Stroke/Cerebrovascular

ICH and Aspirin/Clopidogrel/Hypertension Treatment Following intracerebral hemorrhage, what is the role of antihypertensive therapy and aspirin/clopidogrel?
Experts And Viewpoints, September 21, 2004
The Use of Magnesium in Stroke What is the current status regarding the use of magnesium during both hemorrhagic and thrombotic strokes?
Experts And Viewpoints, September 07, 2004
ACE Inhibitors and Secondary TIA Prevention Do ACE inhibitors play a role in the secondary prevention of transient ischemic attacks?
Experts And Viewpoints, February 26, 2004
Basal Ganglia Hematoma and Antiplatelet Therapy What secondary preventive pharmacotherapy may be appropriate for a patient with a recent hematoma and multiple CV risk factors?
Experts And Viewpoints, April 10, 2003
What Measures Should Be Taken for Stroke-in-Evolution? Once or twice a year, I encounter a patient with a mild deficit who progresses to complete hemiplegia despite such measures as anticoagulant therapy, maintenance of adequate BP and hydration, etc.
Experts And Viewpoints, September 30, 2002
Heparin for acute stroke treatment? Is there evidence to support the use of heparin for treating acute stroke?
Experts And Viewpoints, August 19, 2002
Aspirin and Clopidogrel for Secondary Stroke Prevention? Is there any evidence to support this combination?
Experts And Viewpoints, July 29, 2002
Treatment of Cerebral Venous Sinus Thrombosis Read this expert's recommendations.
Experts And Viewpoints, June 18, 2002
Ask the Experts - What Is the Real Utility of LP in the Setting of... I'm curious about the work-up/differential of so-called sentinel bleeds. If a brain CT with and without contrast is unremarkable on the day of a "thunderclap headache," what is the real utility of a lumbar puncture?
Experts And Viewpoints, August 07, 2001
Ask the Experts - A Puzzling Ischemic Episode? I have a patient with no history of previous illnesses who was doing fine until 3 weeks ago, when he developed a sudden loss of balance, dizziness, and loss of strength in his legs while he was sitting in his house watching TV. He had been complaining of lower back pain in the previous days and apparently took some orphenadrine tablets he bought at the local pharmacy.
Experts And Viewpoints, July 17, 2001
Ask the Experts - How to Treat a Subdural Hematoma in a Patient With... A 71-year-old nonsmoking, nonhypertensive, nondiabetic Asian woman, with no other significant previous medical history, who was not receiving hormone replacement therapy, experienced sudden onset of right-sided paralysis while standing in her kitchen. Most likely diagnosis: transient ischemic attack (TIA).
Experts And Viewpoints, December 19, 2000
Ask the Experts - Causes of Stroke in a Child How should I proceed in order to find the cause of stroke in this young patient?
Experts And Viewpoints, December 14, 2000
Ask the Experts - Treatment of Moderate but Symptomatic Carotid Stenosis? He has a history of hypertension and underwent a coronary artery bypass graft more than 10 years ago but clinically is very stable and in good condition. Would you consider carotid endarterectomy or would you manage him medically and repeat the Doppler in 6-12 months?
Experts And Viewpoints, November 02, 2000
Ask the Experts - Feasible Treatment Plan After Partial AVM Resection? When is the most suitable period for postoperative angiography and the most suitable and feasible plan of treatment?
Experts And Viewpoints, October 31, 2000
Ask the Experts - Is It Safe for My Patient to Become Pregnant After... The patient is a 32-year-old woman, in whom I clipped a posterior communicating artery aneurysm. She achieved a full recovery with no deficit. No other aneurysms were found. She has no history of hypertension, diabetes, or smoking. She wants to become pregnant. Are there any contraindications to her becoming pregnant, in relation to her history of aneurysm surgery?
Experts And Viewpoints, September 21, 2000
Ask the Experts - What Investigations Would Help to Diagnose the Cause... She is currently receiving oral anticoagulation medication with good control of INR. Can you suggest any further investigations that might be of diagnostic use?
Experts And Viewpoints, August 31, 2000
Ask the Experts - How Can You Be Sure That an Ischemic Event Is Not a... Is rtPA recommended when there is a history of TIAs in the past with the same degree of deficit?
Experts And Viewpoints, August 24, 2000
Ask the Experts - What Is the Risk of Hemorrhage for Unruptured AVMs... What is the risk of hemorrhage for unruptured arteriovenous malformations (AVMs) found incidentally on MRI? Does this risk differ according to the age of the patient? Does the risk change depending on the size of the AVM? What is the risk for rehemmorhage of an AVM that has already ruptured in the above categories?
Experts And Viewpoints, August 17, 2000
Ask the Experts - What Is the Next Strategy for a Patient With... The brain MRA showed moderate stenosis of the intracranial internal carotid arteries (ICAs) bilaterally, but more severe on left. The neck duplex showed mild to moderate atherosclerotic changes. At present, we are using aspirin 100 mg/day + ticlopidine 300 mg/day + Coumadin 7.5 mg/day (INR 2.5-3), but the TIAs persist. What is the next strategy to help my patient?
Experts And Viewpoints, July 25, 2000
Ask the Experts - What Is the Current Thinking About Inheritance Risks... Could you please give me some information regarding current thinking on the possible inheritance risks and best screening modalities, if appropriate?
Experts And Viewpoints, July 07, 2000

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