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By John J. Caronna, MD
Vice Chairman, Department of Neurology, Cornell University Medical Center and Professor of Clinical Neurology, New York Hospital
Dr. Caronna reports no consultant, stockholder, speakers bureau, research, or other relationship related to this field of study.
Synopsis: Acute MRI is useful in making triage decisions for patients with TIA or minor stroke because it reliably divides such patients into benign, intermediate, and poor prognosis groups.
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By Matthew Fink, MD
Vice Chairman, Professor of Clinical Neurology, Weill Medical College, and Chief of Division of Stroke and Critical Care Neurology at NewYork-Presbyterian Hospital
Dr. Fink reports no consultant, stockholder, speakers bureau, research, or other relationship related to this field of study.
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In a prospective cohort study of 697 patients with obstructive sleep apnea followed for a median duration of 3.4 years, there was a significant association with stroke or death.
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Recanalization after treatment with intravenous tissue plasminogen activator (t-PA) is more likely in acute stroke patients whose admission serum glucose is less than 158 mg/dL.
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Human T-cell lymphotropic virus type I (HTLV-1) is a human retrovirus and the etiologic agent for a progressive neurological disease called HTLV-1-associated myelopathy/tropical spastic paraparesis (HAM/TSP).
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A substantial minority of patients deemed too good for intravenous tPA were unable to be discharged home.
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In a wide range of patients with acute MI, adding clopidogrel 75 mg daily to aspirin and other standard treatments (such as fibrinolytic therapy) safely reduces mortality and major vascular events ...
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Patients will benefit from further studies to better define the pathophysiology of muscle cramps and to find more effective medications with fewer side-effects.
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Topiramate at a maintenance dose decreased the mean number of monthly headache days in children with frequent migraines. Tolerability of the medication in children was generally similar to placebo.
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