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Visual field defect after ischemic stroke —impact on mortality
ConclusionsHaving a visual field defect after ischemic stroke is independently associated with increased mortality. This should be addressed when selecting candidates for thrombolysis and in the rehabilitation process.
Source: Acta Neurologica Scandinavica - November 17, 2017 Category: Neurology Authors: K. M. Sand, H. N æss, L. Thomassen, J. M. Hoff Tags: ORIGINAL ARTICLE Source Type: research

Beta ‐blocker therapy is not associated with mortality after intracerebral hemorrhage
ConclusionPre‐admission use of BB was not associated with mortality after ICH.
Source: Acta Neurologica Scandinavica - September 4, 2017 Category: Neurology Authors: M. Sykora, J. Putaala, A. Meretoja, T. Tatlisumak, D. Strbian Tags: ORIGINAL ARTICLE Source Type: research

Prehospital pathways of occipital stroke patients with mainly visual symptoms
ConclusionsOccipital stroke patients with visual symptoms contact health care late, are inadequately recognized, and present with complex prehospital pathways. Consequently, they are often ineligible for IV thrombolysis. This presents a missed opportunity for preventing permanent visual field defects.
Source: Acta Neurologica Scandinavica - August 14, 2017 Category: Neurology Authors: S. R äty, K. Silvennoinen, T. Tatlisumak Tags: ORIGINAL ARTICLE Source Type: research

Transient ischemic attack and ischemic stroke patients with or without prior stroke
ConclusionsBoth in TIA and IS, vascular risk factors were more common in patients with a history of stroke compared with those without. In contrast to other secondary preventive medications, OAC treatment in the presence of AF was underutilized in patients with a history of stroke.
Source: Acta Neurologica Scandinavica - June 1, 2017 Category: Neurology Authors: F. Buchwald, B. Norrving, J. Petersson Tags: ORIGINAL ARTICLE Source Type: research

Risks of atrial fibrillation and death at discharge after thrombolysis in stroke patients: Northumbrian Sentinel Stroke Audit, 2013–2015
ConclusionFor future research, clinical outcomes in addition to atrial fibrillation and quality of life both at discharge and 6 months after thrombolysis treatment should be included for examination as well. For clinical practice, giving thrombolysis treatment in hospitals might need to be reconsidered if clinical outcomes were actually worse than not.
Source: Acta Neurologica Scandinavica - April 13, 2016 Category: Neurology Authors: I. Shiue Tags: Clinical Commentary Source Type: research

Cardiovascular risk factors and TIA characteristics in 19,872 Swedish TIA patients
ConclusionsThe fact that diabetes mellitus, atrial fibrillation, and smoking are more common in TIA patients than in the general population suggests that these factors are risk factors for TIA, even if causal relations cannot be proven. The relation between increasing age and longer attacks possibly reflects an increased proportion of embolic TIAs, or impaired recovery ability. Our results also suggest a significant proportion of untreated hypertension cases in the population.
Source: Acta Neurologica Scandinavica - January 19, 2016 Category: Neurology Authors: J. O. Ström, A. Tavosian, P. Appelros Tags: Original Article Source Type: research

Incidence and risk conditions of ischemic stroke in older adults
ConclusionIncidence and mortality from ischemic stroke remains considerable. Apart from age and history of atherosclerosis (prior stroke or coronary artery disease), atrial fibrillation, diabetes, and smoking were the underlying conditions most strongly associated with an increased risk.
Source: Acta Neurologica Scandinavica - November 23, 2015 Category: Neurology Authors: E. Satue, A. Vila‐Corcoles, O. Ochoa‐Gondar, C. Diego, M. J. Forcadell, T. Rodriguez‐Blanco, L. Barnes, M. Jariod Tags: Original Article Source Type: research

Recurrent ischemic stroke is associated with the burden of risk factors
ConclusionHistory of prior ischemic stroke in patients with acute ischemic stroke was associated with the burden of risk factors, atherosclerosis, and atrial fibrillation compared to first‐ever ischemic stroke. This has important implications for secondary preventive treatment.
Source: Acta Neurologica Scandinavica - July 15, 2015 Category: Neurology Authors: A. Moerch‐Rasmussen, A. Nacu, U. Waje‐Andreassen, L. Thomassen, H. Naess Tags: Original Article Source Type: research

Clinical predictors of fever in stroke patients: relevance of nasogastric tube
ConclusionsIn patients with acute stroke, four clinical variables were found to be independently associated with the risk of developing fever and, of them, nasogastric tube was the strongest and most significant one.
Source: Acta Neurologica Scandinavica - February 18, 2015 Category: Neurology Authors: A. Muscari, G. M. Puddu, C. Conte, R. Falcone, B. Kolce, M. V. Lega, M. Zoli Tags: Original Article Source Type: research

National registry‐based case–control study: comorbidity and stroke in young adults
ConclusionsIn addition to vascular risk factors, comorbidity (represented by ICD‐10 chapters) was associated with increased risk of stroke in young individuals. The risk of stroke was further increased with the number of diagnosed ICD‐10 chapters.
Source: Acta Neurologica Scandinavica - February 14, 2015 Category: Neurology Authors: E.‐M. Bergman, K. M. Henriksson, S. Åsberg, B. Farahmand, A. Terént Tags: Original Article Source Type: research

Outcome of men and women after atrial fibrillation and stroke
ConclusionsThere were no gender differences in long‐term mortality after stroke related to AF. Men were significantly more often prescribed anticoagulants before stroke, a finding that indicates the need for further studies.
Source: Acta Neurologica Scandinavica - February 1, 2015 Category: Neurology Authors: A.‐C. Jönsson, J. Ek, C. Kremer Tags: Original Article Source Type: research

Recognition of posterior circulation stroke
ConclusionsDespite being of typical age for multiple cardiovascular conditions the PC‐ICH patients less often have a previous history of AF or dyslipidemia than IS patients do. The vomiting PC‐ICH patient with hypertensive BP values often has headache and a red flag for hemorrhage is warfarin treatment.
Source: Acta Neurologica Scandinavica - November 17, 2014 Category: Neurology Authors: V. Puustjärvi, D. Strbian, M. Tiainen, S. Curtze, T. Tatlisumak, T. Sairanen Tags: Original Article Source Type: research

Prevalence of migraine headache in an in‐patient stroke population
ConclusionsThe prevalence of migraine in this hospital‐based stroke cohort was comparable to the estimated prevalence of migraine usually described in population studies. In our study population, the prevalence of migraine with aura was higher than expected. The increased prevalence of PFO in patients with migraine headache corresponds well to previous population studies.
Source: Acta Neurologica Scandinavica - October 23, 2014 Category: Neurology Authors: M. Lantz, K. Kostulas, E. Waldenlind, C. Sjöstrand Tags: Original Article Source Type: research

Documentation of atrial fibrillation prior to first‐ever ischemic stroke
ConclusionComprehensive approach for AF screening allows detecting AF in one‐third of patients admitted with first‐ever ischemic stroke. Patients with high cardiovascular risk are more likely to have non‐permanent AF.
Source: Acta Neurologica Scandinavica - December 3, 2013 Category: Neurology Authors: M. A. Baturova, A. Lindgren, Y. V. Shubik, S. B. Olsson, P. G. Platonov Tags: Original Article Source Type: research