stroke, neurology, decompressive hemicraniectomy, malignant MCA, ischaemic
Stroke, malignant MCA infarct, decompressive craniectomy, neurology
Rick Abbot is back at last, with the tale of his own potential neurological catastrophe – with musings on delayed ED presentations and the quality of neurological physical examination.
Do we, as a global medical profession, truly know whether or not tPA is a beneficial treatment early on in the presentation of a CVA?
Brain Attack! Thrombolyse! STAT! Oh, actually, hang on, maybe not. Welcome Domhnall Brannigan…
Stroke, brainstem, posterior circulation, treatment, therapy, management, intravenous thrombolysis, intra-arterial thrombolysis, endovascular thrombectomy, neurology
Help Professor Daniel Fatovich collect data about attitudes to TPA in stroke by answering these 4 questions!
Schrödinger’s Fence…or, where we currently sit on the matter of thrombolysis in Acute Stroke. An Opinion Piece on IST-3
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 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?”