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Condition: Stroke
Education: Royal College of Physicians

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Total 344 results found since Jan 2013.

Bilateral medial medullary stroke: A rare stroke syndrome masquerading as myasthenia crisis in a young diabetic lady
J R Coll Physicians Edinb. 2022 Mar;52(1):30-33. doi: 10.1177/14782715221088914.ABSTRACTBilateral medial medullary stroke is a rare stroke syndrome. The clinical presentation of bilateral medial medullary stroke is heterogenous and often overlaps with other non-stroke neurology emergencies such as Guillain-Barrésyndrome, myasthenic crisis and acute vestibular syndrome, leading to misdiagnosis. We wish to present a case of a young lady with type 1 diabetes mellitus, who had presented with subacute neuromuscular weakness which was erroneously treated as myasthenic crisis. Her case was subsequently diagnosed as bilateral med...
Source: Journal of the Royal College of Physicians of Edinburgh - September 23, 2022 Category: General Medicine Authors: Ng Han Sim Benjamin Teo Hock Gin Ong Yoke Ling Elora Wong Kee Yung Kelly Source Type: research

Royal College of Physicians Intercollegiate Stroke Working Party evidence‐based guidelines for the nutritional support of patients who have had a stroke
ConclusionsThis systematic review process has resulted in the development of evidence‐based guidelines for use in clinical practice and has identified areas for further research.
Source: Journal of Human Nutrition and Dietetics - November 20, 2013 Category: Nutrition Authors: F. Gomes, C. Hookway, C. E. Weekes Tags: Professional Guideline Source Type: research

Royal College of Physicians Intercollegiate Stroke Working Party evidence‐based guidelines for the secondary prevention of stroke through nutritional or dietary modification
ConclusionsThis systematic review process has resulted in the development of evidence‐based guidelines for use in clinical practice and has identified areas for further research.
Source: Journal of Human Nutrition and Dietetics - June 1, 2014 Category: Nutrition Authors: C. Hookway, F. Gomes, C. E. Weekes Tags: Review Source Type: research

Comparison of predictive scores of symptomatic intracerebral haemorrhage after stroke thrombolysis in a single centre.
CONCLUSION: The haemorrhage after thrombolysis score uses the least variables and has the best predictive value for symptomatic intracerebral haemorrhage. Using predictive scores for clinical decision making depends on estimation of overall benefits as well as risk. PMID: 26181528 [PubMed - in process]
Source: Journal of the Royal College of Physicians of Edinburgh - November 30, 2015 Category: Journals (General) Tags: J R Coll Physicians Edinb Source Type: research

Scan suspected stroke patients within 1 hour, says RCP
Royal College of Physicians launches new guidance Related items fromOnMedica Stroke patients still not getting care they need NHS stroke care getting better NICE wants GPs to prevent 8,000 strokes a year Aspirin after mini-stroke reduces risk of major stroke Stroke can often be avoided, claims study
Source: OnMedica Latest News - October 4, 2016 Category: UK Health Source Type: news

Quantitative data analysis of perceived barriers and motivators to physical activity in stroke survivors.
CONCLUSION: Participants felt capable of increasing physical activity but fatigue was often perceived as a barrier to physical activity. This needs to be considered when encouraging stroke survivors to be more active. PMID: 29465097 [PubMed - in process]
Source: Journal of the Royal College of Physicians of Edinburgh - February 24, 2018 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Association of risk of malnutrition with adverse outcomes and early support on discharge in acute stroke patients without prestroke disability: A multicenter, registry-based cohort study
CONCLUSION: Patients at risk of malnutrition more commonly have multiple adverse outcomes after acute stroke and greater need for early support on discharge.PMID:34664741 | DOI:10.1002/ncp.10790
Source: Nutrition in Clinical Practice - October 19, 2021 Category: Nutrition Authors: David Fluck Christopher H Fry Giosue Gulli Brendan Affley Jonathan Robin Puneet Kakar Pankaj Sharma Thang S Han Source Type: research

Clinical Stroke prevention in atrial fibrillation.
Authors: Voukalis C, Shantsila E, Lip GY Abstract Oral anticoagulation therapy has reduced the risk of ischaemic stroke and improved the outcomes for patients with atrial fibrillation considerably. The emergence of the non-vitamin K oral anticoagulants as alternatives to vitamin K antagonists has significantly changed the practice of stroke prevention in atrial fibrillation. As the main complication with antithrombotic therapy is bleeding, physicians should always balance the risk of ischaemic stroke against intracranial haemorrhage and intervene where appropriate to reduce both risks. Individual approach is often ...
Source: Journal of the Royal College of Physicians of Edinburgh - June 3, 2017 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

The increasing burden of atrial fibrillation in acute medical admissions, an opportunity to optimise stroke prevention.
Conclusions Atrial fibrillation prevalence is significantly increasing among acute hospital admissions; these patients have high risk of cardioembolic stroke. Careful screening and identification in secondary care can lead to improved rates of anticoagulation. PMID: 29537402 [PubMed - in process]
Source: Journal of the Royal College of Physicians of Edinburgh - March 16, 2018 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Successful intravenous thrombolysis of a wake-up stroke with underlying valvular atrial fibrillation.
Authors: Shahedah KK, Khoo CS, Wan Nur Nafisah WY, Ng CF, Noor Ashikin I, Mohd Naim MY, Syazarina Sharis O, Rozman Z, Wan Asyraf WZ Abstract A 42-year-old female admitted with new-onset atrial fibrillation had a wake-up stroke on the high-dependency unit and the time last seen well (TLSW) was 6.5 h. She suffered left-sided body weakness and her National Institutes of Health Stroke Scale (NIHSS) score was 17. An emergency CT perfusion showed right M1 segment occlusion with more than 50% penumbra. She was given recombinant tissue plasminogen activator (r-tPA) at 9 h from TLSW. An immediate diagnostic angiogram with...
Source: Journal of the Royal College of Physicians of Edinburgh - September 8, 2018 Category: General Medicine Tags: J R Coll Physicians Edinb Source Type: research

Improving detection and management of atrial fibrillation after ischaemic stroke in Glasgow (IMPROVE-AF): A quality improvement project
DISCUSSION: The QIP has improved AF detection, reduced delays associated with conventional cardiac monitoring and prompted early initiation of oral anticoagulation.PMID:36369810 | DOI:10.1177/14782715221120133
Source: Journal of the Royal College of Physicians of Edinburgh - November 12, 2022 Category: General Medicine Authors: Fiona C Johnston Alan C Cameron Elizabeth Colquhoun David L Murdoch Jesse Dawson Azmil H Abdul-Rahim Source Type: research