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NIH Stroke Scale

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21. Treatment and Outcome of Hemorrhagic Transformation After Intravenous Alteplase in Acute Ischemic Stroke: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association

pressure at presentation, and severity of stroke at presentation (NIHSS); GWTG, Get With The Guidelines; HAT, Hemorrhage After Thrombolysis; MSS, Multicenter Stroke Survey; NIHSS, National Institutes of Health Stroke Scale; SEDAN, blood sugar, early infarct signs, hyperdense cerebral artery sign, age, NIHSS; SITS-ICH, Safe Implementation of Thrombolysis in Stroke–Intracranial Hemorrhage; SPAN, Stroke Prognostication Using Age and NIH Stroke Scale; and THRIVE, Totaled Health Risks in Vascular Events (...) and 24 h or hemorrhage leading to death Local or remote PH-2 Regardless of causal relationship CT/MRI 22–36 h after stroke onset GWTG-S Any neurological deterioration Any hemorrhage on CT Causal CT/MRI 24–36 h after onset IST-3 Clinically important worsening of deficit measured on a valid stroke scale or the occurrence of a clinical syndrome suggesting recurrent stroke Significant hemorrhage Hemorrhage sufficient to have contributed to the deterioration CT/MRI required at 24–48 h and with any

2017 American Heart Association

22. Prevention of Stroke in Patients With Silent Cerebrovascular Disease: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association

samples ; individuals with stroke have more prevalent WMHs (19.5% had confluent WMHs versus 7.5% of normal) and larger WMH volumes. Estimates of WMH volume are dependent on the MRI sequences and the WMH measurement methods used; thus, it is uncertain whether they can be directly compared across studies. provides estimates of the frequency of different WMH grades, measured on FLAIR with the Fazekas visual rating scale (Figure 6), for age categories from <55 to >75 years of age based on the findings (...) Prevention of Stroke in Patients With Silent Cerebrovascular Disease: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association Prevention of Stroke in Patients With Silent Cerebrovascular Disease: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association | Stroke Search Hello Guest! Login to your account Email Password Keep me logged in Search April 2019 March 2019 February 2019

2016 American Heart Association

23. NIH Stroke Scale

NIH Stroke Scale NIH Stroke Scale Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 NIH Stroke Scale NIH Stroke Scale Aka: NIH Stroke (...) Scale II. Precautions NIH Stroke Scale has imperfect interrater reliability (i.e. different scores by different providers) NIH Stroke Scale may be low despite severe, disabling symptoms and signs (e.g. in posterior CVA) Facial droop may be subtle Consider counting visible teeth on each side for comparison When a patient is too weak overall to perform a particular exam element Default to a lower score (as if patient could perform that element) Obviously this does not apply to a focal weakness

2015 FP Notebook

24. Management of Stroke in Neonates and Children (Full text)

to reduce the disability of 1 patient. Two clinical trials published in early 2018 extended the treatment window further for select patients with smaller completed infarcts yet large penumbra territories at risk for infarction. The DAWN trial (Clinical Mismatch in the Triage of Wake Up and Late Presenting Strokes Undergoing Neurointervention With Trevo) showed that thrombectomy from 6 to 24 hours after onset can be beneficial in adults with NIH Stroke Scale score >10 and core infarct volume <30 mL (...) (equivalent to <5% of hemisphere volume) or NIH Stroke Scale score >20 and core infarct volume <51 mL (equivalent to 10% of hemisphere volume). The DEFUSE 3 trial (Endovascular Therapy Following Imaging Evaluation for Ischemic Stroke 3) similarly found benefit when the thrombectomy was performed in an extended time window (6–16 hours after onset) in patients selected by perfusion imaging: an initial infarct size of <70 mL and a ratio of the volume of ischemic tissue on perfusion imaging to infarct volume

2019 American Heart Association PubMed

25. Heart Disease and Stroke Statistics (Full text)

Heart Disease and Stroke Statistics Heart Disease and Stroke Statistics—2019 Update: A Report From the American Heart Association | Circulation Search Hello Guest! Login to your account Email Password Keep me logged in Search March 2019 March 2019 March 2019 February 2019 February 2019 February 2019 February 2019 January 2019 January 2019 January 2019 January 2019 January 2019 This site uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Free Access article (...) . Physical Inactivity e99 5. Nutrition e119 6. Overweight and Obesity e138 Health Factors and Other Risk Factors 7. High Blood Cholesterol and Other Lipids e161 8. High Blood Pressure e174 9. Diabetes Mellitus e193 10. Metabolic Syndrome e212 11. Kidney Disease e233 12. Sleep e249 Cardiovascular Conditions/Diseases 13. Total Cardiovascular Diseases e257 14. Stroke (Cerebrovascular Disease) e281 15. Congenital Cardiovascular Defects and Kawasaki Disease e327 16. Disorders of Heart Rhythm e346 17. Sudden

2019 American Heart Association PubMed

26. ACR–ASNR–SIR–SNIS Practice Parameter for the Performance of Endovascular Embolectomy and Revascularization in Acute Stroke

the pool of patients for whom thrombectomy may be considered reasonable. For example, patients with isolated aphasia or hemianopia may be reasonable for treatment despite lower NIH stroke scale scores [15]. ? Select patients with large-vessel occlusion and an NIHSS 80 years) population. ? While patients 1/3 of MCA territory already infarcted, or ASPECTS 155 mg/dL) was associated with increased odds of poor outcome and death at 3 months [54]. The goal of glycemic control should be normoglycemia (80–120 (...) at: https://www.acr.org/-/media/ACR/Files/Practice- Parameters/Reporting-Archiv.pdf. Accessed April 19, 2017. 58. modified Rankin Scale (mRS). Available at: http://www.rankinscale.org/. Accessed July 3, 2017. 59. National Institutes of Health. NIH Stroke Scale. Available at: http://www.nihstrokescale.org/. Accessed July 3, 2017. 60. Zaidat OO, Yoo AJ, Khatri P, et al. Recommendations on angiographic revascularization grading standards for acute ischemic stroke: a consensus statement. Stroke. 2013;44(9

2019 American Society of Neuroradiology

27. Guidelines for the Prevention of Stroke in Patients with Stroke and Transient Ischemic Attack (Secondary Stroke Prevention)

populations are inaccurate markers for sleep apnea among patients with cerebrovascular disease. 268,271–278 Specifically, stroke patients with sleep apnea do not experience the same degree of sleepiness as nonstroke patients with sleep apnea and have lower BMI values. 273 The Epworth Sleepiness Scale is often normal among stroke patients with sleep apnea. 272–276 The Berlin Questionnaire also has poor positive and nega- tive predictive values among stroke patients. 277,278 Given that stroke and TIA (...) be clas- sified in terms of a focus on the acute stroke period versus the subacute or rehabilitation phase. Four randomized trials evaluated the use of early CPAP in the acute stroke period. 263,264,287,288 One trial of 55 patients with acute stroke demonstrated a greater improvement in the National Institutes of Health Stroke Scale (NIHSS) with early CPAP (median time from symptom onset to CPAP initiation of 39 hours) than with usual care (improvement of 3.0 versus 1.0; P=0.03) over a 1-month period

2014 Congress of Neurological Surgeons

28. Stroke in childhood - clinical guideline for diagnosis, management and rehabilitation

Program Early CT Score MRA Magnetic resonance angiogram MRI Magnetic resonance imaging mRS Modified Rankin Scale NCCPC-PV Non-Communicating Children’s Pain Checklist – Post-operative Version NDT Neurodevelopmental therapy NHS National Health Service NICE National Institute for Health and Care Excellence NIH National Institutes of Health NIHSS National Institutes of Health Stroke Scale NMS Neuromuscular stimulation ODN Operational Delivery Network PACNS Primary Angiitis of the Central Nervous Dystem (...) FVL Factor V Leiden GAS Goal Attainment Scaling GCS Glasgow Coma Scale GDG Guideline development group GOS Glasgow Outcome Scale GRADE methodology Grading of Recommendations Assessment, Development and Evaluation HAMLET Hemicraniectomy after MCA infarction with life-threatening edema trial HASU Hyperacute stroke unit HbS Sickle haemoglobin HCY Homocystinuria HR Heart rate HLA Human leukocyte antigen HS Haemorrhagic stroke HSCT Hematopoietic stem cell transplantation ICA Internal carotid artery ICF

2017 Royal College of Paediatrics and Child Health

29. ACR/ASNR/SIR/SNIS Practice Parameter for the Performance of Endovascular Embolectomy and Revascularization in Acute Stroke

the pool of patients for whom thrombectomy may be considered reasonable. For example, patients with isolated aphasia or hemianopia may be reasonable for treatment despite lower NIH stroke scale scores [15]. ? Select patients with large-vessel occlusion and an NIHSS 80 years) population. ? While patients 1/3 of MCA territory already infarcted, or ASPECTS 155 mg/dL) was associated with increased odds of poor outcome and death at 3 months [54]. The goal of glycemic control should be normoglycemia (80–120 (...) at: https://www.acr.org/-/media/ACR/Files/Practice- Parameters/Reporting-Archiv.pdf. Accessed April 19, 2017. 58. modified Rankin Scale (mRS). Available at: http://www.rankinscale.org/. Accessed July 3, 2017. 59. National Institutes of Health. NIH Stroke Scale. Available at: http://www.nihstrokescale.org/. Accessed July 3, 2017. 60. Zaidat OO, Yoo AJ, Khatri P, et al. Recommendations on angiographic revascularization grading standards for acute ischemic stroke: a consensus statement. Stroke. 2013;44(9

2018 Society of Interventional Radiology

30. 2018 guidelines for the early management of patients with acute ischemic stroke

cerebral artery MI Myocardial infarction MRA Magnetic resonance angiography MRI Magnetic resonance imaging mRS Modified Rankin Scale mTICI Modified Thrombolysis in Cerebral Infarction NCCT Noncontrast computed tomography NIHSS National Institutes of Health Stroke Scale NINDS National Institute of Neurological Disorders and Stroke OR Odds ratio OSA Obstructive sleep apnea RCT Randomized clinical trial RR Relative risk rtPA recombinant tissue-type plasminogen activator sICH Symptomatic intracerebral (...) 1.9. Stroke System Care Quality Improvement Process 2. Emergency Evaluation and Treatment 2.1. Stroke Scales 2.2. Brain Imaging 2.3. Other Diagnostic Tests 3. General Supportive Care and Emergency Treatment 3.1. Airway, Breathing, and Oxygenation 3.2. Blood Pressure 3.3. Temperature 3.4. Blood Glucose 3.5. IV Alteplase 3.6. Other IV Thrombolytics and Sonothrombolysis 3.7. Mechanical Thrombectomy 3.8. Other EVTs 3.9. Antiplatelet Treatment 3.10. Anticoagulants 3.11. Volume Expansion/Hemodilution

2018 American Academy of Neurology

31. 2015 American Heart Association/American Stroke Association Focused Update of the 2013 Guidelines for the Early Management of Patients With Acute Ischemic Stroke Regarding Endovascular Treatment (Full text)

at 3 months, or symptomatic intracerebral hemorrhage (sICH) at 7 days. There were no significant differences in outcomes in subgroups, including time to treatment (0–3 or 3–4.5 hours), baseline National Institutes of Health Stroke Scale (NIHSS) score (<11 or ≥11), and age (≤67 years or >67 years). Table 2. Selected Eligibility Criteria for Recent Randomized, Clinical Trials of Endovascular Treatments for Acute Ischemic Stroke Treatment Groups Eligibility Study Active vs Control IV r-tPA Eligible (...) Clinical Trial of Endovascular Treatment for Acute Ischemic Stroke; MR RESCUE, MR and Recanalization of Stroke Clots Using Embolectomy; MRA, magnetic resonance angiography; MRI, magnetic resonance imaging; mRS, modified Rankin scale; NIHSS, National Institutes of Health Stroke Scale; r-tPA, recombinant tissue-type plasminogen activator; REVASCAT, Endovascular Revascularization With Solitaire Device Versus Best Medical Therapy in Anterior Circulation Stroke Within 8 Hours; SWIFT PRIME, Solitaire FR

2015 American Heart Association PubMed

32. Science News » NIH Nearly Doubles Investment in BRAIN Initiative Research

of new grants in each of the following categories: Tools for Cells and Circuits: NIH BRAIN Initiative researchers will devise new tools and methods for rapidly identifying cells and genes that control certain brain circuits, including using ultrasound waves to turn circuits on and off. Large Scale Recording and Modulation – New Technologies: NIH BRAIN Initiative researchers will explore creative ways to monitor and manipulate brain activity, including creating large scale flexible probes (...) for recording activity deep inside a brain. Large Scale Recording and Modulation – Optimization: These grants will help NIH BRAIN Initiative researchers enhance current methods of monitoring and manipulating brain activity, including using the gene that lights up plankton to make neurons fire. Large Scale Recording and Modulation – New Concepts and Early Stage Research: NIH BRAIN Initiative researchers will devise novel ways to monitor and manipulate brain activity, including creating a “neural dust” system

2016 NIMH blog

33. The Expressed Genome in Cardiovascular Diseases and Stroke: Refinement, Diagnosis, and Prediction: A Scientific Statement From the American Heart Association

The Expressed Genome in Cardiovascular Diseases and Stroke: Refinement, Diagnosis, and Prediction: A Scientific Statement From the American Heart Association The Expressed Genome in Cardiovascular Diseases and Stroke: Refinement, Diagnosis, and Prediction: A Scientific Statement From the American Heart Association | Circulation: Cardiovascular Genetics Search Hello Guest! Login to your account Email Password Keep me logged in Search February 2019 January 2019 This site uses cookies (...) . By continuing to browse this site you are agreeing to our use of cookies. Free Access article Share on Jump to Free Access article The Expressed Genome in Cardiovascular Diseases and Stroke: Refinement, Diagnosis, and Prediction: A Scientific Statement From the American Heart Association , MD, PhD, MPH, FAHA, Chair , MD, PhD, FAHA, Co-Chair , PhD, FAHA , MD, FAHA , MD, FAHA , MD, MHS, FAHA , MD, MPH, FAHA , MD , and MD, FAHA MD, MS, FAHAon behalf of the American Heart Association Committee on Molecular

2017 American Heart Association

34. Management of Brain Arteriovenous Malformations: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association

Management of Brain Arteriovenous Malformations: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association Management of Brain Arteriovenous Malformations: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association | Stroke Search Hello Guest! Login to your account Email Password Keep me logged in Search April 2019 March 2019 February 2019 February 2019 January 2019 This site uses (...) cookies. By continuing to browse this site you are agreeing to our use of cookies. Free Access article Share on Jump to Free Access article Management of Brain Arteriovenous Malformations: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association , MD, FAHA, Chair , MD, FAHA, Vice Chair , MD , MD , MD, FAHA , and MD, PhD PhD, MS, FAHAon behalf of the American Heart Association Stroke Council Colin P. Derdeyn , Gregory J. Zipfel , Felipe C

2017 American Heart Association

35. Heart Disease and Stroke Statistics 2017 Update: A Report From the American Heart Association (Full text)

at Houston None None None None None None None Cathleen Gillespie Centers for Disease Control and Prevention None None None None None None None Carmen R. Isasi Albert Einstein College of Medicine Epidemiology & Population Health None None None None None None None Monik C. Jiménez Brigham and Women's Hospital, Harvard Medical School NIH (K01HL124391)† None None None None None None Lori Chaffin Jordan Vanderbilt University NIH (Grants to study stroke prevention in children and young adults with sickle cell (...) University of South Carolina NINDS† None None None None None None John T. Wilkins Northwestern University None None None None None None None Joshua Z. Willey Columbia University NIH (NINDS K23 073104)†; NIH (StrokeNET, local PI of POINT trial aspirin and clopidogrel versus aspirin alone for minor stroke or TIA)*; Astra-Zeneca (Local PI for clinical trial SOCRATES aspirin versus ticagrelor)*; Genentech (Local PI for clinical trial PRISMS - alteplase versus placebo in minor stroke or TIA)* None None None

2017 American Heart Association PubMed

36. Treatment and outcome of hemorrhagic transformation after intravenous alteplase in acute ischemic stroke

After Thrombolysis; MSS, Multicenter Stroke Survey; NIHSS, National Institutes of Health Stroke Scale; SEDAN, blood sugar, early infarct signs, hyperdense cerebral artery sign, age, NIHSS; SITS-ICH, Safe Implementation of Thrombolysis in Stroke–Intracranial Hemorrhage; SPAN, Stroke Prognostication Using Age and NIH Stroke Scale; and THRIVE, Totaled Health Risks in Vascular Events. Risk scores for sICH can be helpful for guiding patients’ and their families’ expectations and perhaps to inform (...) Causal CT/MRI 24–36 h after onset IST-3 Clinically important worsening of deficit measured on a valid stroke scale or the occurrence of a clinical syndrome suggesting recurrent stroke Significant hemorrhage Hemorrhage sufficient to have contributed to the deterioration CT/MRI required at 24–48 h and with any clinical change; primary analysis evaluated hemorrhage within 7 d Heidelberg classification scheme Clinical deterioration defined as increase of ≥4 points in total NIHSS score at the time

2017 American Academy of Neurology

37. Self-Care for the Prevention and Management of Cardiovascular Disease and Stroke

Self-Care for the Prevention and Management of Cardiovascular Disease and Stroke Self‐Care for the Prevention and Management of Cardiovascular Disease and Stroke | Journal of the American Heart Association Search Hello Guest! Login to your account Email Password Keep me logged in Search April 2019 March 2019 March 2019 February 2019 February 2019 January 2019 January 2019 This site uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Open Access article Share (...) on Jump to Open Access article Self‐Care for the Prevention and Management of Cardiovascular Disease and Stroke A Scientific Statement for Healthcare Professionals From the American Heart Association , PhD, RN, FAHA, Chair , PhD, RN, FAHA, Vice Chair , PhD, RN, FAHA , PhD, RN, FAHA , PhD, RN, FAHA , PhD, RN, FAHA , PhD, RN, FAHA , MD, FAHA , MD, FAHA , PhD, RN, FAHA , and PhD Barbara Riegel , Debra K. Moser , Harleah G. Buck , Victoria Vaughan Dickson , Sandra B. Dunbar , Christopher S. Lee , Terry

2017 American Heart Association

38. The Diagnosis and Acute Management of Childhood Stroke, Clinical Guideline

Ohio Trauma System CPSS Cincinnati Prehospital Stroke Scale CRP C- reactive protein CT Computed Tomography CTA Computed Tomography Angiography DBP Diastolic Blood Pressure DCE Dynamic Contrast Enhanced DWI Diffusion Weighted Imaging EEG Electroencephalogram EPI Echo Planar Imaging FLAIR Fluid-Attenuated Inversion Recovery FSE Fast Spin Echo g grams GA General Anesthetic GRADE Grades of Recommendation, Assessment, Development and Evaluation HIV Human Immunodeficiency Virus IA Intra-arterial ICP (...) Intracranial pressure ICU Intensive Care Unit IH Intracranial Haemorrhage IL interleukin INR International Normalised Ratio IPSS International Pediatric Stroke Study IV Intra-venous LMWH Low Molecular Weight Heparin MCA Middle Cerebral Artery MI Myocardial Infarction ml milliliters MMCAI Malignant Middle Cerebral Artery Infarction MMP Matrix metalloproteinase MRA Magnetic Resonance Angiography MRI Magnetic Resonance Imaging mRS Modified Rankin Scale MRV Magnetic Resonance Venography MTHFR

2017 Stroke Foundation - Australia

39. Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack (Full text)

subjects, including those with and without hypertension, were included. Treatment also reduced the risk of MI and all vascular events. One additional large-scale, randomized trial of antihypertensive medications after stroke was not included in either meta-analysis because it included an active control or was published too late: Morbidity and Mortality after Stroke, Eprosartan Compared with Nitrendipine for Secondary Prevention (MOSES). In MOSES, 1405 subjects with hypertension and a stroke or TIA (...) Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack Guidelines for the Prevention of Stroke in Patients With Stroke and Transient Ischemic Attack | Stroke Search Hello Guest! Login to your account Email Password Keep me logged in Search April 2019 March 2019 February 2019 February 2019 January 2019 This site uses cookies. By continuing to browse this site you are agreeing to our use of cookies. Free Access article Share on Jump to Free Access article

2014 American Heart Association PubMed

40. Guidelines for the Prevention of Stroke in Women: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association (Full text)

Guidelines for the Prevention of Stroke in Women: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association Guidelines for the Prevention of Stroke in Women | Stroke Search Hello Guest! Login to your account Email Password Keep me logged in Search April 2019 March 2019 February 2019 February 2019 January 2019 Free Access article Share on Jump to Free Access article Guidelines for the Prevention of Stroke in Women A Statement for Healthcare (...) Professionals From the American Heart Association/American Stroke Association , MD, MHS, FAHA , MD, PhD, FAHA , MD, MSc , MD, MPH, FAHA , DNP, RN, FAHA , MD, MPH, FAHA , PhD, MSPH, FAHA , PhD, MPH , PhD, MPH, FAHA , MD, MPH, FAHA , PhD, DVM, FAHA , MD, MPH , MD, MSc, FAHA , MD, FAHA , MD , and MD, PhD MD, MBChB, MScon behalf of the American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, Council on Clinical Cardiology, Council on Epidemiology and Prevention, and Council

2014 American Heart Association PubMed

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