Stroke
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Stroke
NIH - Medical Encyclopedia: Stroke
"The goal is to get the person to the emergency room immediately, determine if he or she is having a bleeding stroke or a stroke from a blood clot, and start therapy -- all within 3 hours of when the stroke began."
Highlighted ArticleTransient Ischemic Attack: A Dangerous Harbinger and an Opportunity to Intervene. (Semin Neurol. 2005)
"Transient ischemic attack (TIA) and ischemic stroke are both characterized by sudden onset of neurological symptoms due to focal cerebral ischemia, but they are distinguished by the duration of neurological symptoms, with TIA traditionally defined by resolution of symptoms within 24 hours and stroke reserved for symptoms of longer duration. ... The short-term risk of ischemic stroke after TIA is very high ..."
Stroke
Diagnosis, Imaging, and Screening
NEWS:
ARTICLES:
Improving the Clinical Diagnosis of Stroke
JOURNAL ARTICLES:
Carotid Artery Calcification on CT May Independently Predict Stroke Risk. (AJR Am J Roentgenol)
Characteristics of an "Ill-Defined" Diagnosis for Stroke. Opportunities for Improvement. (Stroke. 2006)
Cognitive profile of subcortical ischaemic vascular disease. (J Neurol Neurosurg Psychiatry. 2006)
Contribution of diffusion-weighted imaging in determination of stroke etiology. (AJNR Am J Neuroradiol. 2006)
Detection and management of associated atherothrombotic locations in patients with a recent atherothrombotic ischemic stroke: results of the DETECT survey. (Cerebrovasc Dis. 2006)
Diagnostic challenge - Is this really a stroke? (Aust Fam Physician. 2006)
Diagnostic imaging for acute ischemic stroke management. (Expert Rev Med Devices. 2006)
Early MRI and outcomes of untreated patients with mild or improving ischemic stroke (NEUROLOGY 2006) "Conclusions: About 10% of patients eligible for acute reperfusion therapy excluded on the basis of mild or rapidly improving symptoms show early neurologic deterioration with infarct expansion within 48 hours, and about 20% show poor outcome at discharge. Persisting large-vessel occlusion substantially increases the risk of early worsening and poor functional outcome."
Imaging of the Brain and Cerebral Vasculature in Patients with Suspected Stroke: Advantages and Disadvantages of CT and MRI. (Curr Neurol Neurosci Rep. 2006)
Imaging-Guided Acute Ischemic Stroke Therapy: From "Time Is Brain" to "Physiology Is Brain" (American Journal of Neuroradiology 2006)
Neurological Symptoms in Type A Aortic Dissections. (Stroke. 2006) " CONCLUSIONS: Aortic dissections might be missed in patients with neurological symptoms but without pain. Neurological findings in elderly hypertensive patients with asymmetrical pulses or cardiac murmur suggest dissection. Especially in patients considered for thrombolytic therapy in acute stroke further diagnostics is essential. Neurological symptoms are not necessarily associated with increased mortality."
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