World Stroke Organization #MondayTips
Every Monday, WSA Social Media Leader Rodrigo Guerrero publishes a #MondayTip on the WSA WorldStrokeEd Twitter account, covering a specific stroke related topic. You can find a compilation of our #MondayTips here!
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#MondayTip
The↗️burden of stroke & dementia emphasizes the need for new, well-tolerated, cost-effective 1ry prevention strategies to⬇️the risks worldwide, and specifically LMICs
@WorldStrokeOrg Multilevel community interventions for 1ry stroke prevention
https://journals.sagepub.com/doi/10.1177/1747493019873706
#MondayTip
Triphasic #pattern of growth of #PeriHematomal Edema after ICH🩸
⚡️Fast growing phase: 1-3 days
🦥Slow growing & peak phase: 1-3 weeks
🧽Resorption phase: > 3 weeks
From: 👉https://www.frontiersin.org/articles/10.3389/fimmu.2021.740632/full
👉https://www.ahajournals.org/doi/10.1161/STROKEAHA.116.014416
#MondayTip
☝🏼When assessing #ICAD, is not just about #stenosis
🧠Standard and novel #imaging modalities in the assessment of #intracraneal #atherosclerosis
Vía @IntJStroke
#openaccess
🆓
https://journals.sagepub.com/doi/full/10.1177/17474930211066427
#MondayTip
🧠Some patients present with mild worsening of post stroke deficits, w/ DWI (-) & normal EEG
This is called a #Recrudescence
👉 https://jamanetwork.com/journals/jamaneurology/fullarticle/2646625
☝🏼Infection, hypotension, hyponatremia, insomnia or stress, and benzodiazepine use are important precipitants
#MondayTip
Although a classic, #TOAST classification is still useful
Features of #TOAST classification of subtypes of ischemic stroke
https://www.ahajournals.org/doi/10.1161/01.str.24.1.35
#MondayTip
Suggested approach to patients with ischemic #stroke despite oral #anticoagulation
From: https://jnnp.bmj.com/content/early/2022/06/20/jnnp-2020-325249
#MondayTip
🧠Don’t forget to prevent #DVT in patients with #ICH 🩸
-🦵🏾 intermittent pneumatic compression
or
- 💉pharmacological prophylaxis (as soon as 2nd day + no signs of hematoma expansion)
Table from: https://www.ahajournals.org/doi/10.1161/STROKEAHA.122.036884
#MondayTip
🩸Intracerebral hemorrhage is not just blood
#perihematoma
#inflammation
#edema
#oxidative
Mechanism of injury after #ICH
From : https://www.ahajournals.org/doi/10.1161/CIRCRESAHA.121.319949
#MondayTip
#WhiteMatter arteries
&
#WhiteMatter arterial #supply
From @Brain1878
https://academic.oup.com/brain/article-abstract/144/12/3561/6414213?redirectedFrom=fulltext
#MondayTip
Patients aged <60 years with an otherwise unexplained ischaemic #stroke and a #PFO with high-risk clinical and/or anatomical features should be diagnosed with PFO-#associated stroke and should no longer be diagnosed with #ESUS
@GeorgeNtaios
https://www.nature.com/articles/s41582-022-00663-4
#MondayTip
Are you starting a #stroke center and you want to replicate a good #model?
🧠⚡️🚨🚑📞🏥💉😊
So, you must know the #Helsinki model 👉https://n.neurology.org/content/79/4/306
An example of its application: https://n.neurology.org/content/81/12/1071worlwor
#MondayTip
Sometime is good to make a pause, and watch the current scenario to make #reflections and work on #reactions
How to make better #trials in acute stroke and rehabilitation treatments?
Keith Muir @UofGlasgow & @gsaposnik make their points here👇
Current State and Future for Emerging Stroke Therapies: Reflections and Reactions
www.ahajournals.org
#MondayTip
The #PREFLAIR study is the basis for the “DWI-Flair mismatch” concept used in the @WAKEUPstroke trial
In the study, the #mismatch identified patients within 4·5 of symptom onset with:
Se 62%
Sp 78%
PPV 83%
NPP 54%
https://www.thelancet.com/journals/laneur/article/PIIS1474-4422(11)70192-2/fulltext
#MondayTip
Suggested treatment of patient with #Intracranial atherosclerotic stenosis
#ICAS
From https://www.thelancet.com/journals/laneur/article/PIIS1474-4422(21)00376-8/fulltext
@TheLancetNeuro
#MondayTip
🧠#Cerebrovascular disease associated with #syndromes
☝️Always perform a #general examination of your patient (ie eyes, skin, nails) with stroke, aneurysm, etc., and check for family history
Table from https://doi.org/10.1016/j.nec.2021.09.010
📢Dear colleagues and friends
✨Our #Moments are updated!!
Check:
#Paperofthemonth
👉https://twitter.com/i/events/1518346592574750721?s=20
#MondayTip
👉https://twitter.com/i/events/1384746780680667140?s=20
#Weekendlecture
👉https://twitter.com/i/events/1378036039198052358?s=20
Enjoy!