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Lessons learned in stroke care during COVID-19 pandemic and preparing for future pandemics in the MENA+ region: A consensus statement from the MENA+-SINO
COVID-19 pandemic has negatively impacted stroke care services at multiple levels. There was a decline in acute stroke admissions. Fewer interventions have been performed. Increased “door-to-needle times and “door-to-groin puncture” during this pandemic. These factors combined have led to declining in the favoured outcomes of stroke patients' globally. Yet this pandemic permits an opportunity for higher preparedness for future pandemics.
Source: Journal of the Neurological Sciences - November 26, 2021 Category: Neurology Authors: Amal .M. Al Hashmi, Stephan von Bandemer, Ashfaq Shuaib, Ossama Yassin Mansour, Mohammed Wassy, Atilla Ozacn Ozdemir, Mehdi Farhoudi, Hosam Al Jehani, Adnan Khan, Seby John, Maher Saqqur, On the behalf of MENA-SINO Organization Source Type: research
Lessons learned and functional outcomes following multifaceted team training in a cognitive strategy-based approach to stroke rehabilitation
Conclusion:
Few studies report on patient outcomes following a knowledge translation intervention. Small effect sizes were detected on several patient outcomes, despite study limitations. Lessons learned for future patient-level studies within knowledge translation interventions include the importance of monitoring therapist adherence to implementation protocols and ensuring research designs consider the impact on patient recruitment and retention.
Source: International Journal of Evidence-Based Healthcare - March 1, 2022 Category: Nursing Tags: ORIGINAL RESEARCH Source Type: research
Design of the Vitesse Intracranial Stent Study for Ischemic Therapy (VISSIT) Trial in Symptomatic Intracranial Stenosis
Conclusions: The VISSIT trial may provide valuable insight into the use of balloon-expandable intracranial stent as a treatment option for high-risk patients. Lessons learned from this trial may better guide future clinical trial design on best patient selection, stenting techniques, and periprocedural management.
Source: Journal of Stroke and Cerebrovascular Diseases - December 26, 2012 Category: Neurology Authors: Osama O. Zaidat, Alicia C. Castonguay, Brian-Fred Fitzsimmons, Britton Keith Woodward, Zhigang Wang, Monika Killer-Oberpfalzer, Ajay Wakhloo, Rishi Gupta, Howard Kirshner, Misha Eliasziw, J. Thomas Megerian, Sujith Shetty, Meg Yoklavich Guilhermier, Stanl Tags: Original Articles Source Type: research
Carotid ultrasound imaging in a patient with acute ischemic stroke and aortic dissection: a lesson for the management of ischemic stroke?
Source: International Journal of Stroke - November 25, 2013 Category: Neurology Authors: N. Morelli, E. Rota, M. Mancuso, P. Immovilli, M. Spallazzi, G. Rocca, E. Michieletti, D. Guidetti Tags: Letter to the editor Source Type: research
Blunt traumatic injury of the innominate artery resulting in a stroke – A rare presentation
We present a case of traumatic injury of the innominate artery resulting in an ischemic stroke. Case presentation A 20-year-old gentleman ejected from a two wheeler and run over by a truck presented to us with multiple bleeding facial wounds and severe crush injury of his upper torso. Bedside chest X-ray revealed a widened mediastinum and multiple rib fractures with pneumothoraces bilaterally which were drained with intercostal tubes. An hour into his stay in the ED he developed left hemiparesis. CT brain showed infarcts in right temporo-parietal and occipital regions. CT angiogram of neck vessels revealed an avulsion inj...
Source: Apollo Medicine - October 23, 2014 Category: Journals (General) Source Type: research
Reflections on the lessons of the recent endovascular stroke trials
Science is simply common sense at its best, that is, rigidly accurate in observation, and merciless to fallacy in logic. Thomas Henry Huxley As the stroke community is invigorated by the recent results of the four trials showing the overwhelming efficacy of endovascular therapy for large vessel occlusion,1–4 we should reflect upon lessons that were learned that may help future clinical initiatives. It has been almost 16 years since the PROACT-II trial showed a 15% absolute difference in outcomes in patients treated with intra-arterial pro-urokinase for a middle cerebral artery (MCA) occlusion compared with medic...
Source: Journal of NeuroInterventional Surgery - April 13, 2015 Category: Neurosurgery Authors: Gupta, R. Tags: Editor ' s column Source Type: research
What happens when someone gets heat stroke? TED-Ed video
Have you ever suffered from exertional heat stroke? This condition is caused by intense activity in the heat and is one of the top three killers of athletes and soldiers in training. Douglas J. Casa explains heat stroke's tremendous effects on the human body and details an action plan in case it ever happens to someone you know.Lesson by Douglas J. Casa, animation by Cinematic.
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Source: Clinical Cases and Images - July 14, 2015 Category: Journals (General) Tags: Sports Source Type: news
Expanding the concept of neuroprotection for acute ischemic stroke: the pivotal roles of reperfusion and the collateral circulation
Publication date: Available online 13 September 2016 Source:Progress in Neurobiology Author(s): Myron D. Ginsberg This review surveys the efforts taken to achieve clinically efficacious protection of the ischemic brain and underscores the necessity of expanding our purview to include the essential role of cerebral perfusion and the collateral circulation. We consider the development of quantitative strategies to measure cerebral perfusion at the regional and local levels and the application of these methods to elucidate flow-related thresholds of ischemic viability and to characterize the ischemic penumbra. We stress that...
Source: Progress in Neurobiology - September 12, 2016 Category: Neuroscience Source Type: research
Change of ascending reticular activating system with recovery from vegetative state to minimally conscious state in a stroke patient
We report on a stroke patient who showed change of the ascending reticular activating system (ARAS) concurrent with recovery from a vegetative state (VS) to a minimally conscious state (MCS), which was demonstrated on diffusion tensor tractography (DTT).
Patient concerns: A 59-year-old male patient underwent CT-guided stereotactic drainage 3 times for management of intracerebral hemorrhage and intraventricular hemorrhage.
Diagnosis: After 4 months from onset, when starting rehabilitation, the patient showed impaired consciousness, with a Glasgow Coma Scale (GCS) score of 6 and a Coma Recovery Scale-Revised score of 2. At...
Source: Medicine - December 1, 2016 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Restoration of the ascending reticular activating system compressed by hematoma in a stroke patient
In conclusion, restoration of nonreconstructed neural tracts of the lower ARAS with the resolution of the hematoma and perihematomal edema was demonstrated in a stroke patient, using DTT.
Source: Medicine - February 1, 2017 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
The allocentric neglect due to injury of the inferior fronto-occipital fasciculus in a stroke patient: A case report
We report on a patient who developed allocentric neglect due to injury of the inferior fronto-occipital fasciculus (IFOF) following intracranial hemorrhage, diagnosed using diffusion tensor tractography (DTT).Patient concerns:Her cognition seemed normal (A 17-year-old, right-handed female patient). However, in spite of a normal visual field, her perception was missing on the left side, and she had no awareness of her deficit. She was unable to perceive the left side in each of 2 objects, regardless of position of the 2 objects, and failed at detail exploration of the left side of 1 object. In addition, the line bisection t...
Source: Medicine - January 1, 2018 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Improving Call-to-Door Time Using School-Based Intervention by Emergency Medical Technicians: The Akashi Project
Identification of stroke signs by emergency medical technicians (EMTs) is important for initiating the “stroke chain of survival.” The aim of the present study was to clarify the effect of EMT-led lessons on stroke awareness for schoolchildren in the Akashi project on the transportation time to arrive at the hospital.
Source: Journal of Stroke and Cerebrovascular Diseases - February 2, 2018 Category: Neurology Authors: Takuro Arimizu, Chiaki Yokota, Shinya Tomari, Tenyu Hino, Shinichi Wada, Hideyuki Ohnishi, Kazunori Toyoda, Kazuo Minematsu Source Type: research
An overlooked cause in a patient with recurrent ischemic stroke: A case report
Rationale:
The majority of ischemic strokes are due to cardioembolism, large vessel atherothromboembolism, small vessel occlusive disease, or other unusual mechanisms. In most clinical settings, many strokes without a well-defined etiology requires a thorough diagnostic evaluation, otherwise the underlying cause might be easily overlooked. Here we report on the rare cause of a patient with recurrent stroke.
Patient concerns:
A 50-year-old female patient had a 4-year history of recurrent acute onset of neurological deficits.
Diagnoses:
Contrast transcranial Doppler ultrasound detected a typical “curtain” appeara...
Source: Medicine - March 1, 2018 Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Improving Call-to-Door Time Using School-Based Intervention by Emergency Medical Technicians: The Akashi Project
Identification of stroke signs by emergency medical technicians (EMTs) is important for initiating the “stroke chain of survival.” The aim of the present study was to clarify the effect of EMT-led lessons on stroke awareness for schoolchildren in the Akashi project on the transportation time to arrive at the hospital.
Source: Journal of Stroke and Cerebrovascular Diseases - February 2, 2018 Category: Neurology Authors: Takuro Arimizu, Chiaki Yokota, Shinya Tomari, Tenyu Hino, Shinichi Wada, Hideyuki Ohnishi, Kazunori Toyoda, Kazuo Minematsu Source Type: research
