case study for ischemic stroke

CASE 1. A 20 year old man with no past medical history presented to a primary stroke center with sudden left sided weakness and imbalance followed by decreased level of consciousness. Head CT showed no hemorrhage, no acute ischemic changes, and a hyper-dense basilar artery. CT angiography showed a mid-basilar occlusion.

The acute inflammatory state COVID-19 is known to produce had the potential to create a prothrombotic environment, culminating in an ischaemic stroke. Some early case studies produced in Wuhan describe patients in the sixth decade of life that had not been previously noted to have antiphospholipid antibodies, contain the antibodies in blood ...

This case study presents a 68-year old "right-handed" African-American man named Randall Swanson. He has a history of hypertension, hyperlipidemia and a history of smoking one pack per day for the last 20 years. ... the doctor must make the diagnosis of an acute ischemic stroke, and the patient must continue to present with neurological ...

Read chapter 7 of Patient Management in the Telemetry/Cardiac Step-Down Unit: A Case-Based Approach online now, exclusively on AccessMedicine. AccessMedicine is a subscription-based resource from McGraw Hill that features trusted medical content from the best minds in medicine.

Presentation of Case. Dr. Scott B. Silverman: A 68-year-old man was admitted to this hospital because of worsening confusion. The patient had a history of hypertension and coronary artery disease ...

Background. Cerebrovascular disease causes significant disease burden, becoming the second leading cause of mortality and the third leading cause of disability worldwide. 1 Atrial fibrillation is a well-recognised cause of ischaemic stroke, affecting approximately 33 million people globally. 2 Dabigatran is a direct oral anticoagulant (DOAC) that is now widely used for stroke prophylaxis in ...

Each year in the United States, approximately 700,000 people have an acute ischemic stroke. 1 Before modern treatments, early mortality was 10%. 2 Among survivors, one half had moderate-to-severe ...

Cramer, SC, Rordorf, G, Maki, JH, et al. Increased pelvic vein thrombi in cryptogenic stroke: results of the Paradoxical Emboli from Large Veins in Ischemic Stroke (PELVIS) study. Stroke 2004;35:46-50

Acute ischemic stroke (AIS) was diagnosed in 5% of the cases ( 2 ). However, a much lower rate of only 0.9% imaging confirmed AIS i.e., 32/3,556 total patients case number with COVID-19 was reported in New York USA ( 3 ). Subsequent retrospective reports from Europe have also confirmed AIS as a common neurovascular complications of SARS-CoV2 ...

We compared 961 patients with a first‐ever IS at 25 to 49 years to 1403 frequency‐matched stroke‐free controls from a population‐based cohort study (FINRISK).Assessed risk factors included an active malignancy, atrial fibrillation, cardiovascular disease, current smoking status, a family history of stroke, high low‐density lipoprotein cholesterol, high triglycerides, low high ...

Ferdinand K. Hui, Alejandro M. Spiotta, Michael J. Alexander, Ricardo A. Hanel, Blaise William Baxter. Outlines state-of-the art approaches to interventional management of complex stroke cases. Includes the latest evidence-based clinical guidelines from ASA and AAN. Provides a case-based, easy to read, practical approach to enhance learning.

Abstract. Increasing evidence reports a greater incidence of stroke among patients with Coronavirus disease 2019 (COVID-19) than the non-COVID-19 population and suggests that SARS-CoV-2 infection represents a risk factor for thromboembolic and acute ischemic stroke. Elderly people have higher risk factors associated with acute ischemic stroke or embolization vascular events, and advanced age ...

Carotid web is an underdiagnosed cause of embolic stroke. A case-control study showed that in patients under the age of 60, 4/64 patients with cryptogenic stroke were found to have an ipsilateral carotid web as compared to 1/102 matched nonstroke controls, yielding an odds ratio of 8 (95% CI, 1.2-67). 3 In addition, 13 out of 500 patients from the MR-CLEAN trial (Multicenter Randomized ...

The National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group (1995) Tissue plasminogen activator for acute ischemic stroke. N Engl J Med 333 : 1581-1588 Adams HP Jr et al .

Case Study. A 68-year-old female, with a history of hypertension and diabetes mellitus, presented to the ED after acute onset of speech difficulty and right-sided weakness. ... Adult patients presenting with acute ischemic stroke due to large vessel occlusion within 16 hours of symptom onset should be considered for mechanical thrombectomy.

General Submissions: Presentations (Oral and Poster) Ischemic stroke: A case study. Rudolf Cymorr Kirby P. Martinez, PhD, MA, RN, CAA, LMT, CSTP, FRIN. Item Link - Use this link for citations and online mentions. This presents an analysis of a case of Ischemic stroke in terms of possible etiology, pathophysiology, drug analysis and nursing care.

The risk of both recurrent ischemic stroke and intracranial hemorrhage is highest in the first few days after acute ischemic stroke, and although studies and small ... the case with NIHSS-based ...

INTRODUCTION. Stroke is the fourth leading cause of death and the largest cause of adult neurological disability in the UK. 1 2 The associated socioeconomic burden is huge; the aggregate cost of stroke, including long-term healthcare, rehabilitation and loss of employment, is estimated to be £25.6 billion per year. 3 As such, it is one of the key diseases targeted by the National Health ...

In this retrospective study, the case records of 1,287 stroke patients admitted to Al-basher Hospital during a three-year period were reviewed. The stroke patient cohort included 60% men and 40% ...

Guidelines help to facilitate treatment decisions based on available evidence, and also to provide recommendations in areas of uncertainty. In this paper, we compare the recommendations for stroke workup and secondary prevention of ischemic stroke and transient ischemic attack of the American Heart Association (AHA)/American Stroke Association (ASA) with the European Stroke Organization (ESO ...

A 66-year-old man was admitted to hospital with a right frontal cerebral infarct producing left-sided weakness and a deterioration in his speech pattern. The cerebral infarct was confirmed with CT imaging. The only evidence of respiratory symptoms on admission was a 2 L oxygen requirement, maintaining oxygen saturations between 88% and 92%. In a matter of hours this patient developed a greater ...

Ischemic stroke (IS), caused by blood vessel occlusion, is the most prevalent type of stroke, reporting 80% of all stroke cases 2. Brain tissue is extremely sensitive to ischemia, producing ...

Abstract. Objective: This study aimed to evaluate the predictive value of IL-6 for stroke recurrence in acute ischemic stroke. Methods: Patients who were admitted within 48 h of onset were included. At 3-month, stroke recurrence was assessed. IL-6 levels were measured in serum samples taken upon admission. Results: Out of the 305 patients, 47 (15.4%) experienced a stroke recurrence.

Despite recent findings indicating a paradoxical association between high-density lipoprotein cholesterol (HDL-C) levels and cardiovascular disease (CVD) mortality, the impact of HDL-C on subsequent outcomes after ischemic stroke remains unclear. The study aims to investigate the relationships between HDL-C levels and post-stroke functional ...

Ischemic stroke (IS) is associated with high mortality and high risk of recurrent vascular events worldwide [1,2,3].Despite adequate secondary prevention, about 11% of patients suffer a recurrent stroke within the first year [].Diabetes mellitus (DM) is a highly prevalent cardiovascular risk factor and is present in about one-third of IS patients [5, 6].

The most important factor in the management of acute ischemic stroke is time. The patient with ischemic stroke loses 190,0000 brain cells every minute, about 14000,000,000 nerve connections are destroyed every minute and 12 km (7.5 miles) of nerve fibres are lost every minute. The brain ages 3.6 years for every hour it is deprived of blood ...

Citation: Neither adjunctive intravenous argatroban nor eptifibatide significantly improves ischemic stroke outcomes: Study (2024, September 4) retrieved 6 September 2024 from https ...

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. This study was funded by the Natural Science Foundation of Hunan Province (grant no. 2023JJ40072), the Science and Technology Planning Project of Hunan Health Committee (grant no. D202303076376), the Medical Clinical Research 4310 Project of University of South China (grant no ...

Case report. We present a case of a 69 - old patient admitted in the Neurological Ward of "St. George Hospital in Plovdiv in 2015, Bulgaria with right hemiparesis due to ischemic stroke in the basin of the left middle cerebral artery. This was a patient with sensory aphasia and paralysis facials in the right side.

Background: Observational researches have suggested a connection between iron deficiency anemia (IDA) and an increased likelihood of ischemic stroke (IS), yet establishing causality is challenging owing to the inherent limitations of such studies, including their vulnerability to confounding factors and the potential for reverse causation. . This study employs a bidirectional two-sample ...