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Methodological assessment of guidelines for the diagnosis and management of cerebral vasospasm using the AGREE-II tool
CONCLUSIONS: These findings support the idea that improvement of currently existing guidelines is feasible in the following domains: the rigor of guidelines and recommendations development, clinical applicability, editorial independence, and stakeholder involvement. Furthermore, periodic updating of published guidelines requires improvement in the future.PMID:35231886 | DOI:10.3171/2021.12.FOCUS21649
Source: Neurosurgical Focus - March 1, 2022 Category: Neurosurgery Authors: Anastasia Tasiou Alexandros G Brotis Christos Tzerefos Xanthoula Lambrianou Kostas N Fountas Source Type: research

The strokes that killed Churchill, Roosevelt, and Stalin.
Abstract From February 4 to 11, 1945, President Franklin D. Roosevelt of the United States, Soviet Union Premier Joseph Stalin, and British Prime Minister Winston Churchill met near Yalta in Crimea to discuss how post-World War II (WWII) Europe should be organized. Within 2 decades of this conference, all 3 men had died. President Roosevelt died 2 months after the Yalta Conference due to a hemorrhagic stroke. Premier Stalin died 8 years later, also due to a hemorrhagic stroke. Finally, Prime Minister Churchill died 20 years after the conference because of complications due to stroke. At the time of Yalta, these 3 ...
Source: Neurosurgical Focus - June 30, 2016 Category: Neurosurgery Authors: Ali R, Connolly ID, Li A, Choudhri OA, Pendharkar AV, Steinberg GK Tags: Neurosurg Focus Source Type: research

Transcranial Doppler ultrasonography in neurological surgery and neurocritical care.
Abstract Transcranial Doppler (TCD) ultrasonography is an inexpensive, noninvasive means of measuring blood flow within the arteries of the brain. In this review, the authors outline the technology underlying TCD ultrasonography and describe its uses in patients with neurosurgical diseases. One of the most common uses of TCD ultrasonography is monitoring for vasospasm following subarachnoid hemorrhage. In this setting, elevated blood flow velocities serve as a proxy for vasospasm and can herald the onset of ischemia. TCD ultrasonography is also useful in the evaluation and management of occlusive cerebrovascular d...
Source: Neurosurgical Focus - November 30, 2019 Category: Neurosurgery Authors: Bonow RH, Young CC, Bass DI, Moore A, Levitt MR Tags: Neurosurg Focus Source Type: research

Inpatient virtual shared medical appointments to improve health literacy, increase patient self-efficacy, and reduce provider burnout in acute cerebrovascular pathology patients and their caregivers: a pilot study
CONCLUSIONS: Implementation of a vSMA program at a tertiary care center during a pandemic was feasible. Themes caregivers expressed on the postsession survey included better understanding of caring for a stroke patient and coping with the unpredictability of a patient's prognosis. The pandemic has precipitated shifts toward telehealth, but this study highlights the importance of avoiding marginalization of elderly and less technologically inclined populations.PMID:35921191 | DOI:10.3171/2022.4.FOCUS21764
Source: Neurosurgical Focus - August 3, 2022 Category: Neurosurgery Authors: Uma V Mahajan Neha Sharma Marquis Maynard Lei Kang Collin M Labak Alankrita Raghavan Martha Sajatovic Alan Hoffer Berje H Shammassian James M Wright Xiaofei Zhou Christina Huang Wright Source Type: research

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