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Time to Stroke Magnetic Resonance Imaging
Conclusions: Stroke guidelines favor the use of MRI over CT only during the first 12 hours from symptom onset, yet less than one-third of stroke MRIs are actually performed within this timeframe.
Source: Journal of Stroke and Cerebrovascular Diseases - April 30, 2012 Category: Neurology Authors: James F. Burke, Jeremy B. Sussman, Lewis B. Morgenstern, Kevin A. Kerber Tags: Original Articles Source Type: research

The Barrow Neurological Institute Screen for Higher Cerebral Functions in Cognitive Screening after Stroke
The objective of this study was to evaluate the Barrow Neurological Institute Screen for Higher Cerebral Functions (BNIS) in screening for cognitive dysfunction at long-term follow-up after stroke in young and middle-aged patients. Within the Sahlgrenska Academy Study on Ischemic Stroke Outcome, the BNIS and the Mini-Mental State Examination (MMSE) were administered to 295 consecutive surviving patients seven years after ischemic stroke. All participants were less than 70 years at index stroke. BNIS score less than 47 and an MMSE score less than 29 were chosen to indicate cognitive dysfunction. Two hundred eighty-one (95%...
Source: Journal of Stroke and Cerebrovascular Diseases - May 30, 2013 Category: Neurology Authors: Petra Redfors, Caisa Hofgren, Ingrid Eriksson, Lukas Holmegaard, Hans Samuelsson, Katarina Jood Tags: Original Articles Source Type: research

Impact of Stroke Call on the Stroke Neurology Workforce in the United States: Possible Challenges and Opportunities
The Stroke& Vascular Neurology Section of the American Academy of Neurology was charged to identify challenges to the recruitment and retention of stroke neurologists and to make recommendations to address any identified problems. The Section initiated this effort by determining the impact of stroke on-call requirements as a barrier to the recruitment and retention of vascular neurologists.
Source: Journal of Stroke and Cerebrovascular Diseases - April 3, 2018 Category: Neurology Authors: Edgar J. Kenton, Antonio Culebras, Pierre B. Fayad, Larry B. Goldstein, Brian Kaskie, Enrique C. Leira, Helmi L. Lutsep, Lawrence R. Wechsler, Jos é Biller, Irene L. Katzan, James C. Stevens, David Z. Wang, Nellie Adams, Carolyn Cahill, AAN Vascular Neur Source Type: research

Subtle ocular movements in a patient with brain death
We report a case of a patient with subtle eye movements whose exam was otherwise consistent with brain death. The presence of eye movements delayed pronouncing the patient as brain dead and delayed organ donation. We agree with American Academy of Neurology Position statement from 2019 that brain death does not mean demise of every neuron.
Source: Journal of Stroke and Cerebrovascular Diseases - August 15, 2020 Category: Neurology Authors: D Fattal, J McDaniel, EC Leira, GA Schmidt Tags: Case Report Source Type: research

Ocular movements preclude brain death determination: Response to Fattal et al.
We read with interest Fattal et al. ’s article, “Subtle ocular movements in a patient with brain death.”1 The authors describe a patient with a cerebellar hemorrhage leading to posterior fossa edema and brainstem compression and report the clinical examination demonstrated severe neurologic injury consistent with the 2010 Americ an Academy of Neurology (AAN) standards for brain death/death by neurologic criteria (BD/DNC). However, the authors delayed determination of BD/DNC because the patient had subtle spontaneous vertical eye movements.
Source: Journal of Stroke and Cerebrovascular Diseases - October 2, 2020 Category: Neurology Authors: Ariane Lewis, David Greer Tags: Letter to the Editor Source Type: research

Response to Letter to the Editor
We thank Drs. Lewis and Greer for their detailed comments and for highlighting the work of the World Brain Death Project, WBDP.1 Their view that our patient's findings preclude a determination of death by neurologic criteria (BD/DNC) is the view we supported.2 On the other hand, this determination would have been consistent with the American Academy of Neurology AAN 2010 standard for BD/DNC with coma, absence of brainstem reflexes, and apnea.3 Our patient had no reflexive eye movements in response to vestibular reflex testing and even no eye movements to vertical oculocephalic reflex; this is akin to Shulgman's case, where...
Source: Journal of Stroke and Cerebrovascular Diseases - October 10, 2020 Category: Neurology Authors: Deema Fattal, Gregory Schmidt Source Type: research