Evaluation and management of blunt cerebrovascular injury: A practice management guideline from the Eastern Association for the Surgery of Trauma
BACKGROUND Blunt cerebrovascular injuries (BCVIs) are associated with significant morbidity and mortality. This guideline evaluates several aspects of BCVI diagnosis and management including the role of screening protocols, criteria for screening cervical spine injuries, and the use of antithrombotic therapy (ATT) and endovascular stents. METHODS Using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) methodology, a taskforce of the Practice Management Guidelines Committee of the Eastern Association for the Surgery of Trauma performed a systematic review and meta-analysis of currently available evidence. Four population, intervention, comparison, and outcome questions were developed to address diagnostic and therapeutic issues relevant to BCVI. RESULTS A total of 98 articles were identified. Of these, 23 articles were selected to construct the guidelines. In these studies, the detection of BCVI increased with the use of a screening protocol versus no screening protocol (odds ratio [OR], 4.74; 95% confidence interval [CI], 1.76–12.78; p = 0.002), as well as among patients with high-risk versus low-risk cervical spine injuries (OR, 12.7; 95% CI, 6.24–25.62; p = 0.003). The use of ATT versus no ATT resulted in a decreased risk of stroke (OR, 0.20; 95% CI, 0.06–0.65; p
CONCLUSIONS: In VFT analysis of SSNHL with dizziness, diverse patterns were identified. In the absence of SN, no definite vestibular organ involvement was the most frequent. But in the case with SN, posterior canal deficit was most common and cerebellar ischemic stroke was rare. PMID: 32623411 [PubMed - as supplied by publisher]
BACKGROUND: Several medications have been associated with an increased risk of balance deficits and greater likelihood to sustain a fall, representing a large health and economic issue. Statins are regularly prescribed to prevent strokes and heart attacks,...
ConclusionsDiagnostic performance in ELVO detection with CTA was high across all levels of radiologist training level. Grayscale inversion offered no significant detection advantage.Key Points•Stroke is an acute vascular syndrome that requires acute vascular imaging.•Proximal large vessel occlusions can be identified quickly and accurately by radiologists across all training levels.•Grayscale inversion demonstrated minimal detectable benefit in the detection of proximal large vessel occlusions.
Some 140,000 Americans die each year from a stroke, the CDC says.
I'm an undergraduate student student and hope to eventually enter a clinical psychology program with a focus on neuropsychology. I recently learned about rehabilitation psychology and it seems to align with my interests very well. However, it seems that neuropsych and rehab psych are very similar. I was wondering if anyone could further explain the differences between the fields? Or how either specialty could lead to clinical or research work in rehab settings (particularly for stroke and TBI)?
Publication date: Available online 4 July 2020Source: Journal of Vascular and Interventional RadiologyAuthor(s): Aleksandra Yakhkind, Adam Edward Lang, Mayra Montalvo, Michael D. Beland, Shawna Cutting
BEST supplements for cholesterol: Having too much cholesterol can block your blood vessels and make you more likely to have heart problems or stroke. So what can you do to lower cholesterol? Drinking a certain tea could help.
Publication date: Available online 4 July 2020Source: Neurología (English Edition)Author(s): B. Fuentes, M. Alonso de Leciñana, P. Calleja-Castaño, J. Carneado-Ruiz, J. Egido-Herrero, A. Gil-Núñez, J. Masjuán-Vallejo, J. Vivancos-Mora, J. Rodríguez-Pardo, N. Riera-López, Á. Ximénez-Carrillo, A. Cruz-Culebras, C. Gómez-Escalonilla, E. Díez-Tejedor, en representación de los hospitales del Plan Ictus Madrid
This secondary analysis of a randomized clinical trial assesses the subtype of recurrent ischemic stroke after embolic stroke of underdetermined source, the interaction with treatment assignment, and the consistency of cerebral location of the qualifying and recurrent strokes in the study population of the NAVIGATE-ESUS trial.
This systematic review and meta-analysis examines the recurrence of ischemic stroke and possible use of patent foramen ovale closure in patients aged 60 years or older.