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Cryptogenic Strokes
 
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Dr. Mary Ann Bauman tells us more about cryptogenic strokes and the new patient guide.
Views: 600 KMTV 3 News Now
Cryptogenic Stroke Patients
 
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About one in four strokes in the U.S. are “cryptogenic” meaning the cause is undetermined. Statistics show cryptogenic stroke patients have reason to be concerned: A prior stroke is the number one risk factor for a second stroke. According to a new survey by the American Heart Association/American Stroke Association more than 50 percent of stroke patients and family caregivers report feeling anxious and frustrated when the cause of stroke is not detected.
Views: 75 KGUN9
2015 American Stroke Association Cryptogenic Stroke Conference
 
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Highlights from the 2015 American Stroke Association Cryptogenic Stroke Conference in Washington, D.C. – Learn more about what the American Stroke Association is doing to advance the diagnosis and treatment of strokes of unknown etiology.
Investigating Cryptogenic Stroke
 
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In many ways, cryptogenic strokes are a mystery; one that strikes a younger than normal patient population with very little warning. “Typically we see the cryptogenic stoke, which means stroke from unknown cause, in the young age group. This is the 40-60 year old population. Sometimes it’s as low as 30’s,” says Dr. Robert Cross, who is an interventional cardiologist with Lee Memorial Health System. Mostly seen in people under 45 without common risk factors, cryptogenic strokes leave little doubt, but many questions. “A patient may come in with full blown stroke symptoms - numbness, slurred speech, drooling. They’re treated aggressively then you’re looking for the reason they had the stroke,” says Dr. Cross. Cardiologists often get involved because of a potential link between cryptogenic strokes and the heart condition Afib. An irregular heartbeat heightens stroke risk and with a third of stroke survivors vulnerable to a second stroke, it is important to get answers. An implantable loop recorder is frequently used to track heart activity. “It’s a wireless system that monitors the patients to see if they have any of these arrhythmias which sometimes could take months to manifest themselves,” says Dr. Cross. Studies find monitoring long term, greatly increases the chance of identifying elusive Afib and treating it appropriately. “Is this just a benign rhythm that just needs lifestyle changes, treatment with medicines, or is this a more malignant rhythm that can predetermine stroke?” says Dr. Cross. Employing super-sleuth tactics are worth the effort to solve a life-threatening mystery. View More Health Matters video segments at leememorial.org/healthmatters/ Lee Memorial Health System in Fort Myers, FL is the largest network of medical care facilities in Southwest Florida and is highly respected for its expertise, innovation and quality of care. For nearly a century, we’ve been providing our community with everything from primary care treatment to highly specialized care services and robotic assisted surgeries. Visit leememorial.org
Views: 164 Lee Health
Stroke Survivor Story: Overcoming the Unknown
 
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Dan Merritt had a stroke while waiting for a doctor’s appointment on Halloween and then a second later that night. After a third cryptogenic stroke, finding answers became the trick. Learn more about cryptogenic stroke at www.StrokeAssociation.org/CS
Cryptogenic Stroke - Dr. Babak Navi
 
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Babak Navi, M.D., the Director of the Stroke Center at NewYork-Presbyterian/Weill Cornell Medical Center, discusses a clinical trial for patients who have had a cryptogenic stroke, a type of stroke where the cause is unknown. You can learn more about Dr. Navi at: http://nyp.org/physician/nbabak
What Is A Cryptogenic Stroke?
 
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In this video, I describe what a cryptogenic stroke and its connection with atrial fibrillation is. A crypotegenic stroke is basically an explained stroke, and can be linked to undiagnosed atrial fibrillation. Visit my website at https://drafib.com Information is strictly educational in nature Thank you for visiting Dr. AFib. I'm Dr. Morales. In today's video segment we're going to be talking about cryptogenic stroke. Now, what is a cryptogenic stroke? Well, to be honest, a cryptogenic stroke is a fancy way of saying that you had a stroke and nobody knows why you had it. This is a not uncommon thing that patients describe to me, that they had a stroke in the past, and they couldn't really figure out why a patient had a stroke, meaning somebody has a stroke. They've been in the hospital. They've had MRI's done on their head. They've had testing done that looked for blockages of the arteries of their neck or their head. They've had a heart testing done, like an echocardiogram, that showed no significant valve disease or holes in your heart, and you've worn a heart monitor for several days, which didn't really show any arrhythmias. After several days, if you've gotten better, then you end up getting discharged and go home, but at the end result, the patient had a stroke but nobody really knows why it happened. In these patients, a lot of times the reason for the stroke can be undiagnosed atrial fibrillation. Now, the tricky thing about these situations that to be certain that a stroke was caused by atrial fibrillation, or to be able to better prevent another stroke by managing atrial fibrillation better, you have to catch it. And sometimes when people are in the hospital for several days, you don't have any episodes of atrial fibrillation, and you may not know that you have the condition. There have been some studies that have shown that when people have had a cryptogenic stroke that it can take over 80 days of monitoring in order to be able to actually catch atrial fibrillation and then figure out the diagnosis of atrial fibrillation. So, what I emphasize to patients is when they're in the hospital with a new stroke and we have found no clear reason why they've had a stroke, that it requires further testing, even outside of the hospital, to see if there's any undiagnosed atrial fibrillation. This additional testing is needed to make sure patients are diagnosed properly and to make sure they are placed on the right medications to prevent any future strokes. Typically, after a hospitalization, you may start off with simple heart monitors that go on top of your skin to see if there's any evidence for undiagnosed atrial fibrillation, but some of these heart monitors on your skin, they probably last about as long as a month, which may still not pick up episodes of atrial fibrillation. Once you've had a stroke, picking up the reason for having a stroke or picking up episodes of atrial fibrillation can greatly help to improve the risk of having a second stroke. Sometimes people need even longer monitoring than the monitors that can go on your skin. In those cases, there are monitors that go underneath your skin called implantable cardiac monitors or also called implantable loop recorders, which are actually good for up to three years in terms of a battery life that can help your doctor figure out if you have undiagnosed atrial fibrillation and get you on the right treatment strategy to prevent a second stroke. So, if you've had a stroke and nobody seems to be very clear about why it happened to you, you've had all your neurology testing, you've had all your cardiac testing and nobody can figure out why, please discuss with your doctor the possibility of having undiagnosed atrial fibrillation and what testing may be required in order to try to figure that out. Thank you for visiting this video segment of Dr. AFib. I'll see you next time. #atrialfibrillation #afib #AF #cryptogenicstroke #stroke
Views: 156 Doctor AFib
Cryptogenic Stroke Multidisciplinary Pathways Video
 
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Learn about a collaborative care approach and model to better support stroke survivors who suffer a stroke of an unknown/unexplained cause; also known as cryptogenic stroke.
Cryptogenic Stroke - Sydney's Story
 
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Cryptogenic Stroke - This is a common diagnosis in children and young adults with stroke.  It simply means that the cause for stroke is unknown.  While in some cases, even after thorough investigation, the cause may remain unknown, stroke experts at referral centers may offer investigations that find a cause that was missed.  Sometimes this is very important for management strategies to prevent recurrent stroke.  In children, a cause of stroke can be identified in most cases.  Our Foundation wants to provide education to local hospitals to improve diagnosis, treatment and rehabilitation of young stroke patients.   Let's work together to create solutions for families not problems.  A ray of hope is a powerful treatment for the despair that comes with a new diagnosis of stroke.
Understanding Stroke
 
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Stroke is the third leading cause of death in America. Dr. Melvin Wichter, a neurologist at Advocate Christ Medical Center, discusses the different types of stroke and how a stroke differs from a heart attack.
Views: 366 AdvocateHealthCare
Stroke (for patients & families)
 
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Find more videos at http://osms.it/more. Study better with Osmosis Prime. Retain more of what you’re learning, gain a deeper understanding of key concepts, and feel more prepared for your courses and exams. Sign up for a free trial at http://osms.it/more. Subscribe to our Youtube channel at http://osms.it/subscribe. Get early access to our upcoming video releases, practice questions, giveaways and more when you follow us on social: Facebook: http://osms.it/facebook Twitter: http://osms.it/twitter Instagram: http://osms.it/instagram Thank you to our Patreon supporters: Sumant Nanduri Omar Berrios Alex Wright Suzanne Peek Arfan Azam Mingli Féng Osmosis Vision: Empowering the world’s caregivers with the best learning experience possible.
Views: 41706 Osmosis
Ischemic Stroke and Transient Ischemic Attack for USMLE Step 1 and Step 2
 
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Today we are looking at ischemic stroke and transient ischemic attack for USMLE Step 1 and Step 2. PATHOGENESIS Emboli is a major cause, which may be cardiogenic or Cardiogenic emboli leads to atrial fibrillation or atrial flutter. Mural thrombus occurs after an Myocardial infarction which forms an emboli in the left ventricular. Stroke may also be due to Valvular causes either prosthetic valve, rheumatic valve, vegetations. If there is a patent foramen ovale a stroke may also occur from a DVT. Artery to artery emboli can be from plaques located in Aorta and Carotid Artery and are audible on auscultation as a bruit. Thrombus may also be a cause of stroke that forms in carotid and vertebral artery. They decrease blood flow to the brain. Thrombus in the intracranial arteries, such as circle of willis, may also lead to eventual ischemic stroke. Lacunar infarcts occur in smaller vessels secondary to hypertension. With chronic hypertension develops lipohyalonis and fibrinoid deposition which eventually occludes the artery. TIA lasts less than 24 hours, but now defined more as whether or not infarction has occurred. TIA also increases the risk of future stroke and is associated with syncope, amnesia and seizures. Must differentiate multiple sclerosis, brain tumor, brain abscess and intracerebral hemorrhage. RISK FACTORS Risk factors for stroke are generally the same as MI, Hypertension, Atherosclerosis, Diabetes and obesity. Also hypercoagulable state, amyloid angiopathy. Atrial Fibrillation, MI, Previous TB. NEUROANATOMY Anterior Circulation – Begins with internal carotid artery. Then branches anteriorly to Anterior Cerebral Artery and the Middle Cerebral Artery. Posterior Circulation – Starts with the vertebral artery and gives off branches to the Posterior Inferior Cerebellar Artery (PICA). Combines to form the Basilar Artery, Superior Cerebellar Artery and the Posterior Cerebral Artery (PCA). STROKE SYNDROMES Stroke in Internal Carotid Artery is usually due to atherosclerotic plaque, but are generally asymptomatic because of compensation from circle of Willis. However, patient may still experience monocular blindness and a bruit. Strokes in the anterior cerebral artery (ACA) affect the lower extremity, abulia and urinary incontinence. Strokes in the middle cerebral artery (MCA) affect the upper limb and face as well as speech, decrease conjugate gaze, homonymous hemianopia. Lacunar strokes present with pure motor or pure sensory loss, ataxia, clumsy hand. Vertebral artery strokes are divided as extracranial which is known as the subclavian steal syndrome, and intracranial strokes affect the medullar oblongata. Anterior Spinal Artery Strokes Lateral Medullar Syndrome aka Wallenberg Syndrome, PICA syndrome have ipsilateral pain and numbness in the face, diplopia, vertigo, nausea/vomiting and Horner Syndrome. On the contralateral defect in pain and temperature in the body. Medial Medullar Syndrome is due to stroke in the anterior cerebellar artery. Ipsilateral tongue paralysis due to 12 cranial nerve. Contralateral paralsysi and decrease proprioception due to pyramidal and medial lemniscus. Basilar artery strokes leads to locked in syndrome and there is no volitional besides moving their eyes. Strokes affecting the midbrain include CN 3 and so they will have down and out. If there is contralateral hemiplegia is known as weber syndrome. Benedikt Syndrome there is additional gait abnormalities. Posterior Cerebral Artery strokes have visual problems and homonymous hemianopia with macular sparing. MANAGEMENT Start with the airway, breathing, circulation. Then check blood glucose and ABG that might mimic strokes. Non-contrast CT within 25 minutes to rule our hemorrhage, which will require surgery. Then begin thrombolysis or thrombolectomy. Contraindications for thrombolysis include, history of stroke or head trauma, atriovenous malformation, aneurysm, recent surgery, hypertension, hypoglycemia, internal bleeding, coagulopathy. Must be given less than 3 hours. Thrombolectomy only up to internal carotid artery. Then determine the cause with Doppler ultrasound of carotid or vertebral artery. CT Angiography or MRA looking for thrombus of smaller arteries and distinguish where the lesion or stroke occurred. Transcranial Doppler helps identify in MCA, ACA, PCA strokes. Cardiac evaluation to look for emboli in the heart with echo, ECG, lipid levels.
Views: 15736 the study spot
Stroke Chart- USMLE Step 1 High Yield
 
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1. Draw along with me 2. Memorize chart 3. Draw chart before test and use it as reference for any stroke question and you'll get it right!
Views: 44180 Jonathan Shayo
Improving Outcomes in Stroke
 
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Trials have shown that endovascular thrombectomy within 6 hours after the onset of ischemic stroke symptoms has a clinical benefit, but the effect after more than 6 hours is not known. New research findings are summarized in a short video. See the related NEJM article: http://www.nejm.org/doi/full/10.1056/NEJMoa1706442
Views: 3140 NEJMvideo
7 Risk Factors for Stroke
 
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7 Risk Factors for Stroke 1. Prior Stroke or Transient Ischemic Attack Having a stroke puts an individual at increased risk for having another, or recurrent, stroke. The National Stroke Association estimates at least 25- to 35-percent of Americans who have a stroke each year will have a recurrent stroke within their lifetime. Within 5-years of an initial stroke, the risk for recurrent stroke can increase more than 40-percent. Within 5-years of a stroke, 24-percent of women and 42-percent of men will experience a recurrent stroke. A transient ischemic attack, also referred to as a mini-stroke, may have the same symptoms as a stroke, but the symptoms resolve in minutes to hours (usually less than 24 hours). Symptoms may include weakness, trouble speaking, vision problems, headache, and dizziness. TIA is a medical emergency because it puts individuals at increased for stroke. According to the National Stroke Association 40-percent of individuals who have a TIA will have an actual stroke. Nearly 50-percent of all strokes occur within a few days after TIA. 2. Hypertension Hypertension, also known as high blood pressure, is a major risk factor for stroke. An article published in Hypertension reports the condition affects approximately 43-million individuals in the United States. If an individual is older than 60-years, hypertension is defined as a blood pressure greater than 150/90 mm Hg. If an individual is younger than 60-years, hypertension is defined as a blood pressure greater than 140/90-mm Hg. An article published in the Archives of Internal Medicine reports less than 30-percent of those being treated have blood pressure lower than 140/90-mm Hg. Hypertension is the most common and modifiable risk factor for stroke. The treatment of hypertension reduces the risk of stroke. An article published in Lancet reports that a decrease in diastolic blood pressure of 5- to 6-mm Hg reduces the risk for stroke by 42-percent. The Systolic Hypertension in the Elderly Program (SHEP) study shows treatment of isolated systolic hypertension in the elderly decreases the risk for stroke by 36-percent. 3. Myocardial Infarction Myocardial infarction (MI), or heart attack, is a major risk factor for stroke. It is directly related to and caused by atherosclerosis, which is the hardening of arteries with cholesterol-like plaque. An article published in Chest reports the incidence of ischemic stroke is approximately 1- to 2-percent per year after MI. An Israeli clinical trial concluded the risk for stroke is greatest in the first month after MI (31-percent). Treatment to prevent stroke after MI may include oral anticoagulants (blood thinners) and antiplatelet agents. The oral anticoagulant warfarin (Coumadin) is recommended in individuals after MI with persistent atrial fibrillation, decreased left ventricular function, or left ventricular blood clot. A study done by the American College of Physicians reported a decrease in stroke after MI of approximately 1-percent per year with warfarin. An article published in the Annals of Internal Medicine using the same guidelines suggested aspirin, an antiplatelet agent, reduces the risk for stroke after MI by approximately 30-percent. 4. Diabetes Diabetes is one of the most common diagnoses in medicine and is an established risk factor for stroke. There are two types of diabetes—type 1 and type 2. In type 1-diabetes, the pancreas does not produce any insulin. Insulin is a hormone that lowers blood glucose levels. In type 2-diabetes, the body’s tissues are resistant to the action of insulin. Both types of diabetes result in high blood glucose levels, or hyperglycemia. Diabetes is diagnosed when the fasting blood glucose level is equal to or greater than 126 mg/dl. Individuals with diabetes are at increased for ischemic stroke. The American Diabetes Association (ADA) reports individuals with diabetes are 1.5-times more likely to have a stroke than nondiabetics. Diabetics are also more likely to have hypertension and hyperlipidemia (high cholesterol), which further increases the risk for stroke. The United Kingdom Prospective Diabetes Study (UKPDS) demonstrated a 25-percent reduction in stroke with more intensive blood glucose control. Help us to be better SUBSCRIBE for more videos here: https://www.youtube.com/channel/UCBKaaYvjeWaaOjNQyIfBCSw?sub_confirmation=1 More from Natural Cures: -https://www.youtube.com/watch?v=fGCeGG_rO4o -https://www.youtube.com/watch?v=Zze_sUJbnEk -https://www.youtube.com/watch?v=3jmZ6u_yy3s Backsound Free Royalty Licence by
Views: 17 Natural Cures
Prof M V Padma (AIIMS) - PFO Closure in ESUS ? (No)
 
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Should closure of PFO be recommended treatment and standard care of patient with ESUS ? PFO is associated with cryptogenic stroke (stroke of unclear etiology). PFO is present in 20-25% of the adult population, but in 40% of adults with cryptogenic stroke. Despite the association between PFO and cryptogenic stroke, three early randomized clinical trials (CLOSURE I, PC trial, and RESPECT short-term) did not show a clear benefit of PFO closure for secondary stroke prevention. In March 2016, a meta-analysis of patient-level data from CLOSURE I, PC, and RESPECT was published. This meta-analysis found that PFO closure was superior to medical therapy for the prevention of recurrent ischemic stroke. When the analysis was restricted to the trials in which only the Amplatzer PFO occluder device was used (PC and RESPECT), the benefit appeared even greater. Should closure of PFO be recommended treatment and standard care of patient with ESUS ? Prof. M V Padma Srivastava(MBBS, MD, DM. FAMS, F.N.A.Sc) Dr Padma Srivastava has a primary area of interest in Stroke, Vascular Dementia and Multiple Sclerosis besides actively participating in the Epilepsy Program at AIIMS. She initiated the Hyperacute Reperfusion strategies including the thrombolysis program  for acute ischemic stroke at AIIMS. She is currently the President of the Indian Stroke Association and was instrumental in formulating the India Stroke Guidelines which are now endorsed by the ISA. She has been the visiting professor to the Department of Neurology, UMASS, Boston. She has more than 200 publications in peer reviewed publications including journals and chapters in books. She is also the recipient of the prestigious Vimla Virmani Oration,  Achanta Laxmipathy Oration from  NAMS, K.L.Wig Oratin from API & Fellowship from NAMS and NASI.
Views: 108 Stroke Neurology
New Updates in Ischemic Stroke and TIA
 
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This is a Grand Rounds from the Department of Emergency Medicine at the University of Ottawa. The presenter is Dr. Simeon Mitchell. The presenter has no conflicts of interest to declare. The views and opinions expressed on this video are those of Dr. Mitchell's and do not necessarily reflect the views and opinions of The Department of Emergency Medicine at the University of Ottawa or The Ottawa Hospital. This video should not be construed as personal medical advice and is not intended to replace medical advice offered by physicians.
Views: 3519 EM Ottawa
Stroke syndromes OCSP  Etiology TOAST
 
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This is a Learning in 10 voice annotated presentation (VAP) on Stroke syndromes OCSP Etiology TOAST To learn more about Learning in 10 (LIT), please visit learningin10.com. -- Learning in 10 (LIT) Reviews is a collection of 10-minute, user-friendly video lectures covering topics in the United States Medical Licensing Exam (USMLE) Step 2CK examination. LIT Reviews can be used by medical students to supplement their lecture materials. LIT Reviews have been created by world-class clinical faculty and each video undergoes a peer-review process to ensure accuracy of information.
Views: 337 Learning in 10
5th Annual Neuroscience Symposium | Dr. Srinath Kadimi | Cryptogenic Stroke
 
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5th Annual Neuroscience Symposium Topic: Cryptogenic Stroke Speaker: Srinath Kadimi, MD Presented by: St. Mary's Medical Center - West Palm Beach, FL Palm Beach Neuroscience Institute - West Palm Beach, FL Palm Beach Children Hospital at St. Mary's Medical Center
Views: 238 TFPS Docs
HealthBreak: Karen Hoerst, MD, Cryptogenic Stroke
 
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Risk factors like high blood pressure, high cholesterol, diabetes, or smoking can often explain why someone has a stroke. But in 25% of strokes, these factors are not present. Dr. Karen Hoerst describes Cryptogenic Stroke in this edition of Healthbreak.
#10 Cryptogenic stroke: Solving the unsolved
 
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Diagnostic dilemmas, cryptogenic infarcts account for almost a third of all stroke subtypes. But if you break it down, it's really not so complicated. In our tenth episode, Dr. Noah Levinson gets some insight into the diagnostic approach of this confounding condition. BrainWaves podcasts and online content are intended for medical education only and should not be used to guide medical decision making in routine clinical practice. Any cases discussed in this episode are fictional and do not contain any patient health identifying information. The content in this episode was vetted and approved by Michael Mullen. REFERENCES 1. Hart RG, Diener HC, Coutts SB, Easton JD, Granger CB, O'Donnell MJ, Sacco RL, Connolly SJ and Cryptogenic Stroke EIWG. Embolic strokes of undetermined source: the case for a new clinical construct. The Lancet Neurology. 2014;13:429-38. 2. Jacobs BS, Boden-Albala B, Lin IF and Sacco RL. Stroke in the young in the northern Manhattan stroke study. Stroke; a journal of cerebral circulation. 2002;33:2789-93. 3. Putaala J, Metso AJ, Metso TM, Konkola N, Kraemer Y, Haapaniemi E, Kaste M and Tatlisumak T. Analysis of 1008 consecutive patients aged 15 to 49 with first-ever ischemic stroke: the Helsinki young stroke registry. Stroke; a journal of cerebral circulation. 2009;40:1195-203. 4. Bang OY, Lee PH, Joo SY, Lee JS, Joo IS and Huh K. Frequency and mechanisms of stroke recurrence after cryptogenic stroke. Annals of neurology. 2003;54:227-34.
Views: 16 BrainWaves Staff
Dr Subhash Kaul - PFO Closure in ESUS Stroke? (Yes)
 
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Should closure of PFO be recommended treatment and standard care of patient with ESUS ? PFO is associated with cryptogenic stroke (stroke of unclear etiology). PFO is present in 20-25% of the adult population, but in 40% of adults with cryptogenic stroke.  Despite the association between PFO and cryptogenic stroke, three early randomized clinical trials (CLOSURE I, PC trial, and RESPECT short-term) did not show a clear benefit of PFO closure for secondary stroke prevention. In March 2016, a meta-analysis of patient-level data from CLOSURE I, PC, and RESPECT was published. This meta-analysis found that PFO closure was superior to medical therapy for the prevention of recurrent ischemic stroke. When the analysis was restricted to the trials in which only the Amplatzer PFO occluder device was used (PC and RESPECT), the benefit appeared even greater. Should closure of PFO be recommended treatment and standard care of patient with ESUS ? Dr. Subhash Kaul MD (Gen Medicine), DM (Neurology), FRCP(Glasgow), FAAN (USA)Sr. Consultant Neurologist Qualifications: MBBS, Govt. Medical College, Srinagar, 1975-80MD (Gen.Medicine), Govt.Medical College, Srinagar, 1980-85DM (Neurology), PGIMER, Chandigarh, 1985-90Stroke Fellowship (NIH Maryland, USA), 1994-1996 Experience : Professor of Neurology, Head Unit II, NIMS, Hyderabad 2000-04 Head, Department of Neurology, NIMS, Hyderabad 2004-18 Dean Incharge, NIMS, Hyderabad 2015-18 Publications: 120 in National and International journals Awards And Honors: State Teachers Award, Government of Telengana 2017Past President, Andhra Pradesh Neuroscientists AssociationPast President, Indian Stroke AssociationPast President, Indian Academy of NeurologyFellow of Indian Academy of NeurologyFellow of American Academy of NeurologyFellow of American Stroke AssociationFellow of Royal College of Physicians (Glasgow)
Views: 137 Stroke Neurology
PFO closure for cryptogenic stroke CATCD 2008
 
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Saibal Kar MD, Mark Reisman MD, Greg Fontana MD, and Jonathan Tobis MD discuss PFO closure to treat cryptogenic stroke at the 2008 Controversies and Advances in the Treatment of Cardiovascular Disease in Los Angles.
Views: 2842 CardiacControversies
Animation showing an ischaemic stroke
 
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In an ischaemic stroke the blood vessel is blocked by a blood clot, which interrupts the brain’s blood supply. Please visit the 'Self-Help 4 Stroke' website, a self-management resource for people who have had a stroke - http://selfhelp4stroke.org
An Inspiring Comeback: A Stroke Survivor Story
 
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If you have trouble getting motivated to work out, take your inspiration from Christina Goyette. The 38-year-old stroke survivor pumps iron everyday. She went from being paralyzed for eight weeks to being more than 90% recovered from her stroke. Christina says, "Renown helped me tremendously with their staff that always gave me hope that I will make it - that I will walk again, that I will talk again and I will eat again." Now she is determined to get full movement back in the left side of her body. She is truly an inspiration. renown.org
Views: 28568 Renown Health
Radiology 9 6 18
 
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"Imaging of Acute Ischemic Stroke" Hugo Cuellar, MD, PhD Associate Professor of Neurosurgery, Neurology, and Radiology Director of Neurointerventional Surgery LSU Health Shreveport Co-Director, Stroke Center UH/LSUHSC-Shreveport
Views: 81 LSUHSC-Shreveport
Closure of PFO hole in the heart with Gore device
 
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Following the unprecedented Gore REDUCE Clinical Study conclusion that closure of patent foramen ovale (PFO) can prevent recurrent ischemic strokes, W. L. Gore & Associates, Inc. (Gore) has received approval from the U.S. Food and Drug Administration (FDA) for an expanded indication for its GORE® CARDIOFORM Septal Occluder. The device, already approved for closure of atrial septal defects (ASDs) up to 17 mm, is now also approved for the closure of PFO to reduce the risk of recurrent ischemic stroke in certain patients.* To view the multimedia release go to: https://www.multivu.com/players/English/8301551-gore-cardioform-septal-occluder-fda-approval/
Views: 2960 MultiVu
The Link Between Atrial Fibrillation & Stroke
 
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Dr. Alan Cheng discusses the correlation between atrial fibrillation and stroke. Visit our website to learn more about the AF Advantage portfolio: http://www.medtronic.com/us-en/c/af-advantage.html
Views: 505 MedtronicCardiac
San Diego Health: Preventing and Treating Strokes
 
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Host Susan Taylor and Dr. Kalafut discuss the risk factors, prevention, diagnosis, and treatment of strokes. Learn more or find a neurologist: http://bit.ly/2E8ew5r 0:50 - What is a stroke? 1:04 - What causes a stroke? 1:16 - What are the symptoms of a stroke? 1:29 - Do all symptoms of a stroke come in a cluster? 1:54 - Are there different types of strokes? 2:31 - What is a transient ischemic attack? 3:34 - What is a cryptogenic stroke? 5:39 - What is the age for someone at risk for a cryptogenic stroke? 6:32 - Why is time so critical in diagnosing a stroke? 7:45 - When you're having a stroke, should you call 911 and have an ambulance come or should you drive yourself to the hospital? 8:17 - Who is at risk for having a stroke? 8:36 - What tests are used to diagnose a stroke? 9:59 - What is the likelihood of having a second stroke? 10:57 - What does FAST stand for? 11:45 - If you have a stroke, what is the treatment? 12:45 - Where does family history stand as a risk factor? 13:00 - Who makes up the stroke rehabilitation team? 13:37 - How long does it take to come back from a stroke? 13:56 - Are strokes largely preventable? 14:31 - What is the difference between a primary and a comprehensive stroke center? 15:35 - What is the Gold Plus status for stroke hospitals?
Views: 60 Scripps Health
International Academy of Cardiology: J. Rod Gimble, M.D.: CRYPTOGENIC STROKE - COULD LONG TERM
 
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CRYPTOGENIC STROKE - COULD LONG TERM CARDIAC MONITORING UNCOVER THE CAUSE J. Rod Gimbel, M.D. Knoxville, TN, USA Presented at the: International Academy of Cardiology 18th World Congress on Heart Disease Annual Scientific Sessions 2013 Vancouver, B.C., Canada July 26-29, 2013 Congress Chairman: Asher Kimchi, M.D. http://www.CardiologyOnline.com Cardiology Online To read more about this presentation click here to download the Word file: http://www.cardiologyonline.com/wchd13/Abstracts/PL10/3119%20Gimbel.doc PLAN TO ATTEND: International Academy of Cardiology Annual Scientific Sessions 2017 22nd World Congress on Heart Disease Vancouver, BC, Canada July 14-July 16, 2017 Congress Chairman: Asher Kimchi, M.D. http://www.CardiologyOnline.com
Views: 350 Cardiology Online
Can a Biomarker Predict Which Ischemic Stroke Patients Benefit From Different Therapies?
 
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From the 2013 AAN Annual Meeting: Can a biomarker predict which ischemic stroke patients benefit from anticoagulants or antiplatelet agents? In a video interview, Neurology Today's Editor-in-Chief Steven P. Ringel, MD, and Associate Editor Robert Holloway, MD, discuss the key clinical takeaways from the latest analysis of data from the Antiphospholipid Antibodies and Stroke Study and the Warfarin-Aspirin Recurrent Stroke Study. The full story here: http://bit.ly/1cZcek5
Views: 132 Neurology Today
Unusual Causes of Stroke
 
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There multiple causes of stroke, many of them out of the ordinary.
Views: 351 HenryFordTV
Coagulation and ischemic stroke - W Doehner
 
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This video was recorded during the ESC Heart & Brain workshop course held at Charles University in Prague, Czech Republic. The goal of this first edition of this workshop was to bring together leading experts in the field of stroke and cardiologists, neurologists, radiologists, surgeons and other specialists to learn from each other. Find out more about the ESC Council on Stroke: https://www.escardio.org/Councils/Council-on-Stroke?hit=youtube
PFO Stroke Animation
 
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Dr. Robert J. Cubeddu is the Medical Director of the Structural and Adult Congenital Heart Program at Aventura Hospital and Medical Center, Miami, Florida. Dr. Cubeddu trained at the Massachusetts General Hospital in Harvard Medical School where he acquired expertise training in minimally invasive catheter-based technology to treat multiple structural heart related conditions. In this interview we had the honor to meet Dr. Cubeddu and speak with him about PFO closure. Q: What is a PFO? A: A PFO is the abbreviated term for "patent foramen ovale"; a small "tunnel-like" hole or communication present along the septal wall that separates the upper two chambers of the heart. Typically this hole closes shortly after birth, however in some people the hole may never close and can remain open throughout adulthood. Q: How many people have a PFO? A: It is estimated that approximately 20% of adults have a PFO, that is 1 in 5 people. In most cases, having a PFO is medically not important. However, in a small percentage of patients with a PFO it may be associated with the development of stroke and/or migraine headaches. Q: How do you check for PFO? A: A PFO can be diagnosed with a conventional echocardiogram using the administration of "agitated saline" . This diagnostic test is simple, routine, non-invasive, and takes approximately 10-15 minutes. Q: Who should be checked for a PFO? A: Patients with unexplained strokes or history of debilitating migraine headaches should be evaluated for a PFO. Q: Can patients have their PFO closed? A: Yes, PFO closure is possible and recommended in some patients. The objective of closing the PFO is to prevent future strokes in patients who have not had success with blood thinners or simply cannot take them. Q: How can patients have their PFO closed? A: Nowadays, PFO closure may be performed by skilled operators with expertise training in structural heart interventions. The procedure takes approximately 1-2 hours and is performed through a minimally invasive 5 mm incision at the level of the groin under local anesthesia. A long catheter is carefully maneuvered up to the heart across the PFO. A special double-umbrella device is then delivered through this catheter to close the PFO successfully. The procedure is pain-free. Recovery times are short with nearly all patients discharged by the following morning. Q: Are migraine sufferers considered candidates for closure? A: Currently the evidence to support PFO closure in patients with migraines is relatively controversial. However in some patients with disabling migraines and who are unresponsive to medical therapy, PFO closure may be considered. Q: Tell us about recent cases you've conducted? A: We have had many stroke victims referred for PFO closure. I am happy to say that our experience has been 100% success. For more information about PFO closure, and other innovative catheter-based structural heart disease interventions including: • Percutaneous valve replacement. • Repair of congenital heart defects. • Alcohol septal ablation. • And other stroke prevention strategies in patients with atrial fibrillation contact Dr. Cubeddu at 786-428-1059 or visit us at http://aventura.floridaheartandvascular.com , serving Aventura and surrounding Miami-Dade and Broward county. ================================================
Views: 38440 AHMCaventura
Young Adults Could be at Risk for Stroke | UCLA Health
 
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Jennifer Reilly was 28 years old when she began experiencing some odd symptoms. Half of her left hand went numb. She could move her fingers, but she couldn’t feel anything on the outer part of that hand. Because she was so young, Reilly just assumed it was nothing. She was wrong. She was having a stroke. The numbness recurred off and on for several days. Then one night she had a piercing headache, an uncommon event for her. She mentioned her symptoms to a work colleague, who urged her to see a doctor. “I didn’t know I was having a stroke at the time,” said Reilly, now 35. “I just assumed I was a healthy, normal 28-year-old.” Reilly saw several doctors and finally landed at UCLA in the neurology department, where she said Dr. David Liebeskind, professor of neurology, director of Outpatient Stroke and Neurovascular Programs and director of the Neurovascular Imaging Research Core. After a battery of tests, Reilly was diagnosed with Moyamoya disease - a rare, progressive cerebrovascular disorder caused by blocked arteries at the base of the brain, cutting off blood flow. One of the first symptoms of Moyamoya is recurrent transient ischemic attacks, or TIAs, commonly referred to as “mini-strokes,” exactly what Reilly was experiencing. She had no idea the danger she was in, Liebeskind said. “The worst and a very likely possibility is that she would have had a significant stroke,” he said, one that could have been extremely debilitating or even fatal. Reilly was referred to Dr. Neil Martin, chair of neurosurgery at Ronald Reagan UCLA Medical Center and head of the neurovascular surgery section. What he told Jennifer was alarming.
Views: 1157 UCLA Health
SWIFT PRIME: Potential New Emergency Therapy for Stroke
 
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Jeffrey L. Saver, MD, global principle investigator for SWIFT PRIME discusses the results of the study which he presented at the International Stroke Conference 2015 in Nashville. The trial was stopped early for efficacy and has the potential to provide new emergency therapy for patients with large vessel occlusion.
Views: 970 AHAScienceNews
Mercy Stroke Coordinator Discusses TIAs
 
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Diane Handler, Mercy Medical Center Stroke Coordinator, discusses Transient Ischemic Attacks (TIAs) with Ashley Hinson of KCRG-TV9 News on April 9, 2012. TIAs are warning signs that a major stroke could occur soon. Learn about risk factors, symptoms and what to do if you have one.
Views: 192 Mercy Cedar Rapids
Clinical Trials - Navigate Esus
 
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The Navigate Esus Trial, presented and discussed at the 4th European Stroke Organisation Conference (ESOC 2018) by Geroge Ntaios & Robert Hart. Learn more on the ESOC website: https://eso-conference.org/2019/information/esoc-2018-conference-news
Stroke Treatment  - Robert's Story
 
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Bob had been everywhere and was starting to believe there might not be hope for help out there for him. Then he and his wife visited Cerebrum. "What brought us to Cerebrum is a very long and arduous search for solutions to the problems that were generated by my stroke. The pain in my arm went from a level 8 or 9 (the point of non-usability) to a level 2 or 3. It's absolutely wonderful!" -Robert [Stroke Patient] "The experience that I take away from here is the integration of medical disciplines to develop a completely wholistic approach to the resolution of these issues...treatment has been a carefully measured and planned evolution of building blocks, one upon the other. What I am hopeful for is that my life will return to some degree of normalcy, and I will be able to walk and use my left arm. I believe that the skills and treatment that have been provided to me through Cerebrum Health Centers will allow me to do that." -Robert
Treatment of a patient with intractable Migraine Headache
 
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Severe Migraine headache in some patients is due to a small hole in the heart( Patent Foramen Ovale-PFO) present since birth. Closure of this hole non-surgically by a device called PFO device cures this headache. The same phenomenon is involved in brain stoke in young patients( Ischemic stroke) below age 45 years. These patients require evaluation for PFO and device closure.
Views: 243 scsinhacardio
The relationship between AFIB and stroke
 
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Dr. Harish Manyam, Director of Cardiovascular Research and Head of the Atrial Fibrillation Center with UT Erlanger Cardiology, describes how certain types of AFIB can increase the risk of stroke. He also describes the joint effort with UT Erlanger Neurologist Dr. Thomas Devlin to create the CVA Clinic to help identify possible abnormal heart rhythms and/or vascular issues in patients who have suffered a cryptogenic stroke.
Views: 231 ErlangerHealth
Cardioembolic Stroke 心源性中風 (2)
 
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心康會 醫學講座 H.E.A.R.T. CLUB MEDICAL SEMINAR 2014-7-13 Presented by: Dr. LO CHI HUNG 盧志雄醫生主講
Views: 131 heartclubhk2012
Atherosclerosis and stroke - N Bornstein
 
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This video was recorded during the ESC Heart & Brain workshop course held at Charles University in Prague, Czech Republic. The goal of this first edition of this workshop was to bring together leading experts in the field of stroke and cardiologists, neurologists, radiologists, surgeons and other specialists to learn from each other. Find out more about the ESC Council on Stroke: https://www.escardio.org/Councils/Council-on-Stroke?hit=youtube
CRYSTAL AF
 
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Walter Kernan, MD interviews Richard Bernstein, MD, primary investigator of the study, "Cryptogenic Stroke and Underlying Atrial Fibrillation (CRYSTAL AF), which he presented at ISC 2014 in San Diego.
Views: 876 AHAScienceNews
Carotid Dissection Stroke - Laressa's Story
 
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Our mission is to educate doctors throughout the United States but at Children's Stroke Foundation if we can teach anyone who listens, we will. We will post a series of videos every other month about the different causes we know cause Stroke in children, teens and young adults. Each one will be short but informative. This first video is "Stroke by Accident" - an awful experience for this little girl whose strokes could have been avoided. But through this accident Children's Stroke Foundation was founded! Children's Stroke Foundation exists now to help families and promote stroke education among the U.S. medical network. "The world is a university and everyone in it is a teacher. Make sure when you wake up in the morning you go to school" -Bishop T.D. Jakes.
Cardiology Countdown | PFO, Ischemia and Diabetes Goals
 
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Does a PFO increase the risk of stroke? Does ischemia on stress testing increase mortality? Achieving goals for diabetics is improving.

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