Stroke disease is characterized by high morbidity, mortality, disability, and recurrence, which seriously endangers human life health. At present, clinical western medicine has certain effect on the treatment of ischemic stroke, but its acute phase still deficiencies such as strict time window limitation or leading to risk bleeding. In author's opinion, loss harmony between Ying Wei one basic p...

introduction: stroke is recognized as the third cause of mortality after cardiovascular and cancer diseases, so that lead to death of about 5 million people, annually. there are several scales to early prediction of at risk patients and decreasing the rate of mortality by transferring them to the stroke center. in the present study, the accuracy of cincinnati pre-hospital stroke scale was asses...

everal researchers have reported that CT perfusion studies have been helpful in diagnosing and managing acute ischemic stroke in large numbers of patients. Adding CT perfusion to the imaging protocol improves the accuracy of a stroke diagnosis and is successful in most cases. Incorporating perfusion may even potentially reduce inpatient costs through improvements in management. Research has sho...

BACKGROUND Acute ischaemic stroke is associated with alteration in systemic markers of vascular function. We measured forearm vascular function (using forearm flow mediated dilatation) to clarify whether recent acute ischaemic stroke/TIA is associated with impaired systemic vascular function. METHODS Prospective case control study enrolling 17 patients with recent acute ischaemic stroke/TIA a...

OBJECTIVE To study the relationship between dyslipidemia and outcome in patients with acute ischemic stroke. METHODS Data about 1 568 patients with acute ischemic stroke were collected from 4 hospitals in Shandong Province from January 2006 to December 2008. National Institute of Health Stroke Scale (NIHSS) >10 at discharge or death was defined as the outcome. Effect of dyslipidemia on outcom...

The initial management of a patient with suspected stroke necessitates a rapid and focused evaluation. Establishing the time of symptom onset, performing a focused neurologic examination, and interpreting ancillary tests facilitates delivery of acute stroke therapies to eligible patients. This review emphasizes the fundamentals of urgent stroke evaluation and evidence-based acute ischemic strok...

One of the challenges in acute stroke management is accurately differentiating between actual ischemic events and other conditions that mimic stroke. In a cohort of 821 consecutive patients admitted to an acute stroke unit, 13% were incorrectly diagnosed as stroke [1]. In another cohort of 411 patients, it was estimated that 19% of patients presenting to the emergency department with stroke-lik...

BACKGROUND AND PURPOSE Our aim was to determine current usage patterns of intravenous heparin for patients with acute ischemic stroke. METHODS A survey was undertaken of 280 neurologists from the United States and 270 neurologists from Canada. Brief vignettes were presented for the following 5 scenarios: stroke in evolution, atrial fibrillation-related stroke (A FIB), vertebrobasilar stroke, ...

Background: Epidemiological research has shown that increased total homocysteine (tHcy) levels are associated with an increased risk of thromboembolic disease; however, controversy still exists over which subtype of stroke is allied to hyperhomocysteinemia. This study aimed to investigate whether elevated tHcy is an independent risk factor for ischemic stroke and to compare tHcy levels in patie...

Previous studies showed that C-reactive protein (CRP), an inflammatory marker, was associated with stroke severity and long-term outcome. However, the relationship between the acute-phase CRP level and discharge outcome has received little attention. We prospectively studied 301 patients with acute ischemic stroke (over a period of two weeks) from two hospital stroke wards and one rehabilitatio...