Infective endocarditis (IE) is often complicated by systemic embolization. Acute stroke due to septic emboli is a particularly dreaded complication. Optimal treatment for acute stroke in IE has not been well outlined. Fibrinolytic therapy may be associated with increased risk for hemorrhagic transformation in patients with acute stroke in the setting of IE. We present a case of IE complicated b...

See Articles pages 364 and 374 Although great advances have been made in stroke medicine in the past two decades, some questions about treatment in the acute phase of stroke remain. One such question is how to manage blood pressure? Blood pressure is often increased in acute ischaemic and haemorrhagic stroke, and fi ndings from epidemiological studies suggest that high blood pressure in the acu...

Following the 1997 Recommendations of the EFNS Task Force on Acute Neurological Stroke Care (European Journal of Neurology, 1997: 4:435-441) a European Inventory was undertaken to assess the development of acute stroke care in the EFNS member countries and to give an estimate of the needs based on 1997 data. All 30 members of the EFNS Stroke Scientist Panel were asked to complete a questionnair...

Perspectives Providing appropriate management to patients with acute stroke depends on the underlying etiology of the stroke. Current guidelines from the American Heart Association and American Stroke Association rely on computed tomogra-phy (CT) scans to distinguish between acute ischaemic stroke 1 and acute intracerebral haemorrhage. 2 Yet the majority of strokes worldwide (around 70% of appr...

Heat stroke is an acute, life-threatening emergency characterized clinically by elevated body temperature and central nervous system dysfunction. Nursing care for patients with heat must prevent complications optimizes patient outcomes. Aim: The aim to evaluate the effect of educational program on outcomes regarding stroke. Design: A quasi-experimental research design was used conduct this stud...

BACKGROUND Nonvalvular atrial fibrillation is the most common source of cardiac embolism with a high reported risk of stroke and a high stroke-related mortality. A common clinical dilemma in patients with acute stroke is whether the detection of one of the major cardiac sources of emboli requires an early anticoagulation to reduce early stroke recurrence and mortality. METHODS In this review,...

I n 2005, an American Stroke Association Task Force report described the rationale and components of an integrated stroke system of care extending from primordial prevention through primary prevention, acute management, secondary prevention, and poststroke rehabilitation and recovery. 1 The principle that optimal patient outcomes depend on the consistent implementation of care processes that ar...

Corresponding author: Dr. Haiyun Wu, Institute of Geriatric Cardiology, Chinese PLA General Hospital, Beijing100853, China; Tel:(+86)010-68163229; Email:[email protected] Both acute myocardial infarction (MI) and acute ischemic stroke are leading causes of death and disability in our world—the former in most American and European countries and the latter in many of Asian countries.1 Although the...

Respiratory dysfunction is an important complication of acute stroke but its mechanisms are poorly understood. Previous indirect assessments suggest that paralysis of the diaphragm occurs contralateral to the cerebral lesion. Diaphragmatic excursion was studied with real time ultrasound during quiet and deep breathing in 50 patients within 72 hours of acute stroke and 40 controls. During quiet ...

BACKGROUND Acute ischemic stroke is a major cause of mortality and morbidity in Taiwan. Diffusion-weighted image (DWI) is a sensitive and common strategy used for imaging acute ischemic stroke. CASE REPORT We present a case of a negative DWI MRI for detecting acute ischemic stroke in a clinical setting. A 75-year-old male had a DWI performed after onset of symptoms suggesting acute ischemic str...