PMID: 15247541Jul 13, 2004Paper

Update on stroke

Current Opinion in Neurology
Julio A ChalelaSteven Warach

Abstract

This review highlights some advances in the areas of epidemiology, therapy, and imaging of acute stroke. Studies published in 2003 provided new insights into the epidemiology of stroke. The African American Antiplatelet Stroke Prevention Study found that traditional stroke risk factors are still undiagnosed and undertreated, particularly in minorities. Cohort studies have identified incident silent infarcts as risk factors for stroke and history of type I diabetes as a risk factor for death in patients with acute stroke. Cervical artery dissection, on the other hand, seems to have a benign course. Imaging has become an important tool for understanding the pathophysiology of stroke, as demonstrated in recent publications. New studies have shown the prognostic value of magnetic resonance imaging: it can predict the volume of ischemic tissue that will progress to infarction and detects cerebral microbleeds - a risk factor for intracranial hemorrhage. Computed tomographic scanning may have a role in selecting patients for thrombolysis, particularly when validated scales are used. Despite the barriers to the use of tissue plasminogen activator in the treatment of patients with stroke, data published this year show that it is a safe ...Continue Reading

References

Jan 15, 2003·Neurology·S RulandUNKNOWN AAASPS Investigators. African American Antiplatelet Stroke Prevention Study
Feb 8, 2003·Stroke; a Journal of Cerebral Circulation·Sarah E VermeerUNKNOWN Rotterdam Scan Study
Feb 8, 2003·Stroke; a Journal of Cerebral Circulation·Susan P LaingHarry Keen
Apr 5, 2003·Stroke; a Journal of Cerebral Circulation·Harold P AdamsUNKNOWN Stroke Council of the American Stroke Association
May 10, 2003·Stroke; a Journal of Cerebral Circulation·Ludy C ShihChelsea S Kidwell
May 17, 2003·Stroke; a Journal of Cerebral Circulation·UNKNOWN FOOD Trial Collaboration
Jul 3, 2003·Annals of Neurology·Dong-Wha KangSteven Warach
Jul 5, 2003·Stroke; a Journal of Cerebral Circulation·Michael D HillUNKNOWN PROACT-II Investigators
Aug 2, 2003·Stroke; a Journal of Cerebral Circulation·Tracey A BairdStephen M Davis
Aug 9, 2003·Stroke; a Journal of Cerebral Circulation·Eun-Chol SongByung-Woo Yoon
Sep 23, 2003·Stroke; a Journal of Cerebral Circulation·Stella AslanyanUNKNOWN GAIN International Steering Committee and Investigators
Nov 15, 2003·Stroke; a Journal of Cerebral Circulation·Thomas S BowmanJ Michael Gaziano
Nov 26, 2003·Neurology·E TouzéUNKNOWN Multicenter Survey on Natural History of Cervical Artery Dissection

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Citations

Jan 22, 2005·European Radiology·Majda M Thurnher, Mauricio Castillo
Feb 11, 2016·Surgical Neurology International·Gӧkhan AkdemirEkin Su Akdemir
Mar 13, 2010·The American Journal of Emergency Medicine·Joseph R ShiberAdemola Adewale
Dec 24, 2009·Journal of Cerebral Blood Flow and Metabolism : Official Journal of the International Society of Cerebral Blood Flow and Metabolism·Jae Hwan KimJong Eun Lee
Dec 19, 2006·Clinica Chimica Acta; International Journal of Clinical Chemistry·Stamatis P EfstathiouTheodore D Mountokalakis
Apr 21, 2006·Neurochemistry International·Benjamin KläsnerNikolaus Plesnila
Jul 29, 2005·Critical Reviews in Clinical Laboratory Sciences·Kenneth K Wu, Nena Matijevic-Aleksic
Mar 1, 2005·Journal of the Royal Army Medical Corps·A J MooreE Swallow

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