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Stroke Thrombolysis in a Tertiary Care Teaching Hospital in Saudi Arabia - A Single Center Experience (P2.282)
Conclusions: In our newly established stroke unit, the overall mortality and discharge disposition were comparable to standards. Women had significantly more stroke related complications. Patients older than 60 years had more thrombolysis related complications and were discharged with higher NIHSS.Disclosure: Dr. Khatri has nothing to disclose. Dr. Alkhathaami has nothing to disclose. Dr. Abulaban has nothing to disclose. Dr. Alhamouieh has nothing to disclose. Dr. Scriven has nothing to disclose. Dr. Tarawneh has nothing to disclose. Dr. Alrasheed has nothing to disclose. Dr. Kojan has received personal compensation for a...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Khatri, I., Alkhathaami, A., Abulaban, A., Alhamouieh, O., Scriven, S., Tarawneh, M., Alrasheed, D., Kojan, S., Alotaibi, N., Al-Khalaf, A., Alshehri, A. M., El-Metwally, A. Tags: Acute Therapy: Thrombolysis and Adjuvant Therapy Source Type: research

Association Between Anthropometric Measurements and Stroke in Patients with Low CHADS2 Score (P1.226)
Conclusion: In contrast to the available literature, we found that patients with low risk CHADS2 score with subsequent acute stroke were taller with statistical significance than those with high CHADS2 score. The implication of this finding is that such variations in anthropometric measurements might predispose patients with atrial fibrillation to higher risk of stroke regardless of their CHADS2 score. Accordingly, stroke risk stratification models should include these measurements in contemporary practice.Disclosure: Dr. Hassan has nothing to disclose. Dr. Villines has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Hassan, A., Villines, D. Tags: Cardiac Mechanisms and Complications of Stroke Source Type: research

Predictors and Prognoses of Hospitalization for Cerebral Venous Sinus Thrombosis in the United States (P1.243)
Conclusions: One of every 67 stroke patients hospitalized in the US is diagnosed with CSVT. These CVST patients are more likely to be young, female, and white. Compared to other stroke patients, CVST patients have better clinical outcomes, but incur higher hospital charges.Disclosure: Dr. Banerjee has nothing to disclose. Dr. Akinboro has nothing to disclose. Dr. Olorunfemi has nothing to disclose. Dr. Jesmaijan has nothing to disclose. Dr. Ovbiagele has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Banerjee, C., Akinboro, O., Olorunfemi, O., Jesmaijan, S., Ovbiagele, B. Tags: Cerebral Venous Sinus Thrombosis Source Type: research

Variability in Approach to Treatment of Acute Central Retinal Artery Occlusion in US Teaching Hospitals (I6.003)
CONCLUSIONS: There is currently no consensus on how patients with acute CRAO should be managed and there is resulting wide variability in treatment trends. We propose an evidence-based protocol for acute management of these patients.Disclosure: Dr. Schrag has nothing to disclose. Dr. Youn has nothing to disclose. Dr. Patrylo has nothing to disclose. Dr. Schindler has nothing to disclose. Dr. Lavin has nothing to disclose. Dr. Kirshner has nothing to disclose. Dr. Greer has received personal compensation for activities with Bard Medical. Dr. Greer has received personal compensation in an editorial capacity for Seminars in Neurology.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Schrag, M., Youn, T., Patrylo, M., Schindler, J., Lavin, P., Kirshner, H., Greer, D. Tags: Future Directions and Challenges in Stroke Team Action Therapy (STAT) Data Blitz Presentations Source Type: research

Proprietary Software Enhancement of Digital Subtraction Angiography for Perfusion Mapping of Posterior Circulation (P6.022)
Conclusion: AngioViz DSA enhancement technique may reliably identify patients with intra-procedural neurovascular perfusion deficits for posterior circulation when none exists. Further larger retrospective analysis and prospective validation studies for reproducibility and reliability of this software application are needed.Disclosure: Dr. Avignon has nothing to disclose. Dr. Mehta has nothing to disclose. Dr. Korya has nothing to disclose. Dr. Arango has nothing to disclose. Dr. Brar has nothing to disclose. Dr. Moussavi has nothing to disclose. Dr. Kirmani has nothing to disclose.
Source: Neurology - April 3, 2016 Category: Neurology Authors: Avignon, G., Mehta, S., Korya, D., Arango, A., Brar, J., Moussavi, M., Kirmani, J. Tags: Ischemic Stroke Diagnosis Source Type: research

Rate of Endovascular Therapy in Octogenarian/Nonagenarian Acute Ischemic Stroke Patients Compared to Younger Patients (I2.007)
Conclusions: Frequency of EVT and IV-TPA use in AIS patients 蠅80years are increasing but rates remain significantly lower compared with younger patients. Disparity in EVT use in octogenarian/nonagenarian also exists by race and hospital factors. Targeted efforts are needed to lessen this disparity.Disclosure: Dr. Otite has nothing to disclose. Dr. Khandelwal has nothing to disclose. Dr. Tipirneni has nothing to disclose. Dr. Fellman has nothing to disclose. Dr. Malik has nothing to disclose. Dr. Yavagal has received personal compensation for activities with Covidien/evV3 as a consultant and Steering Committee Member...
Source: Neurology - April 3, 2016 Category: Neurology Authors: Otite, F., Khandelwal, P., Tipirneni, A., Fellman, M., Malik, A., Yavagal, D., Chaturvedi, S. Tags: Stroke in the Elderly and Young: Challenges for the Next Decade Data Blitz Presentations Source Type: research

Missed Ischemic Stroke Diagnosis in the Emergency Department by Emergency Medicine and Neurology Services Clinical Sciences
Conclusions— Atypical symptoms associated with posterior circulation strokes lead to misdiagnoses. This was true at both an academic center and a large community hospital. Future studies need to focus on the evaluation of identification systems and tools in the emergency department to improve the accuracy of stroke diagnosis.
Source: Stroke - February 22, 2016 Category: Neurology Authors: Arch, A. E., Weisman, D. C., Coca, S., Nystrom, K. V., Wira, C. R., Schindler, J. L. Tags: Cardiopulmonary Resuscitation and Emergency Cardiac Care, Cerebrovascular Disease/Stroke, Ischemic Stroke Clinical Sciences Source Type: research

Variability in Approach to Treatment of Acute Central Retinal Artery Occlusion in US Teaching Hospitals (S47.006)
CONCLUSIONS: There is currently no consensus on how patients with acute CRAO should be managed and there is resulting wide variability in treatment trends. We propose an evidence-based protocol for acute management of these patients.Disclosure: Dr. Schrag has nothing to disclose. Dr. Youn has nothing to disclose. Dr. Patrylo has nothing to disclose. Dr. Schindler has nothing to disclose. Dr. Lavin has nothing to disclose. Dr. Kirshner has nothing to disclose. Dr. Greer has received personal compensation for activities with Bard Medical. Dr. Greer has received personal compensation in an editorial capacity for Seminars in Neurology.
Source: Neurology - February 7, 2016 Category: Neurology Authors: Schrag, M., Youn, T., Patrylo, M., Schindler, J., Lavin, P., Kirshner, H., Greer, D. Tags: IV-tPA and Endovascular Therapy Source Type: research

Use of Warfarin at Discharge Among Acute Ischemic Stroke Patients With Nonvalvular Atrial Fibrillation in China Clinical Sciences
Conclusions— The rate of warfarin use remains low among patients with ischemic stroke and known nonvalvular atrial fibrillation in China. Hospital size and academic status together with patient age, heart failure, heavy alcohol drinking, international normalized ratio in hospital, and stroke severity on admission were each independently associated with the use of warfarin at discharge. There is much room for improvement for secondary stroke prevention in nonvalvular atrial fibrillation patients in China.
Source: Stroke - January 25, 2016 Category: Neurology Authors: Yang, X., Li, Z., Zhao, X., Wang, C., Liu, L., Wang, C., Pan, Y., Li, H., Wang, D., Hart, R. G., Wang, Y., Wang, Y., on behalf of the China National Stroke Registry II Investigators Tags: Anticoagulants, Treatment, Quality and Outcomes, Ischemic Stroke Clinical Sciences Source Type: research

Which Comorbidities and Complications Predict Ischemic Stroke Recovery and Length of Stay?
Conclusions: Greater age and higher National Institute of Health Stroke Scale at admission were associated with both higher disability and longer LOS. Congestive heart failure, CRF, presence of arrhythmias, and development of acute renal failure were associated with greater LOS. The development of urinary tract infection caused higher disability.
Source: The Neurologist - August 1, 2015 Category: Neurology Tags: Original Articles Source Type: research

Cost of status epilepticus in a tertiary care hospital in India
Conclusion Acute non-CNS pathology is largely are responsible for the high cost of SE, particularly refractory SE requiring mechanical ventilation.
Source: Seizure - July 23, 2015 Category: Neurology Source Type: research

Short Door-to-Needle Times in Acute Ischemic Stroke and Prospective Identification of Its Delaying Factors
Background: The clinical benefit of intravenous thrombolysis (IVT) in acute ischemic stroke is time dependent. Several studies report a short median door-to-needle time (DNT; 20 min), mainly in large tertiary referral hospitals equipped with a level 1 emergency department, a dedicated stroke team available 24/7, and on-site neuroimaging facilities. Meanwhile, in daily practice, the majority of stroke patients are admitted to secondary care hospitals, and in practice, even the generous benchmark of the American Heart Association (a DNT of 60 min in>80% of the cases) is met for a minority of patients treated with IVT. The fi...
Source: Cerebrovascular Diseases Extra - June 15, 2015 Category: Neurology Source Type: research

Early Mobilization in Ischemic Stroke: A Pilot Randomized Trial of Safety and Feasibility in a Public Hospital in Brazil
This report presents the feasibility and safety findings for the pilot phase of this trial. Methods: The primary outcomes were time to first mobilization, total duration of mobilization, complications during early mobilization, falls within 3 months, mortality within 3 months, and medical complications of immobility. We included adult patients with CT- or MRI-confirmed ischemic stroke within 48 h of symptom onset who were admitted from March to November 2012 to the acute vascular unit or general emergency unit of a large urban emergency department (ED) at the Hospital de Clínicas de Porto Alegre. The severity of the neuro...
Source: Cerebrovascular Diseases Extra - April 27, 2015 Category: Neurology Source Type: research

Differences in Ischaemic and Haemorrhagic Strokes in Sri Lanka: 7-year data from the Ragama Stroke Registry (P1.092)
CONCLUSIONS:Clinical and risk factor profiles were different between ICH and IS patients. Stroke severity and functional disability were higher among ICH patients. Study Supported by:Ragama Stroke Registry has been partly supported by research grants from the University of Kelaniya and Research Institute, International Medical Centre of Japan.Disclosure: Dr. Ranawaka has nothing to disclose. Dr. Peiris has nothing to disclose. Dr. Thirumavalavan has nothing to disclose. Dr. Premawansa has nothing to disclose. Dr. Kasthuriratne has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Ranawaka, U., Peiris, A., Thirumavalavan, K., Premawansa, G., Kasthuriratne, A. Tags: Neuroepidemiology: Cerebrovascular Disease, Critical Care, Epilepsy, Child Neurology, and Sleep Source Type: research

Port Harcourt Stroke Registry: A Prospective Hospital Based Study. (P1.074)
CONCLUSION: This Stroke Registry, first of its kind from this region of Nigeria presents a handy tool to track the epidemiology of stroke in this region. It will contribute to stroke prevention by providing the evidence required to formulate policies and measures required to control identified risk factors.Disclosure: Dr. Okunoye has nothing to disclose. Dr. Asekomeh has nothing to disclose. Dr. Iyagba has nothing to disclose. Dr. Onwuchekwa has nothing to disclose.
Source: Neurology - April 8, 2015 Category: Neurology Authors: Okunoye, C., Asekomeh, G., Iyagba, A., Onwuchekwa, A. Tags: Cerebrovascular Disease and Interventional Neurology: Epidemiology Source Type: research

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