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Teaching NeuroImages: Bilateral hypertrophic olivary degeneration following posterior circulation stroke
A 40-year-old comatose man was brought to the hospital with a history of posterior circulation stroke 4 months earlier due to hypertension. On examination, he had spastic quadriplegia, bilateral extensor plantar reflex, and palatal myoclonus. MRI revealed enlarged olives (figure 1) and chronic infarcts involving midbrain and pons (figure 2) suggestive of hypertrophic olivary degeneration seen after 4 months of insult. Hypertrophic olivary degeneration is a transsynaptic degeneration involving interconnecting fibers of inferior olivary nucleus, red nucleus, and contralateral dentate nucleus forming the 3 corners of the Guil...
Source: Neurology - October 30, 2017 Category: Neurology Authors: Venkatesh, M., Prasad, V. R. S., Basha, S. U., Priya, G. H. J. Tags: MRI, Coma, All Cerebrovascular disease/Stroke, All Education, Infarction RESIDENT AND FELLOW SECTION Source Type: research

What Do Experimental Models Teach Us About Comorbidities in Stroke? Basic Sciences Advances for Clinicians
Source: Stroke - January 22, 2018 Category: Neurology Authors: Sunghee Cho, Jiwon Yang Tags: Basic Science Research, Inflammation, Ischemic Stroke Basic Sciences Advances for Clinicians Source Type: research

Oral Contraceptives and Ischemic Stroke Risk Illustrative Teaching Cases
Source: Stroke - March 26, 2018 Category: Neurology Authors: Caitlin Carlton, Matthew Banks, Sophia Sundararajan Tags: Cerebrovascular Disease/Stroke Illustrative Teaching Case Source Type: research

Shengui Sansheng San Ameliorates Cerebral Energy Deficiency via Citrate Cycle After Ischemic Stroke
Conclusion In summary, SSS extraction significantly ameliorates cerebral energy metabolism via boosting citrate cycle, which mainly embodies the enhancements of blood glucose concentration, glucose and lactate transportation and glucose utilization, as well as the regulations of relative enzymes activities in citrate cycle. These ameliorations ultimately resulted in numerous ATP yield after stroke, which improved neurological function and infarcted volume. Collectively, it suggests that SSS extraction has exerted advantageous effect in the treatment of cerebral ischemia. Ethics Statement All animal operations were accor...
Source: Frontiers in Pharmacology - April 22, 2019 Category: Drugs & Pharmacology Source Type: research

GP receptionists 'could help prevent stroke deaths'
Conclusion This valuable and well-designed study assessed a cross-section of general practices from one UK region, looking at how well receptionists are able to recognise the signs of stroke and give appropriate advice – either immediately passing patients on to the GP or telling them to contact emergency services. The study has many strengths. These include the large sample of GP surgeries and calls assessed, and that receptionists weren't aware of the nature of the study and the calls were unannounced. At the end of each individual call receptionists were told the call was part of the study and no further action was n...
Source: NHS News Feed - June 29, 2015 Category: Consumer Health News Tags: Medical practice Neurology Source Type: news

How to Learn the Warning Signs of a Stroke F.A.S.T
What if singing a song or rapping lyrics could give someone the power to spot stroke signs and take action? And what if sharing that song could spread power all around the world? Would you use it to save lives? Imagine the impact it could have. Well the American Heart Association/American Stroke Association (AHA/ASA) has partnered with me and David Augustine, aka Dee-1, a former teacher and now an up and coming hip hop artist, to do just that -- spread the word about stroke warning signs through music. Our version of the song includes a music video that will bring life to the letters F.A.S.T.! Although we had plenty of...
Source: Healthy Living - The Huffington Post - October 27, 2015 Category: Consumer Health News Source Type: news

Stroke Heroes 2016
The American Heart Association/American Stroke Association's Puget Sound Division, along with our sponsor Medtronic, congratulates the honorees for this year's Stroke Hero Awards. We had amazing stories sent to us. Thank you to all of you who submitted a nomination. Here are some of the inspiring individuals honored this year as a Stroke Hero. AMY MOORE, Stroke Survivor Amy is described as a truly an inspiring person who has never let her stroke stop her from accomplishing her goals. Her stroke was diagnosed at six months of age and left her legally blind. Amy learned Braille during her first two years of high school an...
Source: Healthy Living - The Huffington Post - July 12, 2016 Category: Consumer Health News Source Type: news

Quick magnesium treatment fails to improve stroke outcomes, but study has silver lining
In the first study of its kind, a consortium led by UCLA physicians found that giving stroke patients intravenous magnesium within an hour of the onset of symptoms does not improve stroke outcomes.   However, the 8-year trial did find that with the help of paramedics in the field, intravenous medications can frequently be administered to stroke victims within that so-called "golden hour," during which they have the best chance to survive and avoid debilitating, long-term neurological damage.   The latter finding is a "game-changer," said Dr. Jeffrey Saver, director of the UCLA Stroke Center and a professor of ...
Source: UCLA Newsroom: Health Sciences - February 13, 2014 Category: Universities & Medical Training Source Type: news

Falls and fear of falling after stroke: a case-control study
Conclusions Compared to non-stroke individuals, patients with stroke were significantly more likely to experience recurrent falls and fear of falling. Falls in stroke were not explained by any of the outcome measures used, while fear of falling was predicted by functional ambulation level. This study has identified potentially modifiable risk factor with which to devise future prevention strategies for falls in stroke patients.
Source: PMandR - June 3, 2016 Category: Rehabilitation Source Type: research

Ischemic Stroke Outcomes in Oman: Experience of a University Hospital Based Stroke Registry (P6.278)
Conclusions:Ischemic stroke in Oman reflects the high morbidity/mortality seen in most communities in the region. Characteristics of incident stroke such as stroke recurrence, type, severity and cardiovascular comorbidity are likely the major determinants of stroke outcome. A relatively lower prevalence of extracranial artery disease and possible greater prevalence of multiple stroke mechanisms may also influence on outcomes and merit further study.Disclosure: Dr. Gujjar has nothing to disclose. Dr. Ramachandiran has nothing to disclose. Dr. Al-Asmi has nothing to disclose. Dr. Ganguly has nothing to disclose. Dr. Shoaib h...
Source: Neurology - April 17, 2017 Category: Neurology Authors: Gujjar, A., Ramachandiran, N., Al-Asmi, A., Ganguly, S., Shoaib, R., Al-Asmi, A. Tags: Cerebrovascular Disease Health Services Research Source Type: research

Abstract 269: Does Functional Recovery After Stroke Vary by Hospital Type? Session Title: Poster Session II
Conclusions: A third of acute ischemic stroke patients had moderate-severe disability three months after hospital discharge and these rates varied considerably among U.S. hospitals. Receiving stroke care at a teaching or primary stroke center hospital was associated with significantly better post discharge functional status.
Source: Circulation: Cardiovascular Quality and Outcomes - June 2, 2014 Category: Cardiology Authors: Prvu Bettger, J., Liang, L., Thomas, L., Bushnell, C., Xian, Y., Wu, J., Peterson, E. D. Tags: Session Title: Poster Session II Source Type: research

248 An Evaluation of Patient Education Post-Stroke
ConclusionThese results illustrate areas in which we can improve education post-stroke, including ensuring patients receive individualised information about the aetiology of their stroke, risk factors and the importance of new medications. It also highlights the importance of ensuring advice regarding driving is clearly explained and documented.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

311 Older Adults Awareness and Response to Stroke in Ireland.
ConclusionAwareness of stroke symptoms does not necessarily influence response to stroke in older adults. Future stroke awareness campaigns should consider FAST2 which speaks to treatment (thrombolysis or thrombectomy) as well as time.
Source: Age and Ageing - September 16, 2019 Category: Geriatrics Source Type: research

Prehospital Factors Associated with Stroke Misdiagnosis by EMS Providers (S35.006)
Conclusions: LICH EMS providers missed 41% of strokes and our findings suggest that greater clinical suspicion for stroke should be exercised in patients who have a higher prehospital systolic blood pressure, who have a dispatch call of stroke, past medical history of diabetes or stroke and in those who are unconscious.Study support: NIH grants 1U01NS044364, R01 HL096944, 1U10NS077378 and 1U10NS080377.Disclosure: Dr. Brandler has nothing to disclose. Dr. Sharma has nothing to disclose. Dr. Helzner has nothing to disclose. Dr. Levine has received personal compensation in an editorial capacity for MedLink. Dr. Levine has rec...
Source: Neurology - April 9, 2014 Category: Neurology Authors: Brandler, E., Sharma, M., Helzner, E., Levine, S. Tags: Cerebrovascular Disease and Interventional Neurology: Issues in Acute Treatment Source Type: research

Identification of stroke during the emergency call: a descriptive study of callers' presentation of stroke
Conclusions This study implicates that fall/lying position and altered mental status could be considered as possible symptoms of stroke during an emergency call. Checking for FAST symptoms in these patients might uncover stroke symptoms. Future studies are needed to evaluate if actively asking for FAST symptoms in emergency calls presenting falls or a lying position can improve the identification of stroke. Trial registration number Stroke2010/703-31/2.
Source: BMJ Open - April 28, 2015 Category: Journals (General) Authors: Berglund, A., von Euler, M., Schenck-Gustafsson, K., Castren, M., Bohm, K. Tags: Open access, Diagnostics, Emergency medicine Research Source Type: research