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Source: Neurology
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Total 1979 results found since Jan 2013.

Analysis of Run Sheets of EMS Serving a Metropolitan Comprehensive Stroke Center (P1.268)
Conclusions:Patients with acute stroke transported by EMS have better quality metrics and higher chance of receiving acute treatment. EMS documented assessment allows for the diagnosis or stroke in general but cannot identify LVO because the assessment of cortical signs is very limited.Disclosure: Dr. Hussein has nothing to disclose. Dr. Kashyap has nothing to disclose. Dr. Erickson has nothing to disclose. Dr. Forsberg has nothing to disclose. Dr. Burnett has nothing to disclose. Dr. Stanfield has nothing to disclose. Dr. Wewerka has nothing to disclose. Dr. Terwilliger has nothing to disclose. Dr. Hanson has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Hussein, H., Kashyap, B., Erickson, L., Forsberg, A., Burnett, A., Stanfield, S., Wewerka, S., Terwilliger, A., Hanson, L. Tags: Pre-Hospital Stroke, Tele-Stroke, and mHealth Source Type: research

Patient characteristics affecting stroke recognition by emergency medical service providers in Kings County Hospital Center (P1.270)
Conclusions:More than half of actual stroke patients were missed in the field in our study. Our study identifies potential patient characteristics affecting stroke recognition by EMS.Disclosure: Dr. Cuascut Lassus has nothing to disclose. Dr. Law has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Lassus, F. C., Law, S. Tags: Pre-Hospital Stroke, Tele-Stroke, and mHealth Source Type: research

Walk-in versus ems-prenotified stroke codes-time targets in a comprehensive stroke center (p1.271)
Conclusions:Walk-in strokes had significant delay in LKW to arrival, highlighting the need for community education in recognizing symptoms of stroke. People with larger strokes(higher NIHSS) tend to present via EMS. Significant delays in door to CT and stroke-code in walk-in strokes, demonstrates need for early stroke symptom recognition in the ER. EMS education and pre-notification improves likelihood of tPA administration.Disclosure: Dr. Kaur has nothing to disclose. Dr. Gudlavalleti has nothing to disclose. Dr. Schleier has nothing to disclose. Dr. Vallelunga has nothing to disclose. Dr. Onyan has nothing to disclose. D...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Kaur, G., Gudlavalleti, A., Schleier, J., Vallelunga, M., Onyan, J., Latorre, J. Tags: Pre-Hospital Stroke, Tele-Stroke, and mHealth Source Type: research

Evaluation of NIHSS-Onset to Groin Time (OGT) and Prehospital Acute Stroke Severity Scale (PASS)-OGT scores in prediction of outcomes after Endovascular Treatment in Acute Ischemic Stroke patients: A Retrospective Single-Center Study (P1.272)
Conclusions:Our study indicates NIHSS–OGT and PASS-OGT scores have a linear relationship with discharge mRS and can reliably predict early clinical outcomes after ET. Further confirmation with randomized control trials is needed.Disclosure: Dr. Niazi has nothing to disclose. Dr. E-Ghanmh has nothing to disclose. Dr. Reichwein has nothing to disclose. Dr. Cockroft has nothing to disclose. Dr. Ermak has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Niazi, M., El-Ghanem, M., Reichwein, R., Cockroft, K., Ermak, D. Tags: Pre-Hospital Stroke, Tele-Stroke, and mHealth Source Type: research

Differences in the last known well time between neurology, ED providers and EMS providers. (P1.273)
Conclusions:Our study suggests there is no good agreement between the ED and neurology LKW times. The addition of a short standardized questionnaire may help further improve LKW times.Disclosure: Dr. Doyle has nothing to disclose. Dr. Horton has nothing to disclose. Dr. Magadan has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Doyle, A., Horton, L., Magadan, A. Tags: Pre-Hospital Stroke, Tele-Stroke, and mHealth Source Type: research

Evaluation and Validation of Prehospital Acute Stroke Scale to Predict Large Vessel Occlusion in Patients with Proven Large Vessel Occlusion- Single Center study in US (P1.274)
Conclusions:The PASS tool is simple, quick, and easy to perform and has high sensitivity in AIS patients with LVO. To assess its value and efficacy in real time it should be implemented into EMS systems and be performed in the pre-hospital setting.Disclosure: Dr. E-Ghanmh has nothing to disclose. Dr. Niazi has nothing to disclose. Dr. Reichwein has nothing to disclose. Dr. Ermak has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: El-Ghanem, M., Niazi, M., Reichwein, R., Ermak, D. Tags: Pre-Hospital Stroke, Tele-Stroke, and mHealth Source Type: research

Lytic therapy and mechanical thrombecomty over tele-stroke, a comprehensive stroke center experience (P1.275)
Conclusions:Our study shows that our Tele stroke program had evolved over time to involve more sites throughout the state of South Carolina. Post IV tPA sICH was within the expected range.Disclosure: Dr. Al Kasab has nothing to disclose. Dr. Debenham has nothing to disclose. Dr. Jones has nothing to disclose. Dr. Holmstedt has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Kasab, S. A., Debenham, E., Jones, D. J., Holmstedt, C. A. Tags: Pre-Hospital Stroke, Tele-Stroke, and mHealth Source Type: research

Door to Page Time to Initiate a Telemedicine Consult Varies Among Spoke Hospitals for Acute Stroke (P1.277)
Conclusions:Bed capacity, pre-notification, location in a MUA, and in-house neurology availability are associated with prolonged DTP. Further investigation is needed to understand why these factors affect DTP. While retrospective in nature, our study confirms the utility of pre-notification for spoke hospitals. In addition, standardized acute stroke metrics over TM are needed.Disclosure: Dr. Randhawa has nothing to disclose. Dr. Jagolino has nothing to disclose. Dr. Ankrom has nothing to disclose. Dr. Bozorgui has nothing to disclose. Dr. Bambhoroliya has nothing to disclose. Dr. Vahidy has nothing to disclose. Dr. Cossey ...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Randhawa, J., Jagolino, A., Ankrom, C., Bozorgui, S., Bambhoroliya, A., Vahidy, F., Cossey, T., Savitz, S., Wu, T.-C. Tags: Pre-Hospital Stroke, Tele-Stroke, and mHealth Source Type: research

Implementing a Publically Funded Regional Telestroke Network (P1.279)
Conclusions:The NZ based regional telestroke pilot resulted in dramatic improvements in out-of hours thrombolysis access for non-metropolitan based stroke patients. Upon pilot completion a regionally funded service will ensure long-term sustainability and encourage active use of the telestroke service to maximise patient benefit.Study Supported by: New Zealand Ministry of HealthDisclosure: Dr. Ranta has nothing to disclose. Dr. Lanford has nothing to disclose. Dr. Busch has nothing to disclose. Dr. Providence has nothing to disclose. Dr. Iniesta has nothing to disclose. Dr. Richmond has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Ranta, A., Lanford, J., Busch, S., Providence, C., Iniesta, I., Richmond, V. Tags: Pre-Hospital Stroke, Tele-Stroke, and mHealth Source Type: research

Quality Improvement in Telestroke Interactions (P1.280)
Conclusions:The use of an efficient, widely accessible online NIHSS review improves remote provider examination accuracy and confidence, and telestroke neurologist provider satisfaction.Study Supported by: NADisclosure: Dr. Nasr has nothing to disclose. Dr. Braksick has nothing to disclose. Dr. Brown has nothing to disclose. Dr. Hocker has received personal compensation for writing a Continnuum and being interviewed for Continuum Audio. Dr. Ho has received research support from SAGE Therapeutics
Source: Neurology - April 17, 2017 Category: Neurology Authors: Nasr, D., Braksick, S., Brown, R., Hocker, S. Tags: Pre-Hospital Stroke, Tele-Stroke, and mHealth Source Type: research

4-year-old boy with acute ischemic stroke treated with intravenous tissue plasminogen activase. (P1.285)
Conclusions:The TIPS trial is underway, which utilizes a classic safety dose finding method to select a safe dose of IV tPA. The child in our case was successfully treated with a dose of 0.75 mg/kg of IV tPA. It has been suggested the appropriate dose may actually be higher than the standard used in adults due to the developmental trajectory of the fibrinolytic system during childhood, as children have lower endogenous tPA and higher plasminogen activator inhibitor-1 levels.Disclosure: Dr. Derani has nothing to disclose. Dr. Kassab has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Derani, T., Kassab, M. Tags: Cerebrovascular Disease Case Reports I Source Type: research

Aortic Valvular Papillary Fibroelastoma Leading to Acute Ischemic Stroke in a Pediatric Patient (P1.286)
Conclusions:Previously published cases of children with IS and PF have identified the mitral valve as the site of the PF. Our case demonstrates that aortic valvular PF can be associated with IS in pediatric patients. Resection of symptomatic PF is recommended to prevent further cardio-embolic strokes.Disclosure: Dr. Farooqui has nothing to disclose. Dr. Mannel has nothing to disclose. Dr. Silliman has received research support from Sanofi Genzyme, Biogen Idec, Bristol Myers and Novartis.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Farooqui, I., Mannel, R., Silliman, S. Tags: Cerebrovascular Disease Case Reports I Source Type: research

Multiplanar CT Reconstruction to Aid in Recognition of the MCA "Dot" Sign: The Sagittal String Sign (P1.302)
Conclusions:The MCA "dot" sign is often a sign of poor prognostic outcomes in ischemic stroke patients. This is the first report of using the CT sagittal plane for diagnosis of the MCA "dot" sign. Incorporating multiplanar reconstruction and producing the sagittal plane may lead to a higher sensitivity of the MCA "dot" sign. Further studies incorporating a patient cohort will be needed to determine how much the sagittal plane view augments predictive value of the MCA "dot" sign.Disclosure: Dr. Mannel has nothing to disclose. Dr. Silliman has received research support from Sanofi Genzyme, Biogen Idec, Bristol Myers and Novartis.
Source: Neurology - April 17, 2017 Category: Neurology Authors: Mannel, R., Silliman, S. Tags: Cerebrovascular Disease Case Reports I Source Type: research

A Rare Case of Central Nervous System Tuberculosis Presenting as Transient Splenial Lesion: Case Report and Literature Review (P1.320)
Conclusions:Based on literature review, the transient splenial lesion of corpus callosum has never been reported in patients with CNS tuberculosis. The mechanisms underlying transient splenial lesions may due to intramyelinic edema and inflammatory cell infiltration. This hypothesis supported by the MR spectroscopy findings in our patient. Since early diagnosis and treatment can reduce mortality and morbidity, patients with isolated splenial lesion warrant diagnostic tests for CNS tuberculosis.Study Supported by:The authors report no disclosures relevant to the manuscript.Disclosure: Dr. Wu has nothing to disclose. Dr. Che...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Wu, J.-W., Chen, S. Tags: Autoimmunity with Infection, Syphilis, Lyme, Tuberculosis, and other Bacteria Source Type: research

Burden of Cerebrovascular Disease and its association in the clinical characteristics, Incidence and outcomes in the hospitalized patients with Community-Acquired Pneumonia in Louisville, KY (P1.321)
Conclusions:This study documents worse clinical outcomes and significantly increased mortality in the hospitalized patients with community acquired pneumonia and associated cerebrovascular disease.Disclosure: Dr. SirDeshpande has nothing to disclose. Dr. Kolikonda has nothing to disclose. Dr. Peyrani has nothing to disclose. Dr. Ramirez has nothing to disclose. Dr. Arnold has nothing to disclose. Dr. Wiemken has nothing to disclose.
Source: Neurology - April 17, 2017 Category: Neurology Authors: SirDeshpande, P., Kolikonda, M., Peyrani, P., Ramirez, J., Arnold, F., Wiemken, T. Tags: Autoimmunity with Infection, Syphilis, Lyme, Tuberculosis, and other Bacteria Source Type: research