Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
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J Stroke Cerebrovasc Dis · Nov 2008
Multicenter StudyA risk score to predict intracranial hemorrhage after recombinant tissue plasminogen activator for acute ischemic stroke.
Ability to predict risk of postthrombolysis intracerebral hemorrhage (ICH) is currently limited. ⋯ A simple risk score may be useful for predicting postthrombolysis ICH.
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J Stroke Cerebrovasc Dis · Nov 2008
Predictors of clinical outcome and mortality in vertebrobasilar dolichoectasia diagnosed by magnetic resonance angiography.
Vertebrobasilar dolichoectasia (VBD) is a poorly understood vasculopathy. VBD may be associated with an increased likelihood of stroke and all-cause mortality. The purpose of this study was to establish predictors for clinical outcome in VBD, and better guide therapeutic medical and surgical interventions. ⋯ In patients with VBD, BA involvement increases the risk of neurologic morbidity, whereas mortality seems more predicted by classic vascular risk factors than VBD features. This study may aid in predicting annual risk of stroke recurrence or death in VBD.
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J Stroke Cerebrovasc Dis · Nov 2008
Comparative StudyStroke in the young: access to care and outcome; a Western versus eastern European perspective.
To develop effective strategies to address the needs of young patients with stroke, it is important to recognize what components of stroke care they receive. The aims of this study were to describe the provision of stroke care and the factors associated with 3-month mortality and disability (Barthel Index 0-14) in patients younger than 55 years across Western and Eastern Europe. ⋯ Young patients with stroke in Western Europe are more likely to gain access to a number of components of stroke care compared with those in Eastern Europe. The future challenge is to ensure that recommendations are adopted to ensure all young patients receive evidence-based stroke care across Europe.
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J Stroke Cerebrovasc Dis · Nov 2008
The incidence of stroke mimics among stroke department admissions in relation to age group.
Acute stroke therapies are effective but may have serious adverse effects. This makes an accurate diagnosis mandatory. Acute stroke is diagnosed on the basis of neurologic findings, laboratory testing, and a computed tomography scan of the brain. This is the first study to investigate the incidence of stroke mimics beyond the triaging stage and just before therapy decisions across age groups. ⋯ In patients being considered for acute stroke interventions, stroke mimics need to be considered particularly when the patient is younger than 50 years. In older patients, features typical of stroke mimics do not rule out a stroke.