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Prevalence of stroke in acute vertigo presentations: A UK tertiary stroke centre perspective
The reported prevalence of stroke amongst patients presenting to hospital with acute vertigo and/or imbalance is c. 5%, leading to the pervasive notion amongst emergency and stroke physicians, that stroke is uncommon in this cohort.To interrogate the veracity of this notion, we systematically and retrospectively screened the electronic care records in our institution of patients referred as suspected stroke, to a hyperacute stroke service at a large tertiary referral centre.We screened 24,310 consecutive patients' electronic case records presenting to our hospital as an emergency over a 4-month period, 332 of whom were ref...
Source: Journal of the Neurological Sciences - September 12, 2022 Category: Neurology Authors: Mohammad Mahmud, Abdel Rahman Saad, Zaeem Hadi, Jordan Elliot, Mabel Prendergast, Joseph Kwan, Barry Seemungal Source Type: research

Psychiatric sequelae of stroke affecting the non-dominant cerebral hemisphere
There are a plethora of cognitive sequelae in addition to neglect and extinction that arise with unilateral right hemispheric stroke (RHS). Cognitive deficits following non-dominant (right) hemisphere stroke are common with unilateral neglect and extinction being the most recognized examples. The severity of RHS is usually underestimated by the National Institutes of Health Stroke Scale (NIHSS), which in terms of lateralized right hemisphere cognitive deficits, tests only for visual inattention/extinction.
Source: Journal of the Neurological Sciences - September 26, 2021 Category: Neurology Authors: Cynthia Guo, Christoph Stretz, Jordan Roderick Anderson, Nada El-Husseini, Brian Mac Grory, Blake Werner, Stephanie Yarnell Tags: Review Article Source Type: research

In a stroke cohort with incident hypertension; are more women than men likely to be excluded from recombinant tissue-type Plasminogen Activator (rtPA)?
The treatment outcomes in the use of rt-PA have been reported. Some studies reported worse outcome in women than men, while others presented opposing data. Using data from a hospital-based stroke registry, we investigated evidence of gender difference and determined exclusion criteria in a stroke population with incidence of hypertension.
Source: Journal of the Neurological Sciences - February 7, 2018 Category: Neurology Authors: Jordan Gainey, Leanne Brechtel, Sarah Konklin, Lee Madeline, Lowther Ervin, Brice Blum, Thomas I. Nathaniel Source Type: research