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European Stroke research activity: Annual Stroke Conference 2011

This is the presentation by the Editor, Dr. Amer Jafar, regarding the European stroke research activity based on the papers and posters presented in the European Stroke Conference which was held in Hamburg, Germany in May 2011. ESC 2011 – Copy

Atypical presentations of stroke

Atypical presentations of stroke

In the daily practice of Stroke physicians, there is always the concern about how accurate is the diagnosis and whether the physicians are going to end up thrombolysing non-stroke patients at the end. Edlow and Salim wrote in the Lancet Neurology issue of June 2011 an interesting article about the atypical presentations of acute cerebravascualr [...]

Haemodynamic stroke: Management and Prognosis

Haemodynamic stroke: Management and Prognosis

Compromising the haemodynamic status due for example to heart failure and hypotension can lead to signs and symptoms of a stroke. A new review article by the Lancet Neurology was published on line of the October 2010 issue of the Journal (The Lancet Neurology 9;10: 1008-1017). Severe obstruction of the carotid or vertebral arteries was [...]

Weekly Stroke Care Videoconference in Wales/UK

Weekly Stroke Care Videoconference in Wales/UK

  This presentation is part of the activity of Gwent Stroke Team to participate in the videoconference weekly stroke care meetings. These meetings were started 6 months ago and aiming to exchange clinical experience in acute stroke management between stroke physicians from all over Wales. In this presentation Dr Amer Jafar, is reviewing the August [...]

Risk factors for ischaemic and haemorrhagic stroke: A global view

Risk factors for ischaemic and haemorrhagic stroke: A global view

On behalf of the Interstroke investigators, Martin J O’Donnell et al have published their results of the study about the risk factors for stroke in 22 countries around the glob (The Lancet, 2010;376,9735:112-123). They aimed to establish the association of known and emerging risk factors with stroke and its primary subtypes, assess the contribution of [...]

Intravenous Alteplase in Middle Cerebral Artery Occlusion

Intravenous Alteplase in Middle Cerebral Artery Occlusion

Intravenous Alteplase in Middle Cerebral Artery Occlusion: Japan Alteplase Clinical Trial II (J-ACT II) A team from Tohoku University in Japan has published recently the result of a study about the effects of 0.6mg/kg intravenous Alteplase on the clinical outcome following an occlusion in the middle cerebral artery (Stroke. 2010; 41:46). This study is part [...]

The Metabolic Syndrome and thrombolysing stroke patients

The Metabolic Syndrome and thrombolysing stroke patients

In a study from University of Helsinki published recently ( Stroke. 2009;40:337.) the authors concluded that metabolic syndrome as well as its individual components predicted the incidence of the ischaemic stroke and the coronary heart disease equally well and should be treated equally as well. But what is about the effect of the metabolic syndrome [...]

Childhood arterial ischaemic stroke

This review of articles and research papers ( Lancet Neurology 2008; 7:425-435) regarding the subject of childhood stroke is useful to both stroke physicians and pediatricians. Amlie-Lefond C et al, mentioned that stroke is increasingly recognised as a cause of childhood disability and lifelong morbidity. Diagnosis of stroke in children is often delayed owing to [...]

Cerebellar infarction: Diagnosis and Management

Early correct diagnosis of cerebellar infarction is crucial to help prevent treatable but potentially fatal complications, such as brainstem compression and obstructive hydrocephalus. In this review article Edlow JA et al (Lancet Neurology 2008; 7:951-964) discusses the diagnosis and the management plan for patients with signs and symptoms of cerebellar infarction. It focuses on differential diagnosis of [...]

Cerebral microbleeds: a guide to detection and interpretation

Cerebral microbleeds (CMBs) are increasingly recognised neuroimaging findings in individuals with cerebrovascular disease and dementia, and in normal ageing. In this Review (The Lancet Neurology, 2009; 8: 165 – 174), the authors focus on the recent developments in cerebral microbleeds and their effects on two main questions: how CMBs are detected, and how CMBs should [...]