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Platelet Count Predicts Adverse Clinical Outcomes After Ischemic Stroke or TIA: Subgroup Analysis of CNSR II
Conclusion: In ischemic stroke or TIA patients with platelet count within normal range, platelet count may be a qualified predictor for long-term recurrent stroke, mortality, and poor functional outcome. Introduction Platelets exert a critical role in the pathogenesis of atherosclerotic complications of cardio-cerebrovascular disease, contributing to thrombus formation, and embolism (1, 2). Previous literature reported that platelets of various size and density are produced by megakaryocytes of different size and stages of maturation in different clinical conditions, suggesting various platelet patterns in differen...
Source: Frontiers in Neurology - April 11, 2019 Category: Neurology Source Type: research

Is a Routine Head CT after IV-tPA Therapy Medically Necessary? (P03.170)
CONCLUSIONS: In clinical practice, the risk of symptomatic ICH after IV-tPA is low. GRASPS scores may be helpful in identifying patients at higher risk for ICH but it is not sufficiently sensitive to guide a selective use for post-therapy surveillance imaging. A protocol requiring repeat neuroimaging at 24 hr after IV-tPA is not supported by clinical practice data. Neuroimaging after IV-tPA should focus on vascular imaging needed for determining the mechanism and treatment plan and to evaluate the cause of clinical deterioration after therapy.Disclosure: Dr. Sehgal has nothing to disclose. Dr. Mehndiratta has nothing to di...
Source: Neurology - February 14, 2013 Category: Neurology Authors: Sehgal, S., Mehndiratta, P., Talahma, M., Eisele, S., Sila, C. Tags: P03 Cerebrovascular Disease III Source Type: research

Quality of Acute Ischemic Stroke Care in Thailand: A Prospective Multicenter Countrywide Cohort Study
Conclusions: Limited access to acute ischemic stroke care interventions were observed in many domains especially thrombolysis and stroke unit admission. These findings emphasize an urgent need for strategies to improve standard acute stroke care among developing countries.
Source: Journal of Stroke and Cerebrovascular Diseases - January 9, 2013 Category: Neurology Authors: Yongchai Nilanont, Samart Nidhinandana, Nijasri C. Suwanwela, Suchat Hanchaiphiboolkul, Taksin Pimpak, Pyatat Tatsanavivat, Gustavo Saposnik, Niphon Poungvarin, Thai Stroke Registry Tags: Original Articles Source Type: research