Stroke and Cerebrovascular Diseases Center

Stroke is the sudden onset of a neurological impairment, sometimes of crippling intensity. It is usually caused by occlusion of an artery that supplies the brain or spontaneous bleeding in the brain.

Key Articles

Cerebral embolism
Cerebral venous thrombosis
Hypertensive intracerebral hemorrhage
Ischemic stroke
Lacunar infarction
Nontraumatic intracerebral hemorrhage
Subarachnoid hemorrhage
Vascular malformations

Management of Stroke

Cerebral revascularization other than carotid endarterectomy
Cerebral vasospasm: treatment
Gene therapy of cerebrovascular disease
Stroke therapy
Stroke: supportive care

Frequently Occurring Problems Associated with Stroke

Amaurosis fugax
(Transient monocular blindness)
Carotid bruit
Carotid endarterectomy for asymptomatic stenosis: can we predict which patients will do well?
Depression after stroke
Headache associated with ischemic cerebrovascular disease
Management of blood pressure after acute stroke
Medical complications of stroke
Patent foramen ovale
TIAs (carotid)
Vascular cognitive impairment

Related Articles

Carotid endarterectomy for asymptomatic stenosis: how are we doing in practice?
Deaths after chiropractic spinal manipulation
Detection of paroxysmal atrial fibrillation in patients with cerebral ischemia
Drug-induced cerebrovascular disease
Guidelines for vascular risk factor reduction for secondary prevention of ischemic stroke
Hemorrhagic transformation of ischemic stroke
Hormonal contraception and stroke
Intracerebral hemorrhage due to thrombolytic therapy
Pregnancy and stroke
Risk stratification after transient ischemic attack using the ABCD2 prediction rule
Sleep and stroke
Spinal cord ischemia
Stroke associated with drug abuse
Stroke associated with sickle cell disease
Stroke in young adults
White matter abnormalities in the brain

External Resources

AAN Guidelines: Brain Injury and Brain Death
AAN Guidelines: Stroke and Vascular Neurology
Cedars-Sinai Stroke Program: Cerebral Hemorrhages
Clinical Trials: Brain Injury
Clinical Trials: Cerebral Infarction
Clinical Trials: Intracerebral Hemorrhage
European Society of Hypertension
FDA Advisory: Angiotensin Receptor Blockers: Cancer Risk Safety Review
Guideline: Head Injury - National Collaborating Centre for Acute Care (U.K.)
Guidelines and Consensus Statements: The Internet Stroke Center
Guidelines: The Brain Attack Coalition
Intracerebral Hemorrhage: The Internet Stroke Center
Intracranial Hypertension Research Foundation
Society for Hypertension
Stroke Scales and Clinical Assessment Tools

Communities

Stroke Community Forum
Support for patients with stroke, its warning signs, risk factors, prevention, complications. Discussions among patients, families, caregivers and professionals on topics related to diagnosis, treatment, and activities of daily living.

News

Key protein may affect risk of stroke
Jun 25, 2015
Studies on mice reveal that a special protein in the brain's capillaries may affect the risk of stroke. Researchers from the University of Gothenburg are publishing new research findings in the journal Developmental Cell about how the blood-brain barrier develops and what makes the capillaries in the brain different from small blood vessels in other organs.
Mannitol dosing errors made during transport of patients with intracranial emergencies
Jun 15, 2015
Researchers in Alberta, Canada, investigated the use of the drug mannitol before and during transportation of patients with intracranial emergencies from peripheral hospitals to tertiary facilities that house neurosurgery departments. The focus was on the appropriate use of the drug and the extent to which dosing errors may have occurred. The authors found a 22% dosing error rate, with slightly more patients receiving a dose smaller, rather than larger, than the dose range recommended by the Brain Trauma Foundation.
Study links severe restless legs syndrome to increased risk of stroke
Jun 08, 2015
A new study suggests that increased restless legs syndrome severity is associated with subsequent increased risk of stroke. The research abstract was published recently in an online supplement of the journal Sleep and will be presented today at SLEEP 2015, the 29th annual meeting of the Associated Professional Sleep Societies LLC.
Reinflating balloon after carotid stenting appears to double risk of stroke and death
Jun 03, 2015
Although the overall risk of stroke and death is low in patients who undergo carotid stenting, the common practice of "ballooning" the vessel after the wire mesh is inserted can double the risk of death and stroke during or shortly after the procedure, according to findings published online May 30 in the Journal of Vascular Surgery.
Blood pressure medications can lead to increased risk of stroke
Jun 01, 2015
The harder hypertension is to control, the higher the risk for stroke, even if the treatment is successful, are the results of new research from the University of Alabama at Birmingham published in the journal Stroke.
Study: race influences warfarin dose
May 29, 2015
A new report demonstrates that clinical and genetic factors affecting dose requirements for warfarin vary by race. The study, published online in Blood, the Journal of the American Society of Hematology, proposes race-specific equations to help clinicians better calculate warfarin dosage.
Study identifies possible role for carbon monoxide in treating hemorrhagic stroke
May 26, 2015
A new study led by investigators at Beth Israel Deaconess Medical Center suggests that when administered in small, carefully controlled amounts, carbon monoxide may protect the brain from damage following subarachnoid hemorrhage. The new findings show that carbon monoxide can help accelerate a natural process that minimizes cognitive damage by speeding the clearance of heme.
Stroke risk clarified following routine thrombectomy
May 20, 2015
Clearing blood clots from arteries during treatment for an acute myocardial infarction was a relatively common practice until a recent, large-scale study showed that the technique, known as thrombectomy, might actually increase the risk of stroke. Now, new insights from the TOTAL trial, presented at EuroPCR 2015, indicate that the risk of stroke with thrombectomy during angioplasty, compared to angioplasty alone, is evident very early following the procedure.
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