BACKGROUND AND PURPOSE Centralizing hyperacute stroke unit (HASU) care services allows improved access to thrombolysis but could be associated with worse patient experience, particularly when early repatriation to a local stroke recovery unit occurs as this may result in discontinuity of care. A centralized model of care was introduced in London, United Kingdom, with 8 HASUs providing acute car...

BACKGROUND AND PURPOSE Stroke symptoms can be very stressful for family caregivers, but most knowledge about the prevalence and stressfulness of stroke-related patient problems is derived from convenience samples. In addition, little is known about perceived benefits of the stroke caregiving experience. The purpose of this study was to determine the prevalence and stressfulness of stroke-relate...

RATIONALE Repeated occurring stroke in short intervals with hypercoagulability is unusual so in such cases the conventional vascular risk factors might not be the causes of stroke. PATIENT CONCERNS We have presented a case of 60-year-old male presenting with recurrent stroke due to thrombophilia. DIAGNOSES Lung cancer was detected by superficial lymph nodes ultrasound and further pathologic...

BACKGROUND Community nurses are well placed to promote and support stroke survivors to engage in self-management. The aim of this study was to develop a stroke self-management intervention that could be tailored towards stroke survivors' self-management needs, goals and levels of activation, in the first year post-stroke. METHODS Mixed method study, designed in accordance with the British Med...

The optimal management of patients with asymptomatic carotid stenosis (ACS) is the subject extensive debate. According to 2017 European Society for Vascular Surgery guidelines, endarterectomy should (Class IIa; Level Evidence: B) or artery stenting may be considered IIb; in presence one more clinical/imaging characteristics that associated an increased risk late ipsilateral stroke (e.g., silent...

Abstract Thrombophilia is a blood coagulation disorder, in which has an increased tendency to clot, with both arterial and venous localization, being responsible for multiple manifestations: secondary hypertension, stroke, acute pancreatitis or intracardiac masses. We are presenting the case of 21-year-old male patient, hypertensive, known thrombophilia, who was sent echocardiographic evaluatio...

Background Acute ischemic stroke is a neurologic emergency associated with severe disability and death. There growing evidence that neutrophil extracellular traps (NETs) contribute to the pathogenesis of acute stroke. By mechanical removal occluding thrombus from patient's vasculature, endovascular thrombectomy enables collection material for immunohistologic analysis. The aim our study was str...

BACKGROUND Over one third of stroke patients have cognitive or language deficits such that they require surrogate consent for acute stroke treatment or enrollment into acute stroke trials. Little is known about the agreement of stroke patients and surrogates in this time-sensitive decision-making process. We sought to determine patient and surrogate agreement in 4 hypothetical acute stroke scen...

PURPOSE Ischemic brainstem stroke resulting from occlusion of the basilar artery during cervical spine surgery in a previously asymptomatic patient is a rare event. We report the development of a large ischemic brainstem stroke, resulting from occlusion of the basilar artery during anterior cervical discectomy, in a patient without previous neurological deficit, or signs of vertebrobasilar insu...

In acute stroke management, time window has been rigidly used as a guide for decades and the reperfusion treatment is only available in first few limited hours. Recently, imaging-based selection of patients successfully expanded out to 16 even 24 h DEFUSE 3 DAWN trials, respectively. Recent guidelines recommend use imaging techniques therapeutic decision-making eligibility ischemic stroke. A ti...