Case A70-year-old, right-handed African American woman with diabetes mellitus, treated with an oral hypoglycemic, and untreated mild hypertension developed right-sided face, arm, and leg weakness while at home preparing breakfast. She was able to reach the telephone and dial 911. An ambulance was summoned, and the Emergency Medical Service team, on arrival, noted a right facial droop, dysarthri...

Abstract Background A Multi-Disciplinary Team (MDT) approach is instrumental to post-stroke management in the Hyper Acute Stroke Unit (HASU). There strong evidence highlighting importance of patients’ social needs (UK National Clinical Guideline for Stroke, 2016) and need a clear plan resource combining both health care. This outlined Strategy (2020-2025). care involves cohesive multi-disciplin...

BACKGROUND AND PURPOSE Intra-arterial therapy (IAT) is most effective when performed rapidly after ischemic stroke onset. However, there are limited performance benchmarks in IAT and there is a scarcity of information on how to structure an effective IAT protocol and its impact on time to treatment. The objective of our study was to detail a standardized IAT protocol, and to assess its influenc...

BACKGROUND AND PURPOSE Noncontrasted head computed tomography (NCHCT) has long been the standard of care for acute stroke imaging. New guidelines recommending advanced vascular imaging to identify eligible patients for endovascular therapy have renewed safety concerns on the use of contrast in the emergent setting without laboratory confirmation of renal function. METHODS We compared computed...

Monika Harvey, Keith Muir, Ian Reeves, George Duncan, Philip Birschel, Margaret Roberts, Katrina Livingstone, Hazel Jackson, Caroline Hogg , Pauline Castle , Gemma Learmonth and Stéphanie Rossit School of Psychology, University of Glasgow, Glasgow, UK Institute of Neurological Sciences, Southern General Hospital, Glasgow, UK Department of Medicine for the Elderly, Southern General Hospital, Gla...

We describe a novel art-empowered Virtual Reality (VR) system designed for hand rehabilitation therapy following stroke. The system was developed by an interdisciplinary team of engineers, art therapists, occupational therapists, and VR artist to improve patient's motivation and engagement. We describe system design, development, and user testing for efficiency, subject's satisfaction and clini...

OBJECTIVE To identify variables that best predict a team's decision of driving ability in stroke patients from a predriving assessment. DESIGN Retrospective study of a 2-year predriving evaluation. SETTING Belgian Institute for Road Safety. PARTICIPANTS One hundred four patients with sequelae of first stroke. INTERVENTIONS Predriving assessments and road test. MAIN OUTCOME MEASURES Th...

It has been well established that the stroke patient’s needs are best met in an organized stroke unit [3].Stroke unit care is effective in reducing death and disability, as well as improvingpost-stroke outcomes [3]. Furthermore, an alternative service has been reported where stroke patients in hospitals are offered early supported discharge (ESD) with rehabilitation at home [4,5]. The ESD is co...

Stroke care presents unique challenges for clinicians, as most strokes occur in the context of other medical diagnoses. An assessment of capacity for implementing "best practice" stroke care found clinicians reporting a strong need for training specific to patient/system complexity and multimorbidity. With mounting patient complexity, there is pressure to implement new models of healthcare deli...

Modifications to the transmission line model developed at the High Voltage Research Institute, Tomsk, USSR, are presented and compared between each other and with the modification proposed by the ItalianSwiss research team. The modifications considered differ from each other by the height dependent attenuation factor for the return stroke current pulse intensity. All of the attenuation factors,...