Stroke-Struck: Medical and Surgical Advances for Neurovascular Disorders.

 

 #88: Stroke Struck, Installment #9 [24:40m]: Play Now | Play in Popup | Download (461)

Hear these reports:

• Failure To Admit Patients With Tia Ups Stroke Risk
• Reversing Trend - Hospitalizations For Stroke Decline In U.S Poststroke Costs Hit Young The Hardest
• Hispanic Stroke Awareness:
• Immune Response Genes Found Linked To Intracranial Aneurysm
• Reducing Post-Stroke Infections [And] Mortality From A Novel Caspase Inhibitor Drug.
• Ending Poststroke Therapy With Statins Too Soon May Raise Mortality Risk
• Hyperglycemia After Stroke Is Linked To Poor Outcomes
• Imaging, History Predict Early Post-Tia Stroke
• Intravenous Immunoglobulin For Acute Ischemic Stroke:
• Antidepressants May Improve Multiple Outcomes After Stroke

Weblinks:

• Activated Immune System Attacks The Brain After Stroke
• Glycosylated Proteins Have Increased BBB Penetration
• Increased Body Iron Stores Are Associated With Poor Outcome After Thrombolytic Treatment In Acute Stroke: Chelation Therapy May Hold Promise

Next week’s show: Our 6th installment of Policy for Neurology - Plans and strategies impacting your patients and your practice.

 

 #71: Stroke Struck, Installment #5 [25:07m]: Play Now | Play in Popup | Download (506)

Medical and surgical advances for neurovascular disorders. Installment #8

Publication Date: May 18th, 2007.

Focus: New AHA/ASA Stroke Guidelines - EMS emphasis.

1. New Stroke Guidelines Emphasize Role of EMS: The new Guidelines recommend that EMS personnel bypass a hospital that doesn’t have the resources or institutional commitment to treat stroke patients.
2. Two States’ Mandates Increased TPA Use in Stroke: In Massachusetts, for example, when ambulances with stroke patients were forced to take those patients to stroke centers, use of IV TPA increased from 30% to 50% after the law went into effect (an increase of 20 percentage points).
3. Metabolic Syndrome Found To Be Risk Factor for Stroke: According to data from the Northern Manhattan Stroke Study, metabolic syndrome is a significant risk factor for intracranial atherosclerosis-related stroke.

And last but not least: Give me the chocolate, and no one gets hurt!

Weblinks: www.stroke.ahajournals.org (to download latest Stroke Guidelines).

 

 #61: Stroke-Struck, Installment #7 [26:05m]: Play Now | Play in Popup | Download (401)

Medical and surgical advances for neurovascular disorders. This is the last of our three-part series of shows covering AHA’s International Stroke Meeting.

Publication Date: Mar 16th, 2007.

1. TPA is used in pediatric stroke despite lack of guidelines: Children have started the ‘clot-buster’ therapy at time intervals ranging from 20 minutes 52 hours.
2. Anticlotting drug use in children varies widely after stroke: What percent of children who”ve had arterial ischemic strokes do you think receive no anticoagulation therapy after the stroke? Listen and learn.
3. One in four acute ischemic stroke patients rapidly respond to intra-arterial treatment: The investigators referred to the rapid recovery from intra-arterial infusion of thrombolytic as the “Lazarus phenomenon.”
4. And last but not least: Contraceptive peace of mind now in convenient chewable form!

Links: http://stroke.ahajournals.org/cgi/content/full/36/9/1825 According to the Stroke report, the annual incidence of pediatric stroke is 4.3 per 100,000, and the majority of the stroke cases were hemorrhagic. The researchers projected that future studies of pediatric stroke would have to draw from a patient population of up to essentially 60 million children to complete a case-control study within 4 years.

 

 #60: Stroke-Struck, Installment #6 [27:12m]: Play Now | Play in Popup | Download (408)

Medical and surgical advances for neurovascular disorders. This is the second of three shows covering AHA’s International Stroke Meeting.

Publication Date: Mar 9th, 2007.

1. Tight glycemic control - does it help in acute stroke patients? Even in medicine, we make assumptions about what we think may result in best outcomes for our patients (like stabilizing glucose in stroke patients), but the research can prove us wrong!

2. Get with the guidelines: Diabetes is poorly addressed in acute stroke patients. Significant numbers of stroke patients with diabetes leave the hospital after a stroke without treatment plans that meet evidence-based guidelines.

3. Aspirin may be helpful for more than just pain, fever and thinning the blood. Even at low doses, it appears to prevent age-related declines in gray and white matter integrity.

4. And last but not least, the spirit of Seuss speaks: Call it the ‘bro,’ but into the dustbin, the boy-bras now go!

Links: Brain Awareness Week is coming up: Mar 12th to Mar 18th. It is an international program of public events to celebrate the brain. The campaign unites essentially 2000 partner organizations, including universities, medical and research organizations, patient advocacy groups, schools, government agencies, service groups, and professional organizations in 66 countries - all communicating the progress of brain research. For more information, go to www.dana.org.

 

 #59: Stroke-Struck, Installment #5 [22:56m]: Play Now | Play in Popup | Download (397)

Medical and surgical advances for neurovascular disorders. This is the first of 3 shows covering AHA’s International Stroke Meeting.

Publication Date: Mar 2nd, 2007.

1. Neurologist shortage hits stroke centers: There clearly aren’t enough neurologists to go around! It’s a major obstacle for hospitals to find neurologists available to consult 24 hours a day, 7 days a week.
2. The Neurological Emergencies Treatment Trials Network: The mission is to improve outcomes of patients with acute neurological problems - through innovative research.
3. NINDS gains new leadership: Neurologist and researcher Dr. Walter Koroshetz has been named deputy director.
4. The Stroke Treatment and Ongoing Prevention Act introduced again: The bill calls for public education efforts to increase awareness of the warning signs of stroke, and the need to treat acute ischemic stroke as a medical emergency.
5. And last but not least: Swoons of ’skinnies’ are stalling subways!

Links: Brain Awareness Week is coming up: Mar 12th to Mar 18th. It is an international program of public events to celebrate the brain. The campaign unites essentially 2000 partner organizations, including universities, medical and research organizations, patient advocacy groups, schools, government agencies, service groups, and professional organizations in 66 countries - all communicating the progress of brain research. For more information, go to www.dana.org.

 

 #42 - Stroke Struck [34:01m]: Play Now | Play in Popup | Download (368)

Our fourth installment of Stroke Struck - Medical and surgical advances for neurovascular disorders.

Publication Date: 11/03/06.

 

 #37 - Stroke Struck [35:57m]: Play Now | Play in Popup | Download (350)

Advances for Neurovascular Disorders, Installment #3.

Publication Date: 09/29/06.

Show notes: We tackle costs associated with comprehensive stroke centers, and what it takes to run them. Also: new application for statins to minimize vasospasm after subarachnoid hemorrhage; CT perfusion score to predict risk from tPA-induced hemorrhage; APACHE score to predict stroke outcome after 1 year; increased cerebral emboli in dementia patients; and last but not least for the male neurology professionals listening: do you shave at least once daily? Find out why we ask!

 

 #20 - Stroke Struck: Emphasis on the neurovascular disorders [21:19m]: Play Now | Play in Popup | Download (402)

Emphasis on the neurovascular disorders

 

 #11 - Stroke Struck - Emphasis on the neurovascular disorders [28:34m]: Play Now | Play in Popup | Download (22)

Publication date: March 31, 2006