Stroke

Jens Witsch, Lindsey Kuohn, Ryan Hebert, Branden Cord, Lauren Sansing, Emily J. Gilmore, David Y. Hwang, Nils Petersen, Guido J. Falcone, Charles Matouk, Kevin N. Sheth July 19, 2019

Background and Aim: The FRESH score is a tool to prognosticate long-term outcomes after spontaneous subarachnoid hemorrhage (SAH). Here, for the first time, we aimed to externally validate the disability part of FRESH using its original four score variables. Methods: A total of 107 patients with SAH were prospectively enrolled in the Yale Acute Brain Injury Biorepository between September 2014 and January 2018.… Read More...

Stephen Aradi, Eric Kaiser, Brett Cucchiara July 19, 2019

Calcitonin gene-related peptide (CGRP) is involved in nociception and neurogenic inflammation in migraine, but also serves as a potent vasodilator acting on intracranial arteries. This latter effect raises concern about the possibility of drugs inhibiting CGRP precipitating cerebral ischemia. We describe a 41-year-old woman with migraine without aura who developed a right thalamic infarction following a first dose of erenumab, a CGRP-receptor blocker.… Read More...

Lucio D'Anna, Ozan Demir, Soma Banerjee, Iqbal Malik July 19, 2019

Transcatheter Aortic Valve Implantation (TAVI) is an increasingly treatment modality for severe aortic stenosis, which is associated with a considerable peri-procedural risk of stroke. To date, the clinical safety and efficacy of Tissue plasminogen activator (tPA) and mechanical thrombectomy in stroke post-TAVI is not established.… Read More...

Dawn Merbach, Erin Lawrence, Dania Mallick, Elisabeth B. Marsh July 17, 2019

Background: Prior studies have shown that warfarin is effective for both primary and secondary stroke prevention in individuals with atrial fibrillation. It is also known that those on warfarin with atrial fibrillation often have poorer long-term poststroke outcomes, possibly because cardioembolic strokes tend to be larger and more severe.… Read More...

Tamra Ranasinghe, Traci Mays, Jeff Quedado, Amelia Adcock July 17, 2019

Administering intravenous IV tissue plasminogen activator (tPA) is the recommended standard of care in acute ischemic stroke (AIS), although it is not recommended to administer intravenous thrombolysis with tPA following heparin reversal with protamine sulfate in patients with AIS.

Read More...Read More...
Shugang Cao, Xiaoxing Ni, Wen'an Xu July 15, 2019

We have read with great interest the article by Rotkopf et al.1 The authors presented a rare case of Anton’s syndrome confirmed by multiparametric computed tomography (CT) and completely resolved after the administration of recombinant tissue plasminogen activator (rtPA). We absolutely agree with the authors that multiparametric CT imaging may aid in quickly proving the underlying stroke in Anton’s syndrome, especially helpful considering the discrepancy between the patient’s perception and clinical examination results.… Read More...

Toby I. Gropen, Melissa Gazi, Michael Minor, Abimbola Fadairo, Joe Acker July 15, 2019

Objective: Improve prehospital identification of acute ischemic stroke patients with large vessel occlusion (LVO) by using a trauma system-based emergency communication center (ECC) to guide the emergency medical service (EMS). Methods: We trained 24 ECC paramedics in the Emergency Medical Stroke Assessment (EMSA).… Read More...

Boi Yushan, Benjamin Y.Q. Tan, Nicholas Jinghao Ngiam, Bernard P.L. Chan, Teoh Hock Luen, Vijay K. Sharma, Ching-Hui Sia, Mayank Dalakoti, Seow Swee Chong, Pipin Kojodjojo, Leonard L.L. Yeo July 14, 2019

Increasingly, insertable cardiac monitors (ICM) have been used to detect Atrial Fibrillation (AF) in patients with cryptogenic stroke or embolic strokes of undetermined source (ESUS). We aim to examine the characteristics of these patients who were subsequently found to have AF.… Read More...

Andoird App
Loading...