Quality of life after TIA and stroke

hispaniclady

Neurology: October 9, 2013 Objective: To evaluate the 5-year impact of stroke and TIA on utility and quality-adjusted survival. Methods: TIA and stroke patients from a UK population-based study (Oxford Vascular Study) were recruited from 2002 to 2007, and followed up until 2012. Quality of life was assessed over 5 years using the EQ-5D (EuroQol-5 Dimensions), with responses […]

Poor reward sensitivity and apathy after stroke

man4

Neurology: October 9, 2013 Implication of basal ganglia Objective: To examine the relationship between reward sensitivity and self-reported apathy in stroke patients and to investigate the neuroanatomical correlates of both reward sensitivity and apathy. Methods: In this prospective study, 55 chronic stroke patients were administered a questionnaire to assess apathy and a laboratory task to examine reward sensitivity […]

Clot Length Distribution and Predictors in Anterior Circulation Stroke

STROKEAHA:  October 8, 2013 Implications for Intra-arterial Therapy Background and Purpose—Thin-section noncontrast computed tomography images can be used to measure hyperdense clot length in acute ischemic stroke. Clots ≥8 mm have a very low probability of intravenous tissue-type plasminogen activator recanalization and hence may benefit from a bridging intra-arterial approach. To understand the prevalence of […]

Can DWI-ASPECTS Substitute for Lesion Volume in Acute Stroke?

STROKEAHA: October 3, 2013 Background and Purpose—The extent of diffusion lesion on pretreatment imaging is a risk factor for poor outcome and hemorrhagic transformation after thrombolysis, and volumes of 70 to 100 mL have been advocated as cut-offs. However, estimating diffusion-weighted imaging (DWI) lesion volume (VolDWI) in the acute setting may be cumbersome. We aimed to […]

National Stroke Registries: What can we learn from them?

medical9

Neurology: October 1, 2013 Stroke is a major cause of long-term adult disability, death, and health care costs worldwide. This overwhelming burden on global health necessitates ongoing improvements in stroke management. Indeed, considerable progress in stroke care is evident nowadays, in part owing to better prevention and the increasing use of acute stroke units, urgent triage, […]

Migraine and Hemorrhagic Stroke

asprin

STROKEAHA: October 1, 2013   Background and Purpose—Several studies have assessed the possible increased risk of hemorrhagic stroke in migraineurs, drawing differing conclusions. No meta-analysis on the topic has been published to date. Methods—Multiple electronic databases (MEDLINE, EMBASE, Science Citation Index, and the Cochrane Library) were systematically searched up to March 2013 for studies dealing […]

Quantifying and addressing persistent stroke disparities in hispanics

Wiley: 10/1/13 Quantifying and addressing persistent stroke disparities in hispanics

Posterior circulation ischaemic stroke and transient ischaemic attack: diagnosis, investigation, and secondary prevention

The Lancet Neurology: October 2013 A fifth of all strokes and transient ischaemic attacks occur in the posterior circulation arterial territory. Diagnosis can be challenging, in part because of substantial overlap in symptoms and signs with ischaemia in the anterior circulation. Improved methods of non-invasive imaging of the vertebrobasilar arterial tree have been used in recent […]

Twenty-Year Trends in Long-term Mortality Risk in 17 149 Survivors of Ischemic Stroke Less Than 55 Years of Age

STROKEAHA: October 1, 2013 Background and Purpose—The purpose of the present study was to investigate the 4-year mortality risk among patients <55 years with a first ischemic stroke during 1987–2006. Methods—A total of 17 149 cases (37.4% women) aged 18 to 54 years who survived ≥28 days after a first ischemic stroke were identified in the […]

Does Use of the Recognition Of Stroke In the Emergency Room Stroke Assessment Tool Enhance Stroke Recognition by Ambulance Clinicians?

Ambulance

STROKEAHA: September 26, 2013 Background and Purpose—UK ambulance services assess patients with suspected stroke using the Face Arm Speech Test (FAST). The Recognition Of Stroke In the Emergency Room (ROSIER) tool has been shown superior to the FAST in identifying strokes in emergency departments but has not previously been tested in the ambulance setting. We investigated […]

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