Stroke. Core Rounds Mark Y. Wahba Preceptor: Dr. Ian Rigby Oct. 16th, 2003. WHO definition: Stroke. “a neurological deficit of sudden onset accompanied by focal dysfunction and symptoms lasting more than 24 hours that are presumed to be of a non-traumatic vascular origin”.
Mark Y. Wahba
Preceptor: Dr. Ian Rigby
Oct. 16th, 2003
Guidelines for the Early Management of Patients With Ischemic Stroke. A Scientific Statement From the Stroke Council of the American Stroke Association. Adams HP et al Stroke. 2003;34: 1056-1083.
“in general, the diagnosis of stroke is straightforward”
MRI vs CT
Are we doing the right thing?
Assessment and Emergency Management (Part II)
3 trials of streptokinase were halted prematurely because of an excess of poor outcomes or deaths (level I)
the NINDS trial is the only published RCT of intravenous thrombolytic therapy that has been positive in favor of thrombolysis
Position Statement on Thrombolytic Therapy for Acute Ischemic Stroke, The CAEP Committee on Thrombolytic Therapy for Acute Ischemic Stroke http://www.caep.ca/002.policies/002-01.guidelines/thrombolytic.htmTo date:
Position Statement on Thrombolytic Therapy for Acute Ischemic Stroke:
SAH High attenuation is seen diffusely within the sulci on a noncontrasted head CT. High attenuation collections are also present within the occipital horns of the lateral ventricles. Moderate hydrocephalus is present
Among patients undergoing angiography for atherosclerotic stroke: