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Time to ct scan imaging after symptom onset among ischeamic stroke patients presenting to a quaternary hospital in ghana
This study sought to determine the time of onset of symptoms to the time a CT imaging was done among patients presenting with acute stroke at the Korle-Bu Teaching Hospital.
Source: Journal of Stroke and Cerebrovascular Diseases - March 30, 2023 Category: Neurology Authors: F. Duodu, D. Brodie Mends, B. Agbinko-Djobalar, P. Pekyi-Boateng, M. Amerwornu, P Adjei, A Akpalu, K Nkromah Source Type: research

MRI for all: Cheap portable scanners aim to revolutionize medical imaging
.news-article__hero--featured .parallax__element{ object-position: 47% 50%; -o-object-position: 47% 50%; } The patient, a man in his 70s with a shock of silver hair, lies in the neuro intensive care unit (neuro ICU) at Yale New Haven Hospital. Looking at him, you’d never know that a few days earlier a tumor was removed from his pituitary gland. The operation didn’t leave a mark because, as is standard, surgeons reached the tumor through his nose. He chats cheerfully with a pair of research associates who have come to check his progress with a new and potentially revolutionary device they are testing. The cylind...
Source: Science of Aging Knowledge Environment - February 23, 2023 Category: Geriatrics Source Type: research

ASPECT Score and Its Application to Vasospasm in Aneurysmal Subarachnoid Haemorrhage: a Case –Control Study
AbstractDelayed cerebral ischaemia (DCI) is a significant complication of aneurysmal subarachnoid haemorrhage (aSAH) and is strongly associated with poorer outcome. The Alberta Stroke Program Early Computer Tomography (ASPECT) score is an established scoring tool, used in acute ischaemic stroke, to quantify early ischaemic changes on CT head scans. We aim to identify if ASPECT scoring correlates with functional outcome in DCI following aSAH. Retrospective case –control study. Inclusion criteria: admission to the Department of Neurosurgery at Leeds Teaching Hospitals NHS Trust (a tertiary neurosurgical centre in the Unite...
Source: Translational Stroke Research - August 9, 2022 Category: Neurology Source Type: research

Prognostic Factors of the Lethality of Stroke at the Sour ô Sanou University Teaching Hospital of Burkina Faso
Conclusion: The study has identified three prognostic factors of lethality that are the hemorrhagic stroke type, the altered state of consciousness, and the central facial paralysis. Given the high case fatality, it is important to develop and implement effective prevention and management strategies adapted to the resources for the optimal control of stroke in Africa.Cerebrovasc Dis Extra 2022;12:36 –46
Source: Cerebrovascular Diseases Extra - March 2, 2022 Category: Neurology Source Type: research

248 An Evaluation of Patient Education Post-Stroke
ConclusionThese results illustrate areas in which we can improve education post-stroke, including ensuring patients receive individualised information about the aetiology of their stroke, risk factors and the importance of new medications. It also highlights the importance of ensuring advice regarding driving is clearly explained and documented.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

The Outcome of Status Epilepticus and Long-Term Follow-Up
Conclusion: This study highlights the importance of regular care and patient follow-up. Introduction Status epilepticus (SE) is a condition and most extreme form of epilepsy (1), which leads to abnormal and prolonged seizure (at least 5 min). In case SE persists over 30 min, it may have severe long-term consequences (2). Referring to the new classification scheme of SE, there are two operational dimensions of the definition: time point 1 (T1) is associated with abnormally prolonged seizure, when therapy should be initiated, while time point 2 (T2) is related to the time of on-going seizure activity involving a risk...
Source: Frontiers in Neurology - April 25, 2019 Category: Neurology Source Type: research

Risk factors of stroke recurrence in a low income country: case of Senegal (P6.289)
Conclusions:Stroke recurrence is relatively frequent in Senegal. Frequently, patients are irregularly followed up sometimes because of the unavailability of neurologists and neurology unit in peripheral regions and the cost of treatment. Effort should be done to improve the management of cardiovascular risk factors.Disclosure: Dr. Gams Massi has nothing to disclose. Dr. Nyassinde has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Massi, D. G., Nyassinde, J. Tags: Prevention of Cerebrovascular Disease Source Type: research

Non-Neurologist Self Assessment of Emergency Neurology Proficiency and Interest in a Novel Intensive Stroke and Neurocritical Care Training Program: The X-CHANGE Program (P1.045)
Conclusions:Hospital based non-neurology physicians have significant exposure to critically ill neurological patients. Many are not comfortable with important fundamental skills, such as the neurological exam. There is strong interest in a proposed intensive training program emphasizing bedside teaching. Based upon these results, we are developing a formal intensive training program for practicing non -neurology physicians called the "Cross-disciplinary Cerebrovascular HospitAl NeuroloGy Education" program.Disclosure: Dr. Yee has nothing to disclose. Dr. Ke has nothing to disclose. Dr. Wong has nothing to disclose. Dr. Bar...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Yee, A., Ke, M., Wong, C., Barazangi, N., Tong, D., Chen, C. Tags: Graduate Medical Education Research Source Type: research

Teaching NeuroImages: Intracranial vertebral dissection in a 15-year-old boy with sickle cell disease
A 15-year-old boy with sickle cell disease became unresponsive after sudden-onset headache. There was no antecedent trauma. A head CT scan demonstrated subarachnoid hemorrhage at the medulla (figure). Magnetic resonance angiography of the head and neck identified the patient's known bilateral internal carotid artery stenosis (a moyamoya-like arteriopathy associated with stroke in sickle cell disease) and a new right vertebral artery dissection, which was confirmed on conventional angiography (figure). Prior MRI performed as part of routine cerebral monitoring did not reveal any preexisting abnormality of the vertebral artery.
Source: Neurology - December 11, 2016 Category: Neurology Authors: Siegler, J. E., Banwell, B., Ichord, R. N. Tags: Pediatric stroke; see Cerebrovascular Disease/ Childhood stroke RESIDENT AND FELLOW SECTION Source Type: research

Teaching NeuroImages: Multicompartmental intracranial hemorrhage in a pediatric patient
A previously healthy 9-year-old girl presented with sudden-onset headache followed by confusion. In the emergency department, she was hypertensive, bradycardic, and no longer responsive to any stimuli. An emergent head CT scan demonstrated a left frontal intraparenchymal hematoma with intraventricular and subarachnoid extension as well as subfalcine herniation (figure). She underwent decompressive hemicraniectomy, and digital subtraction angiography confirmed a 7-mm left middle cerebral artery aneurysm (figure).
Source: Neurology - December 4, 2016 Category: Neurology Authors: Siegler, J. E., Ichord, R. N. Tags: Childhood stroke, Intracerebral hemorrhage, Subarachnoid hemorrhage RESIDENT AND FELLOW SECTION Source Type: research

A multi-modal approach to quality improvement: reducing 'door-to-ct' time in potenitally thombolysable stroke patients
Conclusion Early thrombolysis has been shown to improve outcomes in patients with ischaemic stroke.2 Reducing ‘Door-to-CT' scan time in the ED is an important step in enabling a reduction in the overall DTN time. This can be achieved by stream-lining key processes in the patient journey through the ED. A multi-modal approach ensured this change was introduced safely and effectively whilst re-enforcing a core change to standard working practice. Further work on process mapping and the delivery of thrombolysis is the next obvious step in further reduction in DTN time. Figure 1Quality Improvement Run Chart 'Door-t...
Source: Emergency Medicine Journal - November 17, 2016 Category: Emergency Medicine Authors: Waterson, F., Braithwaite, I., Tuck, I., Alcock, R. Tags: Stroke, Radiology, Clinical diagnostic tests, Radiology (diagnostics) RCEM Lightning presentations Source Type: research

Validation of Siriraj Stroke Score in southeast Nigeria
Innocent Ijezie Chukwuonye,1 Kenneth Arinze Ohagwu,2 Enoch Ogbonnaya Uche,3,4 Abali Chuku,5 Rowland Ihezuo Nw.e,2 Christopher Chukwuemeka Ohagwu,6 Ignatius U Ezeani,7 Collins Ogbonna Nwabuko,8 Martin Anazodo Nnoli,9 Efosa Oviasu,4,10 Okechukwu Samuel Ogah4,11 1Division of Nephrology, 2Division of Neurology, Department of Internal Medicine, Federal Medical Centre, Umuahia, Nigeria; 3Division of Neurosurgery, Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Nigeria; 4Federal Medical Centre, Umuahia, Nigeria; 5Department of Ophthalmology, Federal Medical Centre, Umuahia, Nigeria; 6Department of Radiograp...
Source: International Journal of General Medicine - October 23, 2015 Category: Journals (General) Tags: International Journal of General Medicine Source Type: research

Teaching NeuroImages: Fetal deep medullary vein thrombosis presenting as progressive intracerebral hemorrhage
A 27-year-old pregnant woman underwent ultrasonography at 36 weeks gestation, which revealed unilateral echogenic lesion (figure 1). Her previous week's scan was normal. Possibilities of intracerebral hemorrhage and neoplasm were considered. The neonate, delivered 7 days later, had seizures on day 1. The MRI revealed bilateral extensive supratentorial intracerebral hemorrhages (figure 2). The baby died 3 days later due to continuing seizures and raised intracranial pressure. The MRI was characteristic of deep medullary vein (DMV) thrombosis with secondary hemorrhagic infarction. Prothrombotic workup revealed antithrombin I...
Source: Neurology - July 6, 2015 Category: Neurology Authors: Konanki, R., Varma, D. R., Ratha, C., Lingappa, L., Shah, N. Tags: All Cerebrovascular disease/Stroke, Intracerebral hemorrhage, Cerebral venous thrombosis RESIDENT AND FELLOW SECTION Source Type: research

Port Harcourt Stroke Registry: A Prospective Hospital Based Study. (P1.074)
CONCLUSION: This Stroke Registry, first of its kind from this region of Nigeria presents a handy tool to track the epidemiology of stroke in this region. It will contribute to stroke prevention by providing the evidence required to formulate policies and measures required to control identified risk factors.Disclosure: Dr. Okunoye has nothing to disclose. Dr. Asekomeh has nothing to disclose. Dr. Iyagba has nothing to disclose. Dr. Onwuchekwa has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Okunoye, C., Asekomeh, G., Iyagba, A., Onwuchekwa, A. Tags: Cerebrovascular Disease and Interventional Neurology: Epidemiology Source Type: research

Diagnostic Value of S100B Protein in the Differential Diagnosis of Acute Vertigo in the Emergency Department / El Valor Diagnóstico de la Proteína S100B en el Diagnóstico Diferencial del Vértigo Agudo en el Servicio de Urgencias
ConclusionsTo the best of our knowledge this is the first study assessing the utility of serum S100B levels for diagnosis of acute‐onset vertigo. Serum S100B levels are associated with the presence of central causes of vertigo on cranial MRI. However, serum S100B levels are not sufficiently sensitive to exclude candidates from cranial MRI. Resumen ObjetivosEl vértigo es un motivo de consulta frecuente y es consecuencia de una etiología central o periférica. Debido a que las causas centrales pueden ser de riesgo vital, la determinación de la naturaleza del vértigo es crucial en el servicio de urgencias (SU). Con un ...
Source: Academic Emergency Medicine - August 13, 2014 Category: Emergency Medicine Authors: Aslı Gülfer Kartal, Serkan Yılmaz, Elif Yaka, Murat Pekdemir, Hasan Tahsin Sarısoy, Mustafa Baki Çekmen, Melih Yüksel Tags: Original Contribution Source Type: research

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