stroke

CT Angiography in Evaluating Large-Vessel Occlusion in Acute Anterior Circulation Ischemic Stroke: Factors Associated with Diagnostic Error in Clinical Practice [INTERVENTIONAL]

BACKGROUND AND PURPOSE:

It is currently not completely clear how well radiologists perform in evaluating large-vessel occlusion on CTA in acute ischemic stroke. The purpose of this study was to investigate potential factors associated with diagnostic error.

MATERIALS AND METHODS:

Five hundred twenty consecutive patients with a clinical diagnosis of acute ischemic stroke (49.4% men; mean age, 72 years) who underwent CTA to evaluate large-vessel occlusion of the proximal anterior circulation were included. CTA scans were retrospectively reviewed by a consensus panel of 2 neuroradiologists. Logistic regression analysis was performed to investigate the association between several variables and missed large-vessel occlusion at the initial CTA interpretation.

RESULTS:

The prevalence of large-vessel occlusion was 16% (84/520 patients); 20% (17/84) of large-vessel occlusions were missed at the initial CTA evaluation. In multivariate analysis, non-neuroradiologists were more likely to miss large-vessel occlusion compared with neuroradiologists (OR = 5.62; 95% CI, 1.06–29.85; P = .04), and occlusions of the M2 segment were more likely to be missed compared with occlusions of the distal internal carotid artery and/or M1 segment (OR = 5.69; 95% CI, 1.44–22.57; P = .01). There were no calcified emboli in initially correctly identified large-vessel occlusions. However, calcified emboli were present in 4 of 17 (24%) initially missed or misinterpreted large-vessel occlusions.

CONCLUSIONS:

Several factors may have an association with missing a large-vessel occlusion on CTA, including the CTA interpreter (non-neuroradiologists versus neuroradiologists), large-vessel occlusion location (M2 segment versus the distal internal carotid artery and/or M1 segment), and large-vessel occlusion caused by calcified emboli. Awareness of these factors may improve the accuracy in interpreting CTA and eventually improve stroke outcome.




stroke

MR Thermometry in Cerebrovascular Disease: Physiologic Basis, Hemodynamic Dependence, and a New Frontier in Stroke Imaging [ADULT BRAIN]

SUMMARY:

The remarkable temperature sensitivity of the brain is widely recognized and has been studied for its role in the potentiation of ischemic and other neurologic injuries. Pyrexia frequently complicates large-vessel acute ischemic stroke and develops commonly in critically ill neurologic patients; the profound sensitivity of the brain even to minor intraischemic temperature changes, together with the discovery of brain-to-systemic as well as intracerebral temperature gradients, has thus compelled the exploration of cerebral thermoregulation and uncovered its immutable dependence on cerebral blood flow. A lack of pragmatic and noninvasive tools for spatially and temporally resolved brain thermometry has historically restricted empiric study of cerebral temperature homeostasis; however, MR thermometry (MRT) leveraging temperature-sensitive nuclear magnetic resonance phenomena is well-suited to bridging this long-standing gap. This review aims to introduce the reader to the following: 1) fundamental aspects of cerebral thermoregulation, 2) the physical basis of noninvasive MRT, and 3) the physiologic interdependence of cerebral temperature, perfusion, metabolism, and viability.




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Fears coronavirus has caused heart and stroke patients to shun hospitals

Doctors today raised "real concern" following a fall in London patients seeking hospital care for heart attack and stroke symptoms.




stroke

Lynn Faulds Wood death: Former TV presenter dies aged 72 after suffering a stroke

Wood was best known for her work on BBC's Watchdog




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Stroke doctors establish best practices to protect against COVID-19

To keep patients and health-care providers safe from COVID-19, while providing urgent treatment to stroke patients, extra precautions must be taken, according to new guidelines published in the journal Stroke.




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Loyola Medicine neurologist calls for broad changes in stroke care during COVID-19

Broad modifications to current standards for treating acute stroke patients during the COVID-19 pandemic may be needed to preserve health care resources, limit disease spread and ensure optimal care, according to a Loyola Medicine neurologist.




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Stroke evaluations drop by nearly 40% during COVID-19 pandemic

A study from Washington University School of Medicine in St. Louis has found that stroke evaluations fell by nearly 40% during a period of the COVID-19 pandemic, suggesting that many stroke patients are not seeking potentially life-saving medical treatment.




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Natural genetic variation in Stim1 creates stroke in the spontaneously hypertensive rat




stroke

Multilevel omics for the discovery of biomarkers and therapeutic targets for stroke




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How to nap for lower heart attack and stroke risk?

A new study suggests a sweet spot for daytime snoozes.





stroke

HEART RHYTHM SOCIETY RAISES AWARENESS OF THE DEVASTATING IMPACT OF AFIB-RELATED STROKE FOR MILLIONS OF AMERICANS - AFib Can Cause A Stroke - :60-PSA

Atrial Fibrillation affects your heart, but it can also affect your mind. The risk of stroke is five times higher in those with AFib. Learn more and take an online AFib risk assessment at MyAFib.org (1)




stroke

High Incidence of Stroke in Dengue Affected Patients

Individuals with dengue fever are at a higher risk of being affected with stroke, especially during the first 2 months following infection, finds a study




stroke

Different Foods Linked to Different Types of Stroke: Study

Different types of food are associated with risks of different types of stroke, reports a new study. The findings of the study are published in the iEuropean Heart Journal/i.




stroke

Gum Disease Linked to Stroke Risk

Gum disease, inflammation, and hardened arteries were found to be associated with stroke risk, revealed preliminary research to be presented at the American




stroke

Ischemic Stroke Risk High In Taiwan Due To Air Pollution

Long-term exposure to hydrocarbons in the air may be a risk factor for ischemic stroke development. Previous studies have demonstrated a link between




stroke

Reducing Ugly Cholesterol Helps Cut Stroke Risk

Reduce high levels of remnant cholesterol or 'ugly cholesterol' for stroke and myocardial infarction prevention, said researchers. In a study, published




stroke

In-home Stroke Rehabilitation Could Work Just as Fine as Clinical Therapy

Home-based telerehabilitation therapy could work just as fine as traditional in-clinic therapy for stroke rehabilitation, finds a new study. The main




stroke

Stroke Risk and Sex Hormone-related Protein Levels Linked

In women, reduced levels of a protein that binds to and transports sex hormones in the blood may help predict risk of ischemic stroke, stated a preliminary




stroke

Women's Lifestyle Changes, Even in Middle Age, may Decrease Future Stroke Risk

Women changing to a healthy lifestyle, even during the 50s, still have the potential to prevent strokes, reveals a new study. The findings of the study




stroke

Blood Pressure Components Help Predict Heart Attack, Stroke Risk

The systolic and diastolic numbers in blood pressure reading predicted the risk of heart attack or stroke in a very large Kaiser Permanente study that




stroke

Intensive Blood Pressure Control to Lower Stroke Recurrence Risk

A new study has found that intensive blood pressure control to less than 130/80 mm Hg is recommended for secondary stroke prevention. The findings of the study are published in JAMA Neurology.




stroke

Rapid Decline in Stroke Patients Seeking Help During COVID-19 Pandemic

Number of people showing up at U.S. hospitals with stroke symptoms has dropped almost 40 percent, reports a new study. The findings of the study are published




stroke

Rapid Decline in Stroke Patients Seeking Help During COVID-19 Pandemic

Several people who experience strokes may not be seeking potentially life-saving medical care during the coronavirus pandemic as a new study finds a decline in the number of people evaluated for stroke.




stroke

Damaged Eye Vessels may Indicate Higher Stroke Risk for Adults With Diabetes, Says Study

Among people with diabetes, damaged small blood vessels in the eye were found to be a marker for higher stroke risk, stated a preliminary research to




stroke

Heart Attack, Stroke Risk Downs Among Diabetics: Study

Cardiovascular mortality rates got reduced among patients with diabetes, according to a new study published in the Endocrine Society's iJournal of Clinical Endocrinology (and) Metabolism/i.




stroke

Yoga, Tai Chi Reduce Stroke Risk Factors

Stroke survivors and those who at risk are urged to focus on mindfulness-based interventions (MBIs) such as yoga and tai chi, revealed paper published




stroke

Testosterone Replacement Therapy can Raise Men's Risk of Stroke, Heart Attack

Aging men with low testosterone levels who take testosterone replacement therapy (TRT) are at a greater risk of experiencing an ischemic stroke, transient




stroke

Olympic hero Pete Reed paralysed from the chest down after suffering rare spinal stroke

Decorted Olympian Pete Reed has revealed the heartbreaking news this week that he has been left paralysed from the chest down, after suffering a very rare spinal stroke.




stroke

Donald Trump Secret Service agent in hospital after suffering a stroke

The security official is currently recovering in hospital where he is receiving 'much needed critical care' after he fell ill during the president's stay at his Turnberry golf resort in Ayrshire.




stroke

Trump Secret Service agent dies in hospital after suffering a stroke

A secret service agent guarding Donald Trump who suffered a stroke while the US president was in Scotland has died in hospital.




stroke

Mother sues Glasgow beauty salon claiming hair wash caused a stroke

Adele Burns, 47, was left unable to see or move 24 hours after a nightmare visit to Rainbow Rooms in Glasgow where stylists struggled to get her colour and cut right.




stroke

James Jordan shares his heartache as he reveals his father is in hospital after suffering a stroke 

The former Strictly Come Dancing professional, 41, revealed his father Alan was admitted to hospital after suffering a stroke on Thursday.




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James Jordan reveals he's 'broken hearted' after his father suffers a second stroke

The dancer tweeted on Sunday evening to confirm that his dad is back in hospital, just over two weeks after being released following another stroke.




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Tony Awards 2019: Oklahoma!'s Ali Stroker makes history with win

In her speech, Stroker said that 'every kid who is watching tonight who has a disability ... who has been waiting to see themselves represented in this arena ... you are!'




stroke

Lord John Prescott, 81, suffers a stroke and is admitted to hospital

Former deputy Prime Minister Lord Prescott has been admitted to hospital after suffering a stroke, his family has said in a statement.




stroke

Rory McIlroy bounces back to climb to within two strokes of leaders John Rahm and Mike Lorenzo-Vera

Rory McIlroy bounced back from a disappointing performance on Friday to come to within two strokes of leaders John Rahm and McIlroy, who is chasing a third victory at the DP World Tour Championship.




stroke

BEL MOONEY: A stroke's turned my husband into a vile monster

This week Bel advises a reader who is at her wits' end and doesn't know how to deal with her husband since his stroke last year.




stroke

JAMIE REDKNAPP: Sticking with Ralph Hasenhuttl is looking like a masterstroke for Southampton

JAMIE REDKNAPP: I remember Crystal Palace losing 9-0 to Liverpool in the old First Division in 1989. Then later that season, the Eagles exacted their revenge in the FA Cup semi-final.




stroke

Women over 50 can cut their risk of a stroke by taking up healthy habits, research suggests 

The key habits to adopt are daily exercise, consuming less junk food and alcohol, not smoking and shedding a few pounds if overweight.




stroke

Coronavirus: High proportion of young infected die from strokes

Chinese anaesthetist Dr Dong Tian, 29, died in March after suffering a stroke following a 35-day battle with COVID-19. US doctors have seen a seven-fold increase in stroke patients under 50.




stroke

Sivaji Raja Suffers A Massive Stroke; Hospitalised In Hyderabad

Senior actor and former president of Movie Artists Association (MAA) Sivaji Raja recently suffered a massive stroke at his home in Hyderabad. On Tuesday night, he was admitted in a hospital in Hyderabad, where he has been kept under observation in




stroke

Sivaji Raja Is Out Of Danger After Suffering A Massive Stroke

On May 5, senior actor and former president of Movie Artists Association (MAA) Sivaji Raja had suffered a massive stroke at his house in Hyderabad. He was admitted in a hospital, where he was kept under observation in the ICU. And




stroke

Want to reduce chances of stroke? Eat more fruits, vegetables and dairy products daily

 Vegetarian food items like fruit, vegetables and dairy products can lower the risk of ischaemic stroke. According to reseachers, who have published a study in the European Heart Journal, different types of food are linked to risks of different types of stroke. The study pints out that higher intakes of fruit, vegetables and dairy products is beneficial and can mitigate the chances of stroke.




stroke

COVID-19: Coronavirus Causing Strokes In Young & Middle-aged People With Mild Symptoms

As of today, there are 3,230,433 coronavirus cases with 228,394 deaths. On a hopeful note, 1,007,136 have recovered. As the coronavirus pandemic takes an ever-larger toll across the world, extensive researches and surveys have been exploring who is at greatest risk




stroke

Stroke: Causes, Symptoms, Diagnosis And Treatment

Stroke is ranked as the second leading cause of death and the third leading cause of disability worldwide, as per the World Health Organization. It is estimated that 70 per cent of stroke and 87 per cent of deaths caused by




stroke

[ASAP] Metabolomic Profiling of the Synergistic Effects of Ginsenoside Rg1 in Combination with Neural Stem Cell Transplantation in Ischemic Stroke Rats

Journal of Proteome Research
DOI: 10.1021/acs.jproteome.9b00639




stroke

Integration of ultra-high-pressure liquid chromatography-tandem mass spectrometry with machine learning for identifying fatty acid metabolite biomarkers of ischemic stroke

Chem. Commun., 2020, Accepted Manuscript
DOI: 10.1039/D0CC02329A, Communication
Lijian Zhang, Fei Ma, Ao Qi, Lulu Liu, Junjie Zhang, Simin Xu, Qisheng Zhong, Yusen Chen, Chun-yang Zhang, Chun Cai
We report for the first time the integration of ultra-high-pressure liquid chromatography-tandem mass spectrometry with machine learning for identifying fatty acid metabolite biomarkers of ischemic stroke. Especially, we develop an...
The content of this RSS Feed (c) The Royal Society of Chemistry




stroke

Exercise and fitness training after stroke : a handbook for evidence-based practice / edited by Gillian Mead, Fredericke van Wijk ; foreword by Peter Langhorne




stroke

Article :: Expressive Strokes

In this sample chapter from The Adobe Illustrator WOW! Book for CS6 and CC, 2nd Edition, author Sharon Steuer shows you how to create organic strokes, hand-drawn lines, painterly effects, shading, and much more.