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2018 Guidelines for the Early Management of Patients With Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association.
Posted Date: 7/10/2018 3:50:00 AM
Issue: Neurosurgery - July 30, 2018 - Vol. 19 - No. 5
Author(s): Karl E. Misulis, MD, PhD
New stroke 2018 guidelines change patient eligibility and treatment recommendations for patients with acute ischemic stroke.
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Eligibility for Endovascular Trial Enrollment in the 6- to 24-Hour Time Window: Analysis of a Single Comprehensive Stroke Center.
Posted Date: 7/10/2018 3:50:00 AM
Issue: Neurosurgery - July 30, 2018 - Vol. 19 - No. 5
Author(s): James Warne Schmidley, MD
According to a study by Jadhav et al, application of the DAWN and DEFUSE-3 enrollment criteria to an acute ischemic stroke population for endovascular trial enrollment would impact <3% of total patients presenting to a comprehensive stroke center.
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Influence of Smoking on Aneurysm Recurrence After Endovascular Treatment of Cerebrovascular Aneurysms.
Posted Date: 7/10/2018 3:50:00 AM
Issue: Neurosurgery - July 30, 2018 - Vol. 19 - No. 5
Author(s): Raj Murali, MD, FRCS, FAANS, FACS
Former and current smokers have a 3-fold increased risk of recurrence after endovascular treatment of intracranial aneurysms.
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Tranexamic Acid for Hyperacute Primary IntraCerebral Haemorrhage (TICH-2): An International Randomised, Placebo-Controlled, Phase 3 Superiority Trial.
Posted Date: 7/10/2018 3:50:00 AM
Issue: Neurosurgery - July 30, 2018 - Vol. 19 - No. 5
Author(s): Luc Jasmin, MD, PhD, FRCS(C), FACS
Despite a reduction in early mortality and hematoma growth, tranexamic acid treatment does not lead to an improvement in functional status at 90 days.
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Brain Microbleeds, Anticoagulation, and Hemorrhage Risk: Meta-Analysis in Stroke Patients With AF.
Posted Date: 6/27/2018 8:54:00 PM
Issue: Neurology - June 30, 2018 - Vol. 24 - No. 11
Author(s): Dennis Chang, MD
More than 5 cerebral microbleeds on MRI is associated with a higher risk for intracerebral hemorrhage in atrial fibrillation patients with a recent stroke.
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Intravenous Thrombolysis in Unwitnessed Stroke Onset: MR WITNESS Trial Results.
Posted Date: 6/27/2018 8:54:00 PM
Issue: Neurology - June 30, 2018 - Vol. 24 - No. 11
Author(s): Richard Leigh, MD
For stroke patients who are ineligible for alteplase due to an unknown time of onset, MRI screening can permit safe treatment with thrombolysis.
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MRI-Guided Thrombolysis for Stroke With Unknown Time of Onset.
Posted Date: 6/27/2018 8:54:00 PM
Issue: Neurology - June 30, 2018 - Vol. 24 - No. 11
Author(s): Brian Silver, MD
Presence of a lesion on diffusion-weighted imaging but not on fluid-attenuated inversion recovery is a target for alteplase treatment in acute ischemic stroke even when symptom onset cannot be established by history within 4.5 hours.
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Risk of Stroke and Transient Ischaemic Attack in Patients With a Diagnosis of Resolved Atrial Fibrillation: Retrospective Cohort Studies.
Posted Date: 6/27/2018 8:54:00 PM
Issue: Neurology - June 30, 2018 - Vol. 24 - No. 11
Author(s): James Warne Schmidley, MD
Patients with resolved atrial fibrillation have a higher risk of cerebral ischemic events than those without atrial fibrillation.
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Tenecteplase Versus Alteplase Before Thrombectomy for Ischemic Stroke.
Posted Date: 6/27/2018 8:54:00 PM
Issue: Neurology - June 30, 2018 - Vol. 24 - No. 11
Author(s): Richard Leigh, MD
Improved thrombolysis with modified form of alteplase has been demonstrated for patients presenting with occlusion of a major cerebral artery.
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Atrial Fibrillation Detected After Stroke Is Related to a Low Risk of Ischemic Stroke Recurrence.
Posted Date: 6/22/2018 3:15:00 PM
Issue: Neurosurgery - June 30, 2018 - Vol. 19 - No. 4
Author(s): Laura S. Boylan, MD
Atrial fibrillation diagnosed following stroke may be neurogenic and present a low risk of recurrent stroke.
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Atrial Cardiopathy and the Risk of Ischemic Stroke in the CHS (Cardiovascular Health Study).
Posted Date: 5/29/2018 9:43:00 PM
Issue: Neurology - May 30, 2018 - Vol. 24 - No. 10
Author(s): James Warne Schmidley, MD
Atrial cardiopathy may lead to left atrial appendage thrombus formation and embolization, in the absence of atrial fibrillation.
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Eligibility for Endovascular Trial Enrollment in the 6- to 24-Hour Time Window: Analysis of a Single Comprehensive Stroke Center.
Posted Date: 5/29/2018 9:43:00 PM
Issue: Neurology - May 30, 2018 - Vol. 24 - No. 10
Author(s): James Warne Schmidley, MD
According to a study by Jadhav et al, application of the DAWN and DEFUSE-3 enrollment criteria to an acute ischemic stroke population for endovascular trial enrollment would impact <3% of total patients presenting to a comprehensive stroke center.
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Oral Contraceptives and Ischemic Stroke Risk.
Posted Date: 5/29/2018 9:43:00 PM
Issue: Neurology - May 30, 2018 - Vol. 24 - No. 10
Author(s): John Schwankhaus, MD
The decision on whether to stop oral contraceptive pills after an ischemic stroke must be made on a case-by-case basis.
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Coexistence of Obstructive Sleep Apnea Worsens the Overall Outcome of Intracranial Aneurysm: A Pioneer Study.
Posted Date: 5/15/2018 7:15:00 PM
Issue: Neurosurgery - May 30, 2018 - Vol. 19 - No. 3
Author(s): Raj Murali, MD, FRCS, FAANS, FACS
Obstructive sleep apnea is a risk factor for poor outcome in patients with brain aneurysms.
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Effect of General Anesthesia and Conscious Sedation During Endovascular Therapy on Infarct Growth and Clinical Outcomes in Acute Ischemic Stroke: A Randomized Clinical Trial.
Posted Date: 5/15/2018 7:15:00 PM
Issue: Neurosurgery - May 30, 2018 - Vol. 19 - No. 3
Author(s): James Warne Schmidley, MD
Type of anesthesia used, general or conscious sedation, for endovascular thrombectomy (EVT) does not affect early infarct growth after EVT for acute ischemic stroke, or safety. General anesthesia is reasonable for EVT.
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Trial of Contralateral Seventh Cervical Nerve Transfer for Spastic Arm Paralysis.
Posted Date: 5/15/2018 7:15:00 PM
Issue: Neurosurgery - May 30, 2018 - Vol. 19 - No. 3
Author(s): Laura S. Boylan, MD
Peripheral rewiring can enhance central function in spastic arm paresis.
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Atrial Fibrillation Detected After Stroke Is Related to a Low Risk of Ischemic Stroke Recurrence.
Posted Date: 4/24/2018 5:40:00 PM
Issue: Neurology - April 30, 2018 - Vol. 24 - No. 9
Author(s): Laura S. Boylan, MD

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Diagnosing Stroke in Acute Dizziness and Vertigo: Pitfalls and Pearls.
Posted Date: 4/24/2018 5:40:00 PM
Issue: Neurology - April 30, 2018 - Vol. 24 - No. 9
Author(s): John Schwankhaus, MD

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Increasing Prevalence of Vascular Risk Factors in Patients With Stroke: A Call to Action.
Posted Date: 4/24/2018 5:40:00 PM
Issue: Neurology - April 30, 2018 - Vol. 24 - No. 9
Author(s): Karl E. Misulis, MD, PhD

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Outcomes of Dabigatran and Warfarin for Atrial Fibrillation in Contemporary Practice: A Retrospective Cohort Study.
Posted Date: 4/24/2018 5:40:00 PM
Issue: Neurology - April 30, 2018 - Vol. 24 - No. 9
Author(s): Daniel Ricotta, MD

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