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Stroke: Archives

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Items 276-300 of 711 are shown

Stenting Versus Endarterectomy for Carotid Artery Stenosis: What Are the Trade-Offs?

Mid-term CREST findings indicate that surgery is more effective for stroke prevention, but stenting has some advantages.

  • By Howard C. Herrmann, MD
  • June 4, 2010
  • Covering:
    • Brott TG et al. for the CREST Investigators., N Engl J Med 2010 May 26
    • Davis SM and Donnan GA., N Engl J Med 2010 May 26

Herpes Zoster Ophthalmicus and Risk for Stroke

Ophthalmic-distribution zoster is a risk factor for stroke during a one-year follow-up period.

  • By Don Gilden, MD
  • June 1, 2010
  • Covering:
    • Lin H-C et al., Neurology 2010 Mar 9; 74:792
    • Nagel M and Ortiz GA., Neurology 2010 Mar 9; 74:788

No Benefit from Intravenous Alteplase When Given After 4.5 Hours of Stroke Onset

Risk for favorable outcomes decreases with increasing time to treatment from stroke onset, and, after 4.5 hours, alteplase treatment might increase mortality.

  • By Kristi L. Koenig, MD, FACEP
  • May 28, 2010
  • Covering:
    • Lees KR et al., Lancet 2010 May 15; 375:1695
    • Saver JL and Levine SR., Lancet 2010 May 15; 375:1667

Thrombolysis After Ischemic Stroke: Earlier Is Much Better

Net benefit was undetectable when alteplase was given more than 4.5 hours after stroke onset.

  • By Bruce Soloway, MD
  • May 27, 2010
  • Covering:
    • Lees KR et al., Lancet 2010 May 15; 375:1695
    • Saver JL and Levine SR., Lancet 2010 May 15; 375:1667

Diagnosis and Management of Thoracic Aortic Disease

Experts from many disciplines provide welcome guidance about frequently asymptomatic conditions with potentially catastrophic outcomes.

  • By Beat J. Meyer, MD
  • May 26, 2010
  • Covering:
    • Hiratzka LF et al., J Am Coll Cardiol 2010 Apr 6; 55:e27

The Anatomical Basis of Gerstmann Syndrome

Is it a disconnection syndrome?

  • By Kenneth M. Heilman, MD
  • May 25, 2010
  • Covering:
    • Rusconi E et al., Ann Neurol 2009 Nov; 66:654

Is Tissue Plasminogen Activator Safe in Patients with "Stroke Mimics"?

It's unlikely to cause harm in these patients.

  • By Allan S. Brett, MD
  • May 20, 2010
  • Covering:
    • Chernyshev OY et al., Neurology 2010 Apr 27; 74:1340

Does Pneumococcal Vaccination Protect Against Cardiovascular Events?

In a prospective cohort study involving nearly 85,000 men, vaccination did not reduce risk for myocardial infarction or stroke.

  • By Richard T. Ellison III, MD
  • May 19, 2010
  • Covering:
    • Tseng HF et al., JAMA 2010 May 5; 303:1699
    • Madjid M and Musher DM., JAMA 2010 May 5; 303:1751

Validation of the ABCD2 Score for Predicting Stroke Risk After Transient Ischemic Attack

An ABCD2 score >2 is associated with significantly increased risk for stroke within 90 days.

Magnesium Infusion Might Improve Outcomes After Subarachnoid Hemorrhage

The incidences of delayed ischemic infarction and vasospasm were significantly reduced in patients treated with magnesium, compared with controls.

  • By Kristi L. Koenig, MD, FACEP
  • April 30, 2010
  • Covering:
    • Westermaier T et al., Crit Care Med 2010 May; 38:1284
    • Taccone FS., Crit Care Med 2010 May; 38:1382

Is Tissue Plasminogen Activator Harmful in Patients Who Ultimately Do Not Have Acute Ischemic Stroke?

This study's findings suggest not.

Midline Shift or Herniation in Patients with Subarachnoid Hemorrhage and Normal Neurological Exams

In a retrospective study, 5% of patients with spontaneous SAH and normal neurological exams had computed tomographic findings that contraindicated lumbar puncture.

Awareness and Treatment of Atrial Fibrillation

Blacks with AF are less likely than whites both to know about their condition and to receive warfarin for it.

  • By Joel M. Gore, MD
  • April 14, 2010
  • Covering:
    • Meschia JF et al., Stroke 2010 Apr 1; 41:581

Women from JUPITER . . .

. . . benefited from rosuvastatin as much as men did.

  • By JoAnne M. Foody, MD
  • April 14, 2010
  • Covering:
    • Mora S et al., Circulation 2010 Mar 9; 121:1069

Proton-Pump Inhibitors and Clopidogrel: Important Interaction?

Coronary heart disease patients who received both drugs experienced fewer hospitalizations for gastrointestinal bleeding than did those who received clopidogrel alone.

Carotid Stenting vs. Endarterectomy: Coming into Focus

Findings from a large clinical trial and magnetic resonance imaging substudy strengthen the case for endarterectomy as the preferred treatment for carotid artery stenosis.

  • By Beat J. Meyer, MD
  • April 7, 2010
  • Covering:
    • ICSS Investigators., Lancet 2010 Mar 20; 375:985
    • Bonati LH et al., Lancet Neurol 2010 Apr; 9:353
    • Rothwell PM., Lancet 2010 Mar 20; 375:957

Oral Contraceptive Use Affects Migraines

Combination oral contraceptives influenced frequency and severity of migraines but not other headache types.

Silent Cerebral Embolism After Transcatheter Aortic-Valve Implantation

Two studies from Germany show that it is common.

  • By Howard C. Herrmann, MD
  • March 17, 2010
  • Covering:
    • Kahlert P et al., Circulation 2010 Feb 23; 121:870
    • Adams HP Jr., Circulation 2010 Feb 23; 121:846
    • Ghanem A et al., J Am Coll Cardiol 2010 Feb 24

Primary Prevention of Cardiovascular Events with Aspirin

No benefit was observed in a group at high risk for vascular disease.

  • By Thomas L. Schwenk, MD
  • March 11, 2010
  • Covering:
    • Fowkes FGR et al., JAMA 2010 Mar 3; 303:841
    • Berger JS., JAMA 2010 Mar 3; 303:880

Do Folic Acid and B12 Cause Cancer?

Excess cancer incidence and cancer mortality occurred in a follow-up of two clinical trials of folic acid and B12 supplements for cardiovascular risk reduction.

  • By Laurence J. Kinsella, MD
  • March 9, 2010
  • Covering:
    • Ebbing M et al., JAMA 2009 Nov 18; 302:2119

Endarterectomy vs. Stenting for Carotid Artery Stenosis

Periprocedural risk was lower with endarterectomy, but longer-term risk was similar with either procedure.

Statins and Stroke Prevention: Is It All About the Cholesterol?

In a meta-analysis of statin and nonstatin treatment trials, stroke reduction was proportional to the lipid-lowering effect of the intervention.

  • By JoAnne M. Foody, MD
  • March 3, 2010
  • Covering:
    • De Caterina R et al., J Am Coll Cardiol 2010 Jan 19; 55:198

Don't Forget to Use Them After Stroke

An antidepressant improves memory in nondepressed poststroke patients.

  • By Jonathan Silver, MD
  • February 22, 2010
  • Covering:
    • Jorge RE et al., Arch Gen Psychiatry 2010 Feb; 67:187

The Role of the Prefrontal Cortex in Contextual Processing

A study of event-related potentials in patients with prefrontal lesions demonstrates the region's critical role in processing contextual information.

  • By Kirk R. Daffner, MD
  • February 16, 2010
  • Covering:
    • Fogelson N et al., Brain 2009 Nov; 132:3002

Diffusion-Weighted Imaging in Normal-Pressure Hydrocephalus

Can DWI differentiate reversible changes caused by NPH from irreversible microangiopathic changes within periventricular white matter?

  • By Joshua P. Klein, MD, PhD
  • February 9, 2010
  • Covering:
    • Tullberg M et al., Acta Neurol Scand 2009 Oct; 120:226
Items 276-300 of 711 are shown

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