Stroke
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Isolated Dizziness and Vertigo Are Rarely Caused by Stroke
The rate of stroke in patients discharged from the ED with a diagnosis of peripheral vestibular disorder is extremely low, and unless there are associated neurological symptoms and signs, there is no need for extensive ED evaluation.
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Small Vessel Disease Often Accompanies Large Vessel Intracranial Atherosclerosis
The SAMMPRIS trial investigated the consequences of medical vs endovascular therapy for the treatment of symptomatic intracranial atherosclerosis, and points out the high prevalence of coexisting small vessel disease with large vessel atherosclerosis.
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Loss of Consciousness at Onset of Aneurysmal SAH: Poor Prognosis
Loss of consciousness at onset of Aneurysmal subarachnoid hemorrhage is an indicator of early brain injury and predicts poor functional outcome or death at 12 months.
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Left Atrial Dysfunction Without Fibrillation Increases Stroke Risk
Lleft atrial abnormalities that do not necessarily result in atrial fibrillation, may also increase the risk of stroke and should be investigated and searched for in patients with ischemic stroke consistent with cardiogenic embolism.
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Vision Problems After Ischemic Stroke: Effects on Quality of Life
Visual impairments are common in stroke survivors and should prompt a careful ophthalmologic evaluation, since many of the problems are ocular and not neurological.
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Carotid Occlusion Rarely Develops from Asymptomatic Carotid Artery Stenosis
The risk of progression to carotid occlusion is well below the risk of carotid stenting or carotid endarterectomy, and intensive medical therapy appears to be preferred for the vast majority of patients with asymptomatic carotid artery stenosis.
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Every 5-minute Delay in Performing Endovascular Reperfusion Results in 1 out of 100 Patients Having a Worse Disability Outcome
Every 5-minute delay in performing endovascular reperfusion results in 1 out of 100 patients having a worse disability outcome.
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Pediatric Stroke
MONOGRAPH: Pediatric stroke presents a diagnostic challenge to the emergency physician. Here is what to look for and how to best proceed.
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Rate and Predictors of Futile Hospital Transfers for Acute Stroke Endovascular Therapy
A large number of futile transfers take place for consideration of endovascular therapy, and better selection criteria need to be developed.
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Circadian Rhythms Predict Small Vessel Ischemic Disease
The presence of white matter infarcts and cerebral microbleeds is associated with disruption of sleep but not total sleep time.