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Effect of socioeconomic level on knowledge of stroke in the general population: A social inequality gradient
Conclusions Educational level, income, employment status, and state of health are independent factors for adequate knowledge of stroke. Public awareness campaigns should present material using simple language and efforts should be directed towards the most disadvantaged social strata in particular.
Source: Neurologia - December 2, 2015 Category: Neurology Source Type: research

Rehabilitation Outcomes: Ischemic versus Hemorrhagic Strokes.
Conclusions. Though the pathophysiology of these types of strokes is different, both ultimately result in ischemic injuries, possibly accounting for lack of findings of differences between groups. In the present study, participants in both groups experienced similar functional levels across all three MPAI-4 domains both at admission and discharge. Limitations of this study include a highly educated sample and few outcome measures. PMID: 26246694 [PubMed - in process]
Source: Behavioural Neurology - August 10, 2015 Category: Neurology Authors: Perna R, Temple J Tags: Behav Neurol Source Type: research

Risk factors, aetiology and outcome of ischaemic stroke in young adults: the Swiss Young Stroke Study (SYSS)
In conclusion, most young adults with IS had modifiable vascular risk factors, emphasizing the importance of prevention strategies. Outcome was unfavourable in more than a third of patients and was associated with initial stroke severity and diabetes mellitus. Previous cerebrovascular events predicted recurrent ones.
Source: Journal of Neurology - June 12, 2015 Category: Neurology Source Type: research

Exploring Self-Reported Lifestyle and Career Choices Among Vascular Neurology Fellows (P2.304)
CONCLUSIONS: This survey is the first systematic attempt to describe lifestyle and career choices of vascular neurology trainees. Although less than half of the programs responded, none of the queried trainees aspired to a career in private practice, consistent with the academic profile of their training programs.Disclosure: Dr. Bulic has nothing to disclose. Dr. Levine has received personal compensation for activities with NCME and as a medical legal consultant. Dr. Levine has received personal compensation in an editorial capacity for Medlink, and for editing a book on TIAs. Dr. Khandelwal has nothing to disclose. Dr. Au...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Bulic, S., Levine, S., Khandelwal, P., Auerbach, E., Sanossian, N. Tags: Cerebrovascular Disease and Interventional Neurology: Education and TIA Source Type: research

Clinical Reasoning: An unusual case of subacute encephalopathy
A 52-year-old previously healthy man presented with 8 months of progressive cognitive decline. He complained of months of confusion, fatigue, depression, hypersomnolence, headaches, and, subsequently, urinary incontinence and unsteady gait. His family reported that he spoke of his deceased mother as if she were alive. His executive deficits progressed, leading to termination of his employment and a motor vehicle accident. He was evaluated and treated in Morocco before presenting to our institution for further care.
Source: Neurology - February 9, 2015 Category: Neurology Authors: Parikh, N., Merkler, A. E., Cheng, N. T., Baradaran, H., White, H., Leifer, D. Tags: All Cerebrovascular disease/Stroke, Arteriovenous malformation, Cerebral venous thrombosis RESIDENT AND FELLOW SECTION Source Type: research

Employment of Higher Doses of Botulinum Toxin Type A to Reduce Spasticity After Stroke
Spasticity is a common disabling symptom for several neurological conditions. Botulinum toxin type A injection represents the gold standard treatment for focal spasticity with efficacy, reversibility, and low prevalence of complications. Current guidelines suggest a dose up to 600 units (U) of onabotulinumtoxinA/incobotulinumtoxinA or up to 1500 U of abobotulinumtoxinA to treat post-stroke spasticity to avoid important adverse effects. However, recently, higher doses of botulinum toxin type A were employed, especially in case of upper and lower limb severe spasticity.
Source: Journal of the Neurological Sciences - February 5, 2015 Category: Neurology Authors: Andrea Santamato, Maria Francesca Micello, Maurizio Ranieri, Giovanni Valeno, Antonio Albano, Alessio Baricich, Carlo Cisari, Domenico Intiso, Alberto Pilotto, Giancarlo Logroscino, Francesco Panza Source Type: research

Employment after stroke: report of a state of the science symposium.
Abstract For many stroke survivors, returning to work becomes an important emotional and functional milestone in signaling recovery. It can also provide needed financial support and reduce the burden placed on society in the form of government assistance. The complex nature of the return-to-work process involves many factors that may support or interfere with reintegration into the workforce. For the purpose of examining this important topic more closely, the Rehabilitation Research & Training Center on Enhancing the Functional and Employment Outcomes of Individuals Who Experience a Stroke held a State of the ...
Source: Topics in Stroke Rehabilitation - April 17, 2014 Category: Neurology Authors: Roth EJ, Lovell L Tags: Top Stroke Rehabil Source Type: research

Evaluation of Rural Stroke Services: Does Implementation of Coordinators and Pathways Improve Care in Rural Hospitals? Basic Sciences
Conclusions— Investment in clinical coordinators who implemented organizational change, together with increased clinician resources, effectively improved stroke care in rural hospitals, resulting in more patients being discharged home.
Source: Stroke - September 23, 2013 Category: Neurology Authors: Cadilhac, D. A., Purvis, T., Kilkenny, M. F., Longworth, M., Mohr, K., Pollack, M., Levi, C. R., on behalf of the New South Wales Strokes Services Coordinating Commitee and the Agency for Clinical Innovation Tags: Health policy and outcome research, Other Stroke Treatment - Medical Basic Sciences Source Type: research

Employment status, social function decline and caregiver burden among stroke survivors. A South Indian study
Conclusions: Loss of occupation among stroke survivors is high. The decline in social function among stroke survivors and caregivers was significant. Even though functional disability contributed to employment loss and social function decline among stroke survivors, it did not have a significant impact on caregiver burden.
Source: Journal of the Neurological Sciences - July 29, 2013 Category: Neurology Authors: Sapna Erat Sreedharan, J.P. Unnikrishnan, M.G. Amal, B.S. Shibi, Sankara Sarma, P.N. Sylaja Tags: Original Articles Source Type: research

Psychosocial experiences and needs of Australian caregivers of people with stroke: prognosis messages, caregiver resilience, and relationships.
CONCLUSIONS: Particular attention should be paid to how prognosis is conveyed and whether appropriate outpatient services are available. Clinicians should also consider discussing appropriate caregiver coping strategies and the quality of the relationship between the stroke survivor and caregiver. PMID: 23893835 [PubMed - in process]
Source: Topics in Stroke Rehabilitation - July 1, 2013 Category: Neurology Authors: El Masry Y, Mullan B, Hackett M Tags: Top Stroke Rehabil Source Type: research

Clinical improvements in higher brain function and rapid functional recovery in a case of cerebellar hemorrhage treated by neurocognitive rehabilitation.
We report the case of a 34-year-old patient with cerebellar hemorrhage due to arteriovenous malformation causing higher brain dysfunction who was able to return to full-time employment after neurocognitive rehabilitation. Cerebellar stroke caused by nonatherosclerotic diseases or diaschisis may lead to cognitive deficits but these symptoms can be reversed by appropriate therapy. It is important to assess higher brain function in cerebellar stroke patients and to tailor neurocognitive rehabilitation programs appropriately to promote functional recovery. PMID: 23528103 [PubMed - as supplied by publisher]
Source: Neurocase - March 25, 2013 Category: Neurology Authors: Komuro A, Kurabayashi H, Sasaki Y, Sugiura T, Hishinuma A, Majima M Tags: Neurocase Source Type: research

Neighborhood socioeconomic disadvantage and mortality after stroke
Conclusion: Living in a socioeconomically disadvantaged neighborhood is associated with higher mortality hazard at 1 year following an incident stroke. Further work is needed to understand the structural and social characteristics of neighborhoods that may contribute to mortality in the year after a stroke and the pathways through which these characteristics operate.
Source: Neurology - February 4, 2013 Category: Neurology Authors: Brown, A. F., Liang, L.-J., Vassar, S. D., Merkin, S. S., Longstreth, W. T., Ovbiagele, B., Yan, T., Escarce, J. J. Tags: Other cerebrovascular disease/ Stroke ARTICLE Source Type: research

Ischaemic stroke at a young age is a serious event – final results of a population‐based long‐term follow‐up in Western Norway
ConclusionsOur data show a heterogeneous prognosis and high mortality even for long‐time survivors of ischaemic stroke at a young age. Prospective studies of young stroke patients and controls are necessary for direct comparison.
Source: European Journal of Neurology - January 7, 2013 Category: Neurology Authors: U. Waje‐Andreassen, L. Thomassen, M. Jusufovic, K. N. Power, G. E. Eide, C. A. Vedeler, H. Naess Tags: Original Article Source Type: research

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