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How long should we wait to start oral anticoagulation after cardioembolic stroke?
As a neurology resident many years ago, I carried in the pocket of my white coat a small notebook. I used this as a quick reference guide, recording the diagnostic and treatment recommendations of the neurology professors training me. I still have the book, and occasionally amuse myself by perusing the entry for acute stroke, satisfying in its pure simplicity: "If Afib present > start IV heparin; if no Afib > start aspirin." As is so often the case, clinical trial data soon enough proved this received wisdom wrong. In the Heparin in Acute Embolic Stroke Trial, which enrolled patients with stroke and atrial fibrillati...
Source: Neurology - October 30, 2016 Category: Neurology Authors: Cucchiara, B. Tags: Stroke prevention, Clinical trials Observational study (Cohort, Case control) EDITORIALS Source Type: research

Fast-Track Long Term Continuous Heart Monitoring in a Stroke Clinic: A Feasibility Study
Conclusion: It is feasible to implement a fast-track cardiac monitoring as part of a stroke clinic with proper training of stroke providers, clinic staff, and support from a cardiology team.
Source: Frontiers in Neurology - January 20, 2020 Category: Neurology Source Type: research

Risk factor identification and prediction models for prolonged length of stay in hospital after acute ischemic stroke using artificial neural networks
ConclusionThe artificial neural network model achieved adequate discriminative power for predicting prolonged length of stay after acute ischemic stroke and identified crucial factors associated with a prolonged hospital stay. The proposed model can assist in clinically assessing the risk of prolonged hospitalization, informing decision-making, and developing individualized medical care plans for patients with acute ischemic stroke.
Source: Frontiers in Neurology - February 9, 2023 Category: Neurology Source Type: research

Functional outcome prediction of ischemic stroke patients with atrial fibrillation accepting post-acute care training
ConclusionIn the current study, nearly half of the enrolled patients showed favorable functional recovery. The outcome assessments seem to correlate well with NIHSS and Barthel Index scores, rather than mRS. The anxiety/depression and usual activities domains of the EQ-5D results are associated with and have a great impact after the patients undertake the PAC rehabilitative strategy. Moreover, the variables obtained through carotid duplex and plaque index might also play a significant role in determining the patient's functional outcome.
Source: Frontiers in Neurology - September 23, 2022 Category: Neurology Source Type: research

A nomogram for predicting atrial fibrillation detected after acute ischemic stroke
ConclusionPredictive models based on clinical characteristics, laboratory variables, and neuroimaging variables showed good calibration and high net clinical benefit, informing clinical decision-making in diagnosing and treating patients with AFDAS.
Source: Frontiers in Neurology - October 14, 2022 Category: Neurology Source Type: research

A pilot study evaluating the use of ABCD2 score in pre-hospital assessment of patients with suspected transient ischaemic attack: experience and lessons learned
ConclusionsIt is possible to identify, recruit and follow up patients with suspected TIA in the EMS setting. Training large numbers of EMS staff is required as exposure to TIA patients is infrequent. Significant insight was gained into the complexity of NHS research governance mechanisms in the UK. This knowledge will facilitate the planning of a future adequately powered study to validate the ABCD2 tool in a pre-hospital setting.
Source: Experimental and Translational Stroke Medicine - August 19, 2016 Category: Neurology Source Type: research

Right Fusiform Gyrus Infarct with Acute Prosopagnosia
Acta Neurol Taiwan. 2022 Dec 30;31(4):186-187.ABSTRACTA 56-year-old, right-handed man with no known past medical history presented with sudden onset of inability to recognize familiar individuals in person, including his wife and his mother. He also couldn't recognize himself in the mirror. There was no weakness, numbness, visual disturbances, or speech difficulty. Face recognition test, using Warrington Recognition Memory Test (1), showed the presence of complete prosopagnosia. The rest of the neurological and cranial nerves examinations were normal. Magnetic resonance imaging (MRI) of the brain showed restricted diffusio...
Source: Acta Neurologica Taiwanica - April 26, 2022 Category: Neurology Authors: Yeow-Hoay Koh Source Type: research

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