Stroke.ahajournals.org: 5/24/12. Localized head and neck cooling might be suited to induce therapeutic hypothermia in acute brain injury such as stroke. Safety issues of head and neck cooling are undetermined and may include cardiovascular autonomic side effects that were identified in this study. Read More
Stroke.ahajournals.org: 5/22/12. Mechanisms of skill learning are paramount components for stroke recovery. Recent noninvasive brain stimulation studies demonstrated that decreasing activity in the contralesional motor cortex might be beneficial, providing transient functional improvements after stroke. The more crucial question, however, is whether this intervention can also enhance the acquisition of complex motor tasks, yielding longer-lasting functional […]
ISRN Rehabilitation 7/18/12. The study evaluates the effectiveness of Compelled Body Weight Shift (CBWS) approach in the rehabilitation of individuals with stroke. CBWS involves a forced shift of body weight towards a person’s affected side by means of a shoe insert that establishes a lift of the nonaffected lower extremity. Methods. Eleven patients with acute stroke were […]
Stroke.ahajournals.org: July 17, 2012. Strokes secondary to acute internal carotid artery (ICA) occlusion are associated with extremely poor prognosis. The best treatment approach to acute stroke in this setting is unknown. We sought to determine clinical outcomes in patients with acute ischemic stroke attributable to ICA occlusion treated with intravenous (IV) systemic thrombolysis or intra-arterial endovascular […]
Stroke.ahajournals.org: July 17, 2012. There are few validated models for prediction of risk of symptomatic intracranial hemorrhage (sICH) after intravenous tissue-type plasminogen activator treatment for ischemic stroke. We used data from Get With The Guidelines–Stroke (GWTG-Stroke) to derive and validate a prediction tool for determining sICH risk. Methods—The population consisted of 10 242 patients from 988 […]
Onlinelibrary.wiley.com: July 16, 2012. Stroke motor rehabilitation is typically generic rather than being tailored to the individual and yet individuals may require different rehabilitation strategies according to the brain regions and networks damaged by the stroke and the impact of the lesion on remote locations and networks. Training may be targeted at facilitating neuroplasticity of these […]
Stroke.ahajournals.org: July 12, 2012. Few studies have addressed outcomes among patients ≥80 years treated with acute stroke therapy. In this study, we outline in-hospital outcomes in (1) patients ≥80 years compared with their younger counterparts; and (2) those over >80 years receiving intra-arterial therapy (IAT) compared with those treated with intravenous recombinant tissue-type plasminogen activator (IV […]
American Heart Association: July 5, 2012. Background—The benefits of intravenous tissue-plasminogen activator (tPA) in acute ischemic stroke are time-dependent. Emergency medical services (EMS) hospital prenotification of an incoming patient with potential stroke may provide a means of reducing evaluation and treatment times and improving treatment rates; yet, available data are limited. Methods and Results—We examined 371 […]
Stroke.ahajournals.org: July 5, 2012. Background and Purpose—The purpose of this study was to investigate time delays, adherence to guidelines, and their impact on outcomes in patients with warfarin-associated intracerebral hemorrhage transferred from community emergency departments to a comprehensive stroke center. Methods—We collected demographic, clinical, transfer time, treatment, and outcome data for patients transferred to our […]
Stroke.ahajournals.org: June 28, 2012. Conflicting data exist regarding outcomes after intra-arterial therapy (IAT) in elderly stroke patients. We compare safety and clinical outcomes of multimodal IAT in elderly versus nonelderly patients and investigate differences in baseline health and disability as possible explanatory factors. Methods—Data from a prospectively collected institutional IAT database were analyzed comparing elderly (80 […]
