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Specialty: General Medicine
Source: Journal of the Royal College of Physicians of Edinburgh

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Total 293 results found since Jan 2013.

Pre-hospital notification is associated with improved stroke thrombolysis timing.
Conclusion Pre-hospital notification is associated with earlier stroke physician review, CT imaging and delivery of thrombolysis. Referral to an out of hours thrombolysis service was not associated with additional delay. PMID: 26517096 [PubMed - in process]
Source: Journal of the Royal College of Physicians of Edinburgh - November 30, 2015 Category: Journals (General) Tags: J R Coll Physicians Edinb Source Type: research

Short runs of atrial arrhythmia and stroke risk: a European-wide online survey among stroke physicians and cardiologists.
Conclusion Short runs of atrial fibrillation create a dilemma for physicians across Europe. Stroke physicians and cardiologists differ in their diagnosis and management of these patients. PMID: 27929570 [PubMed - in process]
Source: Journal of the Royal College of Physicians of Edinburgh - December 10, 2016 Category: Journals (General) Tags: J R Coll Physicians Edinb Source Type: research

Disappearance of the hyperdense MCA sign after stroke thrombolysis: implications for prognosis and early patient selection for clot retrieval.
Conclusion Disappearance of HMCAS is associated with better clinical and radiological outcomes. A shorter thrombus is more likely to disappear postthrombolysis. The data highlight the limitation of intravenous thrombolysis in patients with longer hyperattenuated vessels, and the potential role for clot retrieval in such patients. PMID: 27929569 [PubMed - in process]
Source: Journal of the Royal College of Physicians of Edinburgh - December 10, 2016 Category: Journals (General) Tags: J R Coll Physicians Edinb Source Type: research

Latest developments in clinical stroke care.
Authors: Minhas JS, Robinson TG Abstract Stroke medicine has seen rapid developments in diagnosis and management, and consequently improved prognosis. Management of ischaemic stroke, in particular, has benefited from these advances. The approach to management has evolved from one of historical passivity to active intervention with time of the essence following stroke onset. The last decade has seen the comparative effectiveness of several pharmacological agents being tested, creating significant randomised controlled trial evidence to support the management of common clinical problems following acute stroke. While ...
Source: Journal of the Royal College of Physicians of Edinburgh - March 16, 2018 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Cost-effectiveness of physical fitness training for stroke survivors.
Conclusions Physical fitness sessions after stroke are a cost-effective intervention for stroke survivors. This information will help make the case for the development of new services. PMID: 29741531 [PubMed - in process]
Source: Journal of the Royal College of Physicians of Edinburgh - May 10, 2018 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Examining outcomes following thrombolysis in an increasingly older and dependent stroke population.
CONCLUSION: Patients aged ˜80 years and with dependency increasingly receive thrombolysis. Given poorer outcomes thrombolysis trials are needed in pre-stroke dependent patients. PMID: 33469611 [PubMed - in process]
Source: Journal of the Royal College of Physicians of Edinburgh - January 21, 2021 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Bilateral medial medullary stroke: A rare stroke syndrome masquerading as myasthenia crisis in a young diabetic lady
J R Coll Physicians Edinb. 2022 Mar;52(1):30-33. doi: 10.1177/14782715221088914.ABSTRACTBilateral medial medullary stroke is a rare stroke syndrome. The clinical presentation of bilateral medial medullary stroke is heterogenous and often overlaps with other non-stroke neurology emergencies such as Guillain-Barrésyndrome, myasthenic crisis and acute vestibular syndrome, leading to misdiagnosis. We wish to present a case of a young lady with type 1 diabetes mellitus, who had presented with subacute neuromuscular weakness which was erroneously treated as myasthenic crisis. Her case was subsequently diagnosed as bilateral med...
Source: Journal of the Royal College of Physicians of Edinburgh - September 23, 2022 Category: General Medicine Authors: Ng Han Sim Benjamin Teo Hock Gin Ong Yoke Ling Elora Wong Kee Yung Kelly Source Type: research

Comparison of predictive scores of symptomatic intracerebral haemorrhage after stroke thrombolysis in a single centre.
CONCLUSION: The haemorrhage after thrombolysis score uses the least variables and has the best predictive value for symptomatic intracerebral haemorrhage. Using predictive scores for clinical decision making depends on estimation of overall benefits as well as risk. PMID: 26181528 [PubMed - in process]
Source: Journal of the Royal College of Physicians of Edinburgh - November 30, 2015 Category: Journals (General) Tags: J R Coll Physicians Edinb Source Type: research