Questions discussed in this category
How about a distal occlusion? The patient was initially symptomatic but symptoms improved or mostly resolved.
The patient has no known history of autoimmune disease.
Do you order any imaging beforehand? Are there other studies that you order?
Also how would you manage this perioperatively?
How does pravastatin differ in advantage from other high-intensity statins?
Do we prophylactically place patients on anticoagulation after one episode?
Besides MRI/MRV brain, are there other diagnostic imaging that should b...
Do you have a particular cutoff?
Do you ever recommend any specific sequences on MRA?
For patients clinically presenting with Transient Global Amnesia and no other focal neurologic deficits, do you always pursue work up to rule out stro...
What is the cost and accessibility of CYP2C19 gene testing? Does the limited availability of rapid genotyping techniques limit the clinical applicabil...
How do you plan to incorporate the results of the CHANCE-2 trial (Wang et al., PMID 34708996) in your own practice?
No thrombus detected on echocardiogram and no evidence of atrial fibrillation is present.
Do you distinguish between primary and secondary prevention? Wilson et al., PMID 31130428 is helpful, but curious how people apply this data in practi...
In the setting of no personal or family history and no other risk factors for thrombosis, is systemic anticoagulation warranted if local treatments (e...
While some have the practice of 90 days per SAMMPRIS, the lower rates of ischemic stroke in the medical therapy group were driven by events within the...
How do you approach secondary stroke prevention for patients with ischemic stroke, atrial fibrillation, and signs of cerebral amyloid angiopathy/micro...
What factors influence your thinking?
For what duration do you use therapy?
How does presence of intraventricular hemorrhage change your recommendations?
In what clinical scenario would you refer a patient for embolization? Are there any contraindications?
It seems clear that longer monitoring yields more AF detected. What is less clear to me is whether all ILR-detected AF is relevant and merits anticoag...
What is the best way to determine if patients with new PCA territory infarct can drive? Upon discharge from the hospital, do you routinely refer them ...
Thoughts on sarilumab vs methotrexate, or just treat with steroids alone
How would you treat patients with symptoms of AIS who have an allergic reaction to TPA with no evidence of large vessel occlusion on imaging? What nex...
For a relatively young, medically compliant patient with HFrEF (EF<35%) and h/o embolic stroke, what is the consensus of starting AC for secondary ...
For patients with ischemic stroke status-post decompressive hemi-craniectomy, when should they start aspirin for secondary stroke prevention? POD 5? P...
For example, with a Watchman device? What is the evidence behind this?
If so, how do you decide when to restart anticoagulants?
When would you consider stenting or CEA even if there is less than 50 obstruction when no other etiology has been found?
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Papers discussed in this category
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Neurology. Clinical practice, 2018-02
Stroke, 2015 May 28
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Stroke, 2011-04
Ann Neurol, 2020 Aug 05
Stroke, 2015-03
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J Am Coll Cardiol,
Stroke, 2021 May 24
Circulation, 2019-08-20
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JAMA,
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J Am Heart Assoc, 2020 Nov 23
Am J Hematol,
Eur J Neurol, 2017 Aug 20
Stroke, 2016 Dec 20
Stroke, 2010 Oct 28
J Thromb Haemost, 2010 Apr 08
Lancet Neurol, 2021 Sep 03
The New England journal of medicine, 2018-07-19
N Engl J Med, 2013 Jun 26
N Engl J Med, 2021 Oct 28
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JAMA neurology, 2019-04-01
Lancet Neurol, 2019 May 23
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Atherosclerosis, 2001-06
The American journal of clinical nutrition, 2008-10
Circulation. Cardiovascular genetics, 2008-12
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Human genetics, 2012-05
PeerJ, 2013
Nature, 2016-08-18
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Clin Neurol Neurosurg, 2013 Mar 21
J Hum Genet, 2006 Feb 18
Circulation, 2009-03-31
Cerebrovascular diseases (Basel, Switzerland), 2014
JAMA Neurol,
The New England journal of medicine, 2011-12-01
The New England journal of medicine, 2018-11-29
Circulation, 2019 Nov 11
N Engl J Med, 2017 Mar 17
Stroke, 2020 Apr 21
Lancet, 2016 May 10
J Neurol Neurosurg Psychiatry, 2016 May 13
J Am Heart Assoc, 2021 Feb 15
Neurology, 2010 Sep 08
Arthritis and rheumatism, 2007-07
Stroke, 2014-07
Cochrane Database Syst Rev, 2020 Oct 12
Archives of internal medicine, 1997-10-13
Lupus, 2011-02
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Lupus,
J Autoimmun, 2018 Feb 13
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Blood Adv,
The New England journal of medicine, 2018-02-15
N Engl J Med, 2020 Mar 29
N Engl J Med, 2003 Jul 10
Stroke, 2013-10
Stroke, 2016-01
Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association, 2019-08
Journal of the neurological sciences, 2019-08-15