Identification of Vascular Cognitive Impairment

Oct 17, 2017 by in NEUROLOGY Comments Off on Identification of Vascular Cognitive Impairment

Fig. 32.1 Contribution of amyloid PET positivity to longitudinal cognitive trajectory after stroke [8]. Mixed VCI (mVCI) is characterized by positivity amyloid PET finding (A-4) and delayed decline in MMSE…

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Cerebral Venous Sinus Thrombosis

Oct 17, 2017 by in NEUROLOGY Comments Off on Cerebral Venous Sinus Thrombosis

Fig. 16.1 Normal MR venography. Normal MR venography in anteroposterior view (a), lateral view (b), and cone-down view (c). Hypoplasia of transverse and downstream jugular vein (yellow arrow) is considered…

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Initial Assessment and Differential Diagnosis

Oct 17, 2017 by in NEUROLOGY Comments Off on Initial Assessment and Differential Diagnosis

For all patients Noncontrast brain CT or brain MRI (followed by angiography) Blood glucose Oxygen saturation Blood pressure and pulse rate Serum electrolyte/renal function test Hepatic function test Complete blood…

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Stroke Caused by Cervical Artery Dissection

Oct 17, 2017 by in NEUROLOGY Comments Off on Stroke Caused by Cervical Artery Dissection

Fig. 17.1 T1-weighted, fat-suppressed magnetic resonance imaging of a 37-year-old female patient with multiple cervical artery dissections (right internal carotid artery and left vertebral artery (Fig. 17.2)). The arrows are…

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Diabetes Management After Stroke

Oct 17, 2017 by in NEUROLOGY Comments Off on Diabetes Management After Stroke

I. Check capillary blood glucose  1. “Before meals and at bedtime” or “before meals, bedtime, and 03:00”  2. “Every 6 h” for patients on continuous tube feeds or NPO II….

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Understanding Paradox of Risk Factors

Oct 17, 2017 by in NEUROLOGY Comments Off on Understanding Paradox of Risk Factors

Fig. 27.1 Survival rate after intracerebral hemorrhage. Kaplan-Meier curves showing mortality over 4 years of follow-up. Reproduced by permission of Neurology [14] Table 27.1 Potential reasons for the obesity-stroke paradox…

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Hypertension Management in Acute Ischemic Stroke

Oct 17, 2017 by in NEUROLOGY Comments Off on Hypertension Management in Acute Ischemic Stroke

  Study design Patients included No. of patients with ischemic stroke Intervention vs. control Mean time from stroke onset to randomization, h Outcome assessments Results Con studies against BP lowering…

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Identification of Vascular Risk Factors

Oct 17, 2017 by in NEUROLOGY Comments Off on Identification of Vascular Risk Factors

Category Risk factors Non-modifiable risk factors Age, sex, race/ethnicity, low birth weight, family history of stroke/transient ischemic attack Well-documented and modifiable risk factors Hypertension, smoking, diabetes, dyslipidemia, atrial fibrillation, carotid…

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