Myxoma may cause systemic embolization and frequently presents as ischemic stroke. There has been debates whether it is safe to use recombinant tissue plasminogen activator (rt-PA) in patients with cardiac myxoma who are presented with ischemic stroke at emergency department. we describe a young case of atrial myxoma with initial presentation of acute cerebral infarction symptoms who was treate...

stroke is one of the most leading causes of death and disability in the world. complement system activation contributes to pathogenesis and neuronal damage following stroke. there are no defined biological serum markers to determine the severity of stroke in acute phases. the purpose of current study was to determine the association of three complement activators, namely pentraxin-3 (ptx3),m-fi...

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...

conclusions due to considerable inter- and intra- heterogeneity among studies performed by other centers such as differences in study project, background, and population features, determining a pharmacotherapy model based on safe implementation of treatments in stroke or sits seem advantageous. results age, time of onset, systolic blood pressure, diabetes, stroke severity, co-morbidities and pr...

BACKGROUND To examine the impact of telemedicine on access to acute stroke care and expertise in the state of Texas. METHODS Texas hospitals were surveyed using a standard questionnaire and categorized as: (1) stand-alone Primary Stroke Centers not using telemedicine for acute stroke care, (2) Primary Stroke Centers using telemedicine for acute stroke care, (3) non-Primary Stroke Center hospi...

Background and purpose: Vitamin D deficiency has been shown to be linked to evolution of ischemic stroke, but the data regarding the association between stroke severity and vitamin D level is scarce. Materials and methods: Patients with first-ever acute ischemic stroke in the middle cerebral artery (MCA) territory within 7 days after the stroke were recruited. The control group included age an...

background: oropharyngeal dysphagia following stroke enhances the risk of dehydration, malnutrition, aspiration  pneumonia, persistent disablement, and even death. screening of dysphagia has been shown to positively change health outcomes. the aim of the present study was to systematically introduce the published swallowing screening methods in patients with stroke and  their appropriateness fo...

Background: Temporal variation of stroke onset is suggested in some studies contained somewhat varieties. It is proposed that some predisposing changes occur in some ascertained times consequently resulted in stroke occurrence in some special times. Objective: To determine the circadian and circaseptan variation of stroke onset. Materials and Methods: This cross sectional study was conducted ...

background: the goal of this study was to determine the reliability of tcd in evaluation of vertebrobasilar arteries in comparison with brain mra in patients suffering from acute vertebrobasilar stroke. methods: samples were patients with definite clinical diagnosis of vertebrobasilar stroke. for all patients brain mri, mra and tcd were performed during the first 48 hours of admission. basilar ...