{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T03:27:07Z","timestamp":1780457227458,"version":"3.54.1"},"reference-count":23,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2014,6,23]],"date-time":"2014-06-23T00:00:00Z","timestamp":1403481600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81273505"],"award-info":[{"award-number":["81273505"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81230083"],"award-info":[{"award-number":["81230083"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CNS Neurosci Ther"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Anticoagulants are commonly used to treat ischemic stroke. Its impact on cerebellar infarction has not been fully understood.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In the clinical study, we reviewed a consecutive series of patients with large\u2010sized cerebellar infarction (diameter\u00a0&gt;\u00a03\u00a0cm, n\u00a0=\u00a030) treated with or without anticoagulation. In animal study, cerebellar infarction operation was performed in 12 <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ynomolgus monkeys. Then the animals were administrated with low molecular weight heparin (<jats:styled-content style=\"fixed-case\">LMWH<\/jats:styled-content>) or vehicle for 14\u00a0days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Six patients died during the following treatment. All the subjects that died received anticoagulation therapy, while nobody in the survival group received such a therapy. Compared with sham\u2010operated animals, all monkeys with cerebellar infarction have obvious neurological deficits. The number and size of the <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>urkinje cells in the cerebellar area were also reduced. Two animals in the <jats:styled-content style=\"fixed-case\">LMWH<\/jats:styled-content> group (33%) died, while all animals in the vehicle control group survived. Compared with the vehicle group, the neurological score in the <jats:styled-content style=\"fixed-case\">LMWH<\/jats:styled-content> group was significantly increased (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.05). The water content in the cerebella was also significantly higher (<jats:italic>P\u00a0<\/jats:italic>&lt;<jats:italic>\u00a0<\/jats:italic>0.05). Edema, hemorrhage, and subarachnoid hemorrhage occurred in the cerebella as well as brainstem of all the <jats:styled-content style=\"fixed-case\">LMWH<\/jats:styled-content> treated animals.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These results indicated the harmful effects of anticoagulation therapy on large\u2010sized cerebellar infarction.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cns.12299","type":"journal-article","created":{"date-parts":[[2014,6,23]],"date-time":"2014-06-23T13:26:13Z","timestamp":1403529973000},"page":"867-873","source":"Crossref","is-referenced-by-count":5,"title":["Anticoagulation Therapy is Harmful to Large\u2010Sized Cerebellar Infarction"],"prefix":"10.1111","volume":"20","author":[{"given":"She\u2010Qing","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Neurology Changhai Hospital Second Military Medical University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Pharmacology Second Military Medical University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao\u2010Long","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology Changhai Hospital Second Military Medical University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu\u2010Ye","family":"Xia","sequence":"additional","affiliation":[{"name":"Non\u2010human Primate Research Center Xishan Zhongke Institute Suzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ai\u2010Jun","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Pharmacology Second Military Medical University Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,6,23]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"469","article-title":"Prevalence of stroke\u2013united states, 2005","volume":"56","author":"Centers for Disease Control and Prevention (CDC)","year":"2007","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(08)70216-3"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.181486"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/hs0302.104628"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000047036.77466.E8"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000047038.86782.30"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000019422.63054.5F"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000047037.38062.24"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(00)02085-7"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(97)04011-7"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.279.16.1265"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000018081.33541.E3"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.111.628347"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1460-9568.1996.tb01337.x"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1460-9568.1998.00184.x"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/jcbfm.1986.3"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0165-0270(00)00351-4"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.1113166109"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/0166-2236(91)90161-M"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.46.2.346"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1159\/000329259"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.4103\/0028-3886.28123"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1159\/000316934"}],"container-title":["CNS Neuroscience &amp; 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