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Source: Neurology
Procedure: CT Scan

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Total 127 results found since Jan 2013.

Reliability of brain CT evaluation by stroke neurologists in telemedicine
Conclusions: Clinically relevant misinterpretation of the CT scans was rare in our acute telestroke service. ASPECTS is a reliable tool to assess the extent of EIC by stroke neurologists in telemedicine in real time.
Source: Neurology - January 21, 2013 Category: Neurology Authors: Puetz, V., Bodechtel, U., Gerber, J. C., Dzialowski, I., Kunz, A., Wolz, M., Hentschel, H., Schultheiss, T., Kepplinger, J., Schneider, H., Wiedemann, B., Wojciechowski, C., Reichmann, H., Gahn, G., von Kummer, R. Tags: Diagnostic test assessment, CT, All Cerebrovascular disease/Stroke ARTICLE Source Type: research

Pre-hospital imaging and thrombolysis in acute stroke in an urban US setting: results of the Cleveland Pre-Hospital Acute Stroke Treatment (PHAST) study group. (S21.002)
CONCLUSIONS: Close to a fifth of patients received acute stroke treatment on MSTU. These findings demonstrate the successful reduction in time to diagnosis and treatment of acute stroke patients using a MSTU. Study Supported by:Disclosure: Dr. Briggs has nothing to disclose. Dr. Taqui has nothing to disclose. Dr. Cerejo has nothing to disclose. Dr. Itrat has nothing to disclose. Dr. Donohue has nothing to disclose. Dr. Organek has nothing to disclose. Dr. Buletko has nothing to disclose. Dr. Sheikhi has nothing to disclose. Dr. Buttrick has nothing to disclose. Dr. Khawaja has nothing to disclose. Dr. Wisco has nothing to ...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Briggs, F., Taqui, A., Cerejo, R., Itrat, A., Donohue, M., Organek, N., Buletko, A., Sheikhi, L., Buttrick, M., Khawaja, Z., Wisco, D., Winners, S., Reimer, A., Frontera, J., Manno, E., Hustey, F., Kralovic, D., Peter, R., Hussain, M., Uchino, K. Tags: Cerebrovascular Disease and Interventional Neurology: Prehospital and Acute Ischemic Stroke Treatment Source Type: research

Stroke Code to CT - Does Stroke Severity Affect Timing? (P2.311)
CONCLUSIONS: It is imperative that we act upon patients with less severe appearing strokes with as much rapidity as we do for those with severe strokes in order to ensure that all stroke patients have the best chance for long-term recovery.Disclosure: Dr. Kwei has nothing to disclose. Dr. Wilson has nothing to disclose. Dr. Liang has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Kwei, K., Wilson, N., Liang, J. Tags: Stroke Systems of Care Source Type: research

Clinical and imaging characteristics of silent brain infarction and symptomatic stroke (P4.257)
Conclusions:In an imaging-defined brain infarct cohort, SBI is highly prevalent and encompasses a spectrum of clinical presentations. The majority of individuals with SBI have no documented symptoms or deficits.Disclosure: Dr. Albazli has nothing to disclose. Dr. Leung has nothing to disclose. Dr. Huggins has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Albazli, K., Leung, L., Huggins, H. Tags: Acute and Diagnostic Imaging in Ischemic Stroke and TIA Source Type: research

Significance of Periclot MMP-9 in Ischemic Stroke Patients Undergoing Intra-arterial Interventions (P4.303)
CONCLUSIONS: Decreased periclot MMP-9 may be predictive of HT after ischemic stroke, contrasting with previous work demonstrating elevated peripheral MMP-9 as predictive of HT. Increased periclot MCP-4 and angiogenin expression, as well as decreased numbers of circulating monocytes, may serve as additional predictive markers of HT. Future work should measure the activity of periclot MMP-9. Study Supported by: Shimojani, LLC and NIH (DJ).Disclosure: Dr. Song has nothing to disclose. Dr. Prager has nothing to disclose. Dr. Brennan has nothing to disclose. Dr. Uchino has nothing to disclose. Dr. Hussain has nothing to disclos...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Song, A., Prager, B., Brennan, C., Uchino, K., Hussain, M., Rasmussen, P., Janigro, D. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Interventional Treatment for Ischemic Stroke Source Type: research

The Emergency Medical Services Impact on Stroke Patient Management Arriving at the Cleveland Clinic Florida (P2.314)
Conclusion: Most patients brought by EMS will have an NIHSS of 6 or more. The EMS is a determining variable to achieve better management in stroke patients.Disclosure: Dr. Reyes has nothing to disclose. Dr. Gonzalez has nothing to disclose. Dr. Riaz has nothing to disclose. Dr. Boddepalli has nothing to disclose. Dr. Mathew has nothing to disclose. Dr. Piran has nothing to disclose. Dr. Linn has nothing to disclose. Dr. Salgado has received personal compensation in an editorial capacity for Belvoir Media Group.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Reyes, D., Gonzalez, L., Riaz, S., Boddepalli, R., Mathew, S., Piran, P., Linn, A., Salgado, E. Tags: Stroke Systems of Care Source Type: research

Embolic Stroke of Undetermined Source (ESUS): A single center study from Argentina (P1.060)
CONCLUSIONS: Even with complete work-up, upon initial assessment more than one third of ischemic stroke patients met criteria for ESUS. After one year follow-up, it is possible to reclassify some of them, mostly as cardioembolic. More studies are needed to establish unidentified etiologies and the effect of longer follow-ups. Study Supported by:Disclosure: Dr. Pertierra has nothing to disclose. Dr. Hawkes has nothing to disclose. Dr. Farez has received personal compensation for activities with Merck Serono. Dr. Gomez-Scheneider has nothing to disclose. Dr. Pastor-Rueda has nothing to disclose. Dr. Calandri has nothing to d...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Pertierra, L., Hawkes, M., Farez, M., Gomez-Scheneider, M., Pastor-Rueda, J., Calandri, I., Pujol-Lereis, V., Ameriso, S. Tags: Cerebrovascular Disease and Interventional Neurology: Atrial Fibrillation and Cardio-embolic Stroke Source Type: research

Benefits of Stroke Treatment Delivered Using a Mobile Stroke Unit (S21.001)
CONCLUSIONS: The Houston MSU is enrolling patients into a randomized protocol.Disclosure: Dr. Grotta has received personal compensation for activities with Lundbeck Research USA, Inc., Frazer Healthcare, Specialists on Call Inc., Haemonetics, Genentech, and Covidien.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Grotta, J. Tags: Cerebrovascular Disease and Interventional Neurology: Prehospital and Acute Ischemic Stroke Treatment Source Type: research

Inter-Rater Variability for Evaluation of ASPECT Score Between a Neurologist and Neuroradiologist in Acute Stroke Patients (P6.020)
Conclusion Inter-rater agreement of evaluation early acute CT ischemic changes in acute-stroke patients between a neurologist and neuroradiologist was almost perfect. That could improve management of the acute stroke and mechanical thrombectomy care. It would support the faster activation of the thrombectomy team, leading to shorter door-to-needle- times and eventually, better outcomes.Disclosure: Dr. Kral has nothing to disclose. Dr. Bar has nothing to disclose. Dr. Jonszta has nothing to disclose. Dr. Marcian has nothing to disclose. Dr. Kuliha has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Kral, J., Bar, M., Jonszta, T., Marcian, V., Kuliha, M. Tags: Ischemic Stroke Diagnosis Source Type: research

Multidisciplinar Team Ability to Decrease Door-To-Needle Time in Acute Ischemic Stroke - A Single Center Saudi Experience (P6.053)
Conclusions: Implementation of modified stroke code process utilizing quality improvement paradigm of PDSA cycles have resulted in significant decrease in door-to-needle time for IV thrombolysis. Although, the target DTN of 60 minutes was not reached, the trend is favorable with improved outcomes. Disclosure: Partly presented at 5th Annual KAIMRC Forum, September, 2014, Jeddah, Saudi ArabiaDisclosure: Dr. Khatri has nothing to disclose. Dr. Khathaami has nothing to disclose. Dr. Alhamouieh has nothing to disclose. Dr. Abulaban has nothing to disclose. Dr. Scriven has nothing to disclose. Dr. Tarawneh has nothing to disclos...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Khatri, I., Khathaami, A., Alhamouieh, O., Abulaban, A., Scriven, S., Tarawneh, M., Alrasheed, D., AlSomali, S., Catangui, E., Manalili, C., Ghadalla, A., Alanizi, A., Kojan, S. Tags: Prehospital Stroke Care and Uses of NIHSS Source Type: research

Retinal and Ophthalmic Artery Studies in Ischemic Stroke Patients Using Fundus Photography and Transcranial Doppler Methods (P4.252)
Conclusions:Our study in a robust sample of non-severe stroke patients showed that abnormal retinal AVR is strongly associated with IS patients even after accounting for traditional risk factors. OA-TCD studies, on the other hand, did not have significant associations with stroke group.Disclosure: Dr. Patil has nothing to disclose. Dr. Narayan has nothing to disclose. Dr. Babu K has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Patil, K., Narayan, S., Babu, K. R. Tags: Acute and Diagnostic Imaging in Ischemic Stroke and TIA Source Type: research

Collaborative Interventions Reduce Time-to-Thrombolysis for Acute Ischemic Stroke in an Urban, Public Hospital (P4.270)
Conclusions:Targeted, multidisciplinary, collaborative interventions are associated with substantial and significant reductions in time to thrombolysis. Such targeted interventions are effective and feasible in the unique setting of a public safety net hospital.Disclosure: Dr. Threlkeld has nothing to disclose. Dr. Kozak has nothing to disclose. Dr. Cole has nothing to disclose. Dr. Martin has nothing to disclose. Dr. Singh has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Threlkeld, Z., Kozak, B., Cole, S., Martin, C., Singh, V. Tags: Thrombolysis and Acute Evaluation in Ischemic Stroke Source Type: research

"No Turn Back Approach" to Reduce Treatment Time for Endovascular Treatment of Acute Ischemic Stroke (P4.214)
Conclusions: The "no turn back approach" appeared to be feasible and reduced the time interval between ED arrival and microcatheter placement in acute ischemic stroke patients undergoing endovascular treatment.Disclosure: Dr. Egila has nothing to disclose. Dr. Malik has nothing to disclose. Dr. Siddiqi has nothing to disclose. Dr. Mian has nothing to disclose. Dr. Hassan has nothing to disclose. Dr. Miley has nothing to disclose. Dr. Rodriguez has nothing to disclose. Dr. Suri has nothing to disclose. Dr. Qureshi has nothing to disclose.
Source: Neurology - April 9, 2014 Category: Neurology Authors: Egila, H., Adil, M., Siddiqi, H., Mian, N., Hassan, A., Miley, J., Rodriguez, G., Suri, M., Qureshi, A. Tags: Cerebrovascular Disease and Interventional Neurology: Acute Stroke Endovascular Source Type: research

Quality Improvement Project: Improving the Time To Treatment in Inpatient Acute Ischemic Stroke (P7.130)
Conclusion/Proposal: In the inpatient setting there was a significant delay in the time to CT-scan and to t-PA; the main source of delay was time to CT-scan. There are many possible reasons for the delay: location of the CT-scanner, unfamiliarity with strokes by non-neurology staff, ready availability of t-PA. We proposed to target house staff education and t-PA availability. We developed a "stroke-code" checklist to be distributed to house staff from different services after a small explanatory lecture. We also developed an order form to create a zero wait time for t-PA, allowing the RN/PCA to be the first one served in t...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Liang, J., Garcia Santibanez, R., Walker, A., Boniece, I. Tags: Cerebrovascular Disease and Interventional Neurology: Barriers and Opportunities in Acute Stroke Treatment Source Type: research

International Issues: Acute ischemic stroke: An international experience
Mr. Q, a 72-year-old right-handed man with hypertension, hyperlipidemia, recurrent angina, and a 30 pack-year smoking history is a retired scientist living in the United States with his wife. He recently visited his native country, Ukraine, for the first time in almost 30 years. After an emotional day with family members, he returned home and suddenly became diaphoretic and weak, and ultimately lost consciousness. His wife drove him to the nearest open medical clinic. Because it was severely underresourced, he was then emergently taken by ambulance to a larger hospital 6 hours away. He regained consciousness by the time he...
Source: Neurology - November 3, 2014 Category: Neurology Authors: Colling, M., Lioutas, V.-A., Krishnan, V. Tags: Cost effectiveness/economic, Outcome research, Quality of life, Stroke prevention, All Cerebrovascular disease/Stroke RESIDENT AND FELLOW SECTION Source Type: research