Stroke TPA? Have your say!

Life in the Fast Lane Shoe

Help Professor Daniel Fatovich collect data about attitudes to TPA in stroke by answering these 4 questions!

Schrödinger’s Fence

150 Schrödinger’s Fence

Schrödinger’s Fence…or, where we currently sit on the matter of thrombolysis in Acute Stroke. An Opinion Piece on IST-3

EBM Acute Stroke

EBM Stroke

Stroke is the second commonest cause of death (10-12%), consumes >4% total healthcare costs, and is commonest cause of adult disability in western world. 80-85% are ischaemic (thrombotic or embolic) and 15-20% the more lethal haemorrhagic stroke (including 5% SAH), of which over 50% will die by 1 month.

A Stroke of Insight

A few years ago I was looking after an elderly woman in the emergency department who had suffered a stroke. She was aphasic — unable to understand speech or create comprehensible sentences. I explained to her family what had happened to her. Then her daughter asked me a question for which I hadn’t prepared an answer: “What does it feel like to have a stroke?”

Look left, look right

Volitional saccadic pathway with a lesion in the right medial longitudinal fasciculus (MLF) that results in an internuclear ophthalmoparesis (INO)  Volitional saccadic pathway with a lesion in the right MLF that results in an INO during an attempted saccade to the patient's left (from neurology.org).

An elderly woman had a fall. On examination she has an unusual constellation of eye movements. What’s going on?

Acute Stroke: Lecture Notes

Epidemiology Stroke is the third commonest cause of death (11%), and the commonest cause of adult disability in western world. 80-85% are ischaemic (thrombotic or embolic) and 15-20% the more lethal haemorrhagic stroke, of which over 50% will die. Active Management Early CT scan Ideally within 1 hour ED arrival, if any of: indications for [...]