1xMtXrGeMlcNE0D5Dtj41dxnA_Yhr0wiWL3psew5g0F7JWTSXrKtOD_-hdGGP-_Vo1ULOSqXeX2xhSiti9vQCYXtejcz36uZ5sv78kjrMFtm_ytY8Mjjfgn_O4-jhJT64mm8gnIiuXWw</recordid><startdate>202005</startdate><enddate>202005</enddate><creator>Clarençon, F.</creator><creator>Baronnet, F.</creator><creator>Shotar, E.</creator><creator>Degos, V.</creator><creator>Rolla‐Bigliani, C.</creator><creator>Bartolini, B.</creator><creator>Veznedaroglu, E.</creator><creator>Budzik, R.</creator><creator>English, J.</creator><creator>Baxter, B.</creator><creator>Liebeskind, D. S.</creator><creator>Krajina, A.</creator><creator>Gupta, R.</creator><creator>Miralbes, S.</creator><creator>Lüttich, A.</creator><creator>Nogueira, R. G.</creator><creator>Samson, Y.</creator><creator>Alamowitch, S.</creator><creator>Sourour, N.‐A.</creator><general>John Wiley & Sons, Inc</general><general>Wiley</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>7X8</scope><scope>1XC</scope><scope>VOOES</scope><orcidid>https://orcid.org/0000-0002-6442-8239</orcidid></search><sort><creationdate>202005</creationdate><title>Should posterior cerebral artery occlusions be recanalized? Insights from the Trevo Registry</title><author>Clarençon, F. ; Baronnet, F. ; Shotar, E. ; Degos, V. ; Rolla‐Bigliani, C. ; Bartolini, B. ; Veznedaroglu, E. ; Budzik, R. ; English, J. ; Baxter, B. ; Liebeskind, D. S. ; Krajina, A. ; Gupta, R. ; Miralbes, S. ; Lüttich, A. ; Nogueira, R. G. ; Samson, Y. ; Alamowitch, S. ; Sourour, N.‐A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4224-112e384ce37f7fd0c04fe3160a1e537816caa2e32eb392f047cd66271164c4133</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Anesthesia</topic><topic>Blood vessels</topic><topic>Cardiology and cardiovascular system</topic><topic>Cerebral blood flow</topic><topic>Cerebral infarction</topic><topic>Complications</topic><topic>Embolism</topic><topic>Hemorrhage</topic><topic>Human health and pathology</topic><topic>Infarction</topic><topic>Intravenous administration</topic><topic>Ischemia</topic><topic>Life Sciences</topic><topic>mechanical thrombectomy</topic><topic>Neurons and Cognition</topic><topic>Occlusion</topic><topic>posterior cerebral artery</topic><topic>Reperfusion</topic><topic>Stroke</topic><topic>Surgery</topic><topic>t-Plasminogen activator</topic><topic>Thrombolysis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Clarençon, F.</creatorcontrib><creatorcontrib>Baronnet, F.</creatorcontrib><creatorcontrib>Shotar, E.</creatorcontrib><creatorcontrib>Degos, V.</creatorcontrib><creatorcontrib>Rolla‐Bigliani, C.</creatorcontrib><creatorcontrib>Bartolini, B.</creatorcontrib><creatorcontrib>Veznedaroglu, E.</creatorcontrib><creatorcontrib>Budzik, R.</creatorcontrib><creatorcontrib>English, J.</creatorcontrib><creatorcontrib>Baxter, B.</creatorcontrib><creatorcontrib>Liebeskind, D. S.</creatorcontrib><creatorcontrib>Krajina, A.</creatorcontrib><creatorcontrib>Gupta, R.</creatorcontrib><creatorcontrib>Miralbes, S.</creatorcontrib><creatorcontrib>Lüttich, A.</creatorcontrib><creatorcontrib>Nogueira, R. G.</creatorcontrib><creatorcontrib>Samson, Y.</creatorcontrib><creatorcontrib>Alamowitch, S.</creatorcontrib><creatorcontrib>Sourour, N.‐A.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><collection>Hyper Article en Ligne (HAL) (Open Access)</collection><jtitle>European journal of neurology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Clarençon, F.</au><au>Baronnet, F.</au><au>Shotar, E.</au><au>Degos, V.</au><au>Rolla‐Bigliani, C.</au><au>Bartolini, B.</au><au>Veznedaroglu, E.</au><au>Budzik, R.</au><au>English, J.</au><au>Baxter, B.</au><au>Liebeskind, D. S.</au><au>Krajina, A.</au><au>Gupta, R.</au><au>Miralbes, S.</au><au>Lüttich, A.</au><au>Nogueira, R. G.</au><au>Samson, Y.</au><au>Alamowitch, S.</au><au>Sourour, N.‐A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Should posterior cerebral artery occlusions be recanalized? Insights from the Trevo Registry</atitle><jtitle>European journal of neurology</jtitle><addtitle>Eur J Neurol</addtitle><date>2020-05</date><risdate>2020</risdate><volume>27</volume><issue>5</issue><spage>787</spage><epage>792</epage><pages>787-792</pages><issn>1351-5101</issn><eissn>1468-1331</eissn><abstract>Background and purpose
The purpose of this study was to evaluate the safety and effectiveness of mechanical thrombectomy (MT) in patients with acute ischaemic stroke related to isolated and primary posterior cerebral artery (PCA) occlusions amongst the patients enrolled in the multicentre post‐market Trevo Registry.
Method
Amongst the 2008 patients enrolled in the Trevo Registry with acute ischaemic stroke due to large vessel occlusion treated by MT, 22 patients (1.1%) [10 females (45.5%), mean age 66.2 ± 14.3 years (range 28–91)] had a PCA occlusion [17 P1 (77.3%) and five P2 occlusions (22.7%)]. Recanalization after the first Trevo (Stryker, Fremont, CA, USA) pass and at the end of the procedure was rated using the modified Thrombolysis in Cerebral Infarction (mTICI) score. Procedure‐related complications (i.e. groin puncture complication, perforation, symptomatic haemorrhage, embolus in a new territory) were also recorded. The modified Rankin Scale at 90 days was assessed.
Results
Median National Institutes of Health Stroke Scale at admission was 14 (interquartile range 8–16). Stroke aetiology was cardio‐embolic in 68.2% of cases. Half of the patients (11/22) received intravenous tissue plasminogen activator. 54.5% of the patients were treated under general anaesthesia. Reperfusion (i.e. mTICI 2b or 3) after first pass was obtained in 65% of cases. Final mTICI 2b–3 reperfusion was obtained in all cases. Only one (4.5%) procedure‐related complication was recorded (puncture site) that resolved after surgery. At 90‐day follow‐up, modified Rankin Scale 0–2 was obtained in 59% of the patients and 9.1% died within the first 3 months after MT.
Conclusion
Mechanical thrombectomy for PCA occlusions seems to be safe (<5% procedure‐related complications) and effective. Larger repository datasets are needed.</abstract><cop>England</cop><pub>John Wiley & Sons, Inc</pub><pmid>31997505</pmid><doi>10.1111/ene.14154</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-6442-8239</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1351-5101 |
| ispartof | European journal of neurology, 2020-05, Vol.27 (5), p.787-792 |
| issn | 1351-5101 1468-1331 |
| language | eng |
| recordid | cdi_hal_primary_oai_HAL_hal_02512399v1 |
| source | Wiley Online Library |
| subjects | Anesthesia Blood vessels Cardiology and cardiovascular system Cerebral blood flow Cerebral infarction Complications Embolism Hemorrhage Human health and pathology Infarction Intravenous administration Ischemia Life Sciences mechanical thrombectomy Neurons and Cognition Occlusion posterior cerebral artery Reperfusion Stroke Surgery t-Plasminogen activator Thrombolysis |
| title | Should posterior cerebral artery occlusions be recanalized? Insights from the Trevo Registry |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-25T15%3A09%3A06IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_hal_p&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Should%20posterior%20cerebral%20artery%20occlusions%20be%20recanalized?%20Insights%20from%20the%20Trevo%20Registry&rft.jtitle=European%20journal%20of%20neurology&rft.au=Claren%C3%A7on,%20F.&rft.date=2020-05&rft.volume=27&rft.issue=5&rft.spage=787&rft.epage=792&rft.pages=787-792&rft.issn=1351-5101&rft.eissn=1468-1331&rft_id=info:doi/10.1111/ene.14154&rft_dat=%3Cproquest_hal_p%3E2391805073%3C/proquest_hal_p%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2391805073&rft_id=info:pmid/31997505&rfr_iscdi=true |