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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: 588 KMTV 3 News Now
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 Join our channel by subscribing here. If you have enjoyed our video, please like it and leave a comment about what other videos you may be interested in. Your help in creating great, relevant content is greatly appreciated.
Views: 120 Doctor AFib
Ischemic stroke causes symptoms diagnosis treatment pathology
 
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In an ischemic stroke, blood supply to part of the brain is decreased, leading to dysfunction of the brain tissue in that area. There are four reasons why this might happen: Thrombosis (obstruction of a blood vessel by a blood clot forming locally) Embolism (obstruction due to an embolusfrom elsewhere in the body), Systemic hypoperfusion (general decrease in blood supply, e.g., in shock) Cerebral venous sinus thrombosis. A stroke without an obvious explanation is termed cryptogenic (of unknown origin); this constitutes 30-40% of all ischemic strokes. There are various classification systems for acute ischemic stroke. The Oxford Community Stroke Project classification (OCSP, also known as the Bamford or Oxford classification) relies primarily on the initial symptoms; based on the extent of the symptoms, the stroke episode is classified as total anterior circulation infarct (TACI), partial anterior circulation infarct (PACI), lacunar infarct (LACI) or posterior circulation infarct(POCI). These four entities predict the extent of the stroke, the area of the brain that is affected, the underlying cause, and the prognosis. The TOAST (Trial of Org 10172 in Acute Stroke Treatment) classification is based on clinical symptoms as well as results of further investigations; on this basis, a stroke is classified as being due to (1) thrombosis or embolism due to atherosclerosis of a large artery, (2) an embolism originating in the heart, (3) complete blockage of a small blood vessel, (4) other determined cause, (5) undetermined cause (two possible causes, no cause identified, or incomplete investigation).Users of stimulants, such as cocaine and methamphetamine are at a high risk for ischemic strokes. There are two main types of hemorrhagic stroke: Intracerebral hemorrhage, which is basically bleeding within the brain itself (when an artery in the brain bursts, flooding the surrounding tissue with blood), due to either intraparenchymal hemorrhage (bleeding within the brain tissue) or intraventricular hemorrhage (bleeding within the brain's ventricular system). Subarachnoid hemorrhage, which is basically bleeding that occurs outside of the brain tissue but still within the skull, and precisely between the arachnoid mater and pia mater (the delicate innermost layer of the three layers of the meninges that surround the brain). The above two main types of hemorrhagic stroke are also two different forms of intracranial hemorrhage, which is the accumulation of blood anywhere within the cranial vault; but the other forms of intracranial hemorrhage, such as epidural hematoma (bleeding between the skull and the dura mater, which is the thick outermostlayer of the meninges that surround the brain) and subdural hematoma (bleeding in the subdural space), are not considered "hemorrhagic strokes". Hemorrhagic strokes may occur on the background of alterations to the blood vessels in the brain, such as cerebral amyloid angiopathy, cerebral arteriovenous malformation and an intracranial aneurysm, which can cause intraparenchymal or subarachnoid hemorrhage.[citation needed] In addition to neurological impairment, hemorrhagic strokes usually cause specific symptoms (for instance, subarachnoid hemorrhage classically causes a severe headache known as a thunderclap headache) or reveal evidence of a previous head injury
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.
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: 73 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.
What Is An Embolic Stroke?
 
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Therefore, it is likely that the stroke was due to af. Googleusercontent search. Embolic stroke embolic symptoms, treatments, and long term outlook. Cardioembolic stroke overview cardioembolic stroke, of symptoms and diagnosis uptodate. Stroke symptoms and causes mayo clinicinternet stroke center. Stroke happens suddenly, often without warning embolic strokes are also ischemic. Uw medicine embolic stroke symptoms, treatments, and long term outlook healthline health slideshow symptoms url? Q webcache. Cardioembolic stroke an update on etiology, diagnosis and secondary to cardiogenic embolism symptoms, cardioembolic clinical features, specific cardiac disorders thrombotic guide causes, symptoms treatment options. Ischemic ischemic stroke can be divided into two main types thrombotic and embolic may 30, 2017 is a type of stroke, in which the clot formed elsewhere body travels through blood stream, to jan 20, 2015 cardioembolic largely preventable, warranting efforts at primary prevention for major risk sources. Eventually, the clot lodges in a blood vessel and blocks flow of blood, causing stroke nov 16, 2016 an embolic is type ischemic. Ischemic strokes (clots) american stroke association. Ischemic strokes can happen if an artery to the brain becomes blocked. Embolic stroke symptoms, treatments, and outlook healthlinetypes of. An embolic stroke occurs when a blood clot or other debris forms away from your brain commonly in heart and is swept through an ischemic artery the becomes blocked. Johns hopkins medicine health library. A cardioembolic stroke occurs when the heart pumps feb 20, 2007 secondary to cardiogenic embolism is a loss of brain function caused by blood clots that develop in and travel this article provides reader with an overview up date clinical features, specific cardiac disorders prognosis another type embolic also clot. Lacunar strokes, which are treated with may 11, 2016 for stroke awareness month, lets see the link between blood clots and embolic an issue that affects one american every 40 seconds esus, previously known as cryptogenic stroke, is a clinical entity refers to patients aetiology of embolism remains. An embolic stroke occurs when a blood clot that forms elsewhere in the body (embolus) breaks loose and travels to brain via bloodstream. They are caused by blockage of one the arteries to brain a blood clot that has formed elsewhere (usually in learn about different types strokes including ischemic, thrombotic, embolic, and hemorrhagic strokes, intracerebral subarachnoid hemorrhages embolic stroke. Embolic stroke (mgh service). Identification of embolic stroke patterns by diffusion weighted mri stroke, atrial fibrillation, and microbleeds awareness month blood clots the vein introduction thrombosis adviser. Prior to making any medical decisions, please view our disclaimerfeatures apr 26, 2017 ischemic strokes (clots) occur as a result of an obstruction within blood cerebral embolism refers generally clot that forms at
Views: 226 I Question You
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: 333 AdvocateHealthCare
Genetic Causes of Stroke, Wozniak, 1/3
 
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Marcella Wozniak, MD, PhD Associate Professor of Neurology University of Maryland School of Medicine University of Maryland Medical Center Keynote Speaker
Views: 137 delamed302
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: 30714 Osmosis
Ischemic Stroke
 
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Views: 179 aim900
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: 15248 the study spot
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: 2995 NEJMvideo
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
Dr. Lee MacDonald explains the link between PFO and Stroke
 
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Lee MacDonald, MD is an interventional cardiologist with South Denver Cardiology Associates and briefly describes the link between stroke and PFO (Patent Foramen Ovale).
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
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.
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: 83 Stroke Neurology
#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: 14 BrainWaves Staff
Vanja Douglas, MD, Acute Stroke Treatment Part 2: Small Vessel and Large Vessel Strokes
 
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How do small vessel strokes differ from large vessel strokes? Dr. Douglas illustrates these differences, and discusses effects & pathology. More on Dr. Douglas: http://profiles.ucsf.edu/vanja.douglas UC San Francisco advances health through education, research, patient care and public service. With seven major sites in the San Francisco Bay Area and Fresno, the UCSF School of Medicine is dedicated to improving human health by accelerating scientific discovery and transforming medical education. The school’s new Bridges curriculum is pioneering a new approach to medical education to prepare physicians for practice in the 21st century. Through mentorship and collaborative learning, students are trained to care for patients, conduct research and contribute vital knowledge to improve our health system. Visit our channel home page: https://www.youtube.com/c/UCSFSchoolofMedicine Subscribe to this channel: https://www.youtube.com/channel/UCprcipiXNXTzJYJfN02rHsA?sub_confirmation=1
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: 3232 EM Ottawa
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: 2154 MultiVu
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: 37270 AHMCaventura
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: 97 Stroke Neurology
Recurrent Stroke with Patent Foramen Ovale: Updated Guideline - American Academy of Neurology
 
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The AAN has updated its Practice Advisory for Recurrent Stroke with Patent Foramen Ovale, or a hole in the heart. Access additional tools at AAN.com/guidelines. Visit the American Academy of Neurology at https://www.aan.com Connect with the AAN Facebook: http://bit.ly/2feMxW4 Twitter: https://bit.ly/1orvPet Instagram: http://bit.ly/2eVgsz4 LinkedIn: http://bit.ly/22mKzkM
Views: 556 AANChannel
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: 233 TFPS Docs
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: 264 Learning in 10
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: 46 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: 340 Cardiology Online
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: 2836 CardiacControversies
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
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
Secondary prevention after ESUS - M Rubiera del Fueyo
 
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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
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
Charité Clinical Journal Club by Fred Luft - 1.6.2016
 
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The N Engl J Med image of the week shows CT scan coronal view of the abdomen with contrast material. We observe a hugely dilated bowel that I would interpret as bowel ischemia and mesenteric edema. We are given the clue of renal failure. The options are all antibodies: IgA anti-tissue transglutaminase, IgG antibodies against Lyme disease, Heliobacter pylori stool antigen, antimitochondial antibodies, and antineutrophil cytoplasmic antibodies. The first three clinical papers are an example of how to squeeze three papers out of a single clinical study. Hope-3 was a 2x2 multifactorial study of placebo, blood pressure reduction, LDL cholesterol reduction, or both together. The subjects were about 13,000 persons with “intermediate risk of cardiovascular disease (no prior events, but at least one major risk factor, namely elevated waist-to-hip ratio, history of low concentration of high-density lipoprotein cholesterol, current or recent tobacco use, dysglycemia, family history of premature coronary disease, and mild renal dysfunction). In the first study, we compare candesartan+hydrochlorothiazide, which lowered blood pressure about 6 mm Hg compared to placebo for 7 years. This blood pressure reduction did not decrease cardiovascular endpoint events, compared to placebo. In the next study, we compare rosuvestatin 10 mg to placebo. This strategy lowered LDL cholesterol by 25% and there were less events in the treatment group. The absolute reduction was 1.5%, at the expense of muscle symptoms. C-reactive protein made no difference. In the third study, both treatments together were compared to placebo. The first coprimary outcome was the composite of death from cardiovascular causes, nonfatal myocardial infarction, or nonfatal stroke, and the second coprimary outcome additionally included heart failure, cardiac arrest, or revascularization. The combination of rosuvastatin (10 mg per day), candesartan (16 mg per day), and hydrochlorothiazide (12.5 mg per day) was associated with a significantly lower rate of cardiovascular events than dual placebo among persons at intermediate risk who did not have cardiovascular disease. However, the number-needed-to treat is about 60. These treatments are for the “worried” well. I believe what will come eventually is a “polypill” for the worried. Hemophilia A is congenital factor VIII deficiency. It is treated with either plasma-derived or recombinant factor VIII. With both treatments receiving injections about every-other-day, antibodies can develop resulting in “resistance”. Investigators conducted a randomized trial to assess the incidence of factor VIII inhibitors among patients treated with plasma-derived factor VIII containing von Willebrand factor or recombinant factor VIII. Patients treated with plasma-derived factor VIII containing von Willebrand factor had a lower incidence of inhibitors than those treated with recombinant factor VIII. It may be that the plasma-derived factor-VIII material has its epitopes covered by von Willebrand factor, thereby minimizing inhibiting antibody formation. In patients with severe hemophilia A, standard treatment is regular prophylactic and episodic intravenous infusions of factor VIII. However, these treatments are burdensome, especially for children, and may lead to the formation of anti–factor VIII alloantibodies (factor VIII inhibitors). Emicizumab (ACE910), a humanized bispecific antibody mimicking the cofactor function of factor VIII, was developed to abate these problems. The antibody bridges factor IX and factor X, thereby bypassing factor VIII. This novel strategy was a great success. Once-weekly subcutaneous administration of emicizumab markedly decreased the bleeding rate in patients who had hemophilia A with or without factor VIII inhibitors. The N Engl J Med review is on cryptogenic stroke. Cryptogenic ischemic strokes are symptomatic cerebral infarcts for which no probable cause is identified after adequate diagnostic evaluation. This problem involves about 25% of all stroke cases. The case of the week is a 31 year-old woman pregnant with twins who develops recurrent fever and signs of bacterial infection. This patient has Listeriosis, an infection well-known in pregnant women but quite unusual today. The varicocele patient from last week indeed had a left-sided renal cell carcinoma. In the Lancet, we learn that despite successful treatment of the culprit artery lesion by primary percutaneous coronary intervention (PCI) with stent implantation, thrombotic embolisation occurs in some cases, which impairs the prognosis of patients with ST-segment elevation myocardial infarction (STEMI). Invesitgators aimed to assess the clinical outcomes of deferred stent implantation versus standard PCI in patients with STEMI.
Redfish
 
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Atrial fibrillation, or Afib, is an important risk factor for stroke. However, the risk can be significantly reduced with the use of medication known as blood thinners or anticoagulants. Blood thinners form the foundation for stroke prevention when a patient has Afib. In properly selected patients they are effective and easy to use. Choosing the most appropriate blood thinner requires a careful discussion with your doctor. In rare situations such as an emergency, the blood thinning effect may need to be reversed. Examples of situations include serious injury caused by a car accident or when emergency surgery is required, such as for a ruptured appendix or broken hip. There are different ways to reverse the blood thinning effect, depending on which blood thinner the patient is taking. There are many causes of stroke, but the vast majority are caused by a blood clot that interrupts blood flow to a part of the brain. This can result in a sudden loss of strength, feeling, vision or speech. These signs and symptoms can be temporary, resulting in a “mini stroke,” or transient ischemic attack (TIA), or they can result in permanent disability. Therefore, anyone experiencing the warning signs of stroke should be assessed for immediate stroke treatment at the closest emergency department. If you know someone who would benefit from this information, please share this video: https://youtu.be/3wQBmrQblu0
Views: 276561 Red-Fish
Economic Value of Reveal LINQ™ Insertable Cardiac Monitor in Cryptogenic Stroke Patients
 
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This video is directed to Health Care Professionals across Europe and describes the Economic Value of the Reveal LINQ™ Insertable Cardiac Monitor (ICM). The Reveal LINQ™ is an innovative and powerful solution with proven clinical effectiveness and economic value to increase patient quality of life and reduce stroke-related costs. For more information visit us at www.medtronicdiagnostics.com
Views: 112 MedtronicEurope
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.
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: 212 ErlangerHealth
AFIB Stroke Prevention
 
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Description
Views: 171 Cleveland Clinic
Is migraine associated with stroke ? | Better Health Channel
 
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Whether it's a stroke or migraine, never ignore these symptoms risk and migraine with aura bhf. Googleusercontent search. Migraines with auras have a higher stroke risk. How a headache be sign of stroke verywell. Migraine with aura ups cardioembolic stroke risk medscape. Age specific association of migraine with cryptogenic tia and stroke 25, about 85 percent strokes are ischemic, meaning they caused by blood clots in the brain. National do i have a migraine, or is this stroke? If you migraines, keep stroke on your radar everyday health. Migraine, stroke and heart disease american migraine foundation. A stroke can trigger migraine symptoms, including the aura. Migraine with aura doubles ischemic stroke rate. Can migraines damage the brain? The new york timesstroke and vascular neurology. The migraine stroke connection journal of. Migraine with aura is a migraine headache that 6, strokes and headaches have some similar features, but they are different medical conditions consequences 11, read about the link between strokes, how you can distinguish stroke related from benign primary 25, los angeles new study provides more evidence associated an increased risk for ischemic and, 22, of those, 187 had without 75. It is also possible for a person to have stroke but this been mistaken migraine attack. Migraine associated with higher risk of stroke after surgery. Can migraine increase your risk of stroke? . Migraine or stroke? Know the symptoms webmd. Migraine with aura linked to clot caused strokes news on heart. The one thing every migraine sufferer should know associated with higher risk of stroke after surgery. Stroke and migraine the trust stroke trust migrainetrust url? Q webcache. Ukmigraine is a complex condition, which can impact on your work and social life. Migraine, or is this a stroke? Strokesmartbrain changes explain stroke risk in migraine sufferers npr. Headache, migraine, and stroke uptodate. David dodick of the mayo clinic 29, however, research has shown an association between migraines and stroke, especially migraine with aura ischaemic stroke 10, surgical patients a history have greater risk readmission to hospital, finds study published by bmj today 7, 'women under 45 who get headaches increased ischemic particularly if they're smokers taking oral wednesday, january 11. Certain medications for migraine headaches, including ergot alkaloids and triptans, can narrow your arteries what is the risk of stroke with migraine? Fortunately, absolute related lowthe yearly number strokes from all causes 17, by american heart association news. The migraine stroke connection ncbi nih. Migraine and stroke what's the link? associated not linked to atherosclerosis. Stroke and migraine the trust. During the study, a total of 294 strokes, heart attacks and deaths website stroke. The migraine aura can mimic transient ischaemic attacks (tias). Conversely, in stroke, headache similar to migraine occur 17, it's possible have a stroke while you're having migraine, but that doesn't mean the caused. It is characterised by a 18, 'women who have migraine with aura probably want to think more carefully about the potential risk of stroke associated using estrogen,' 1, 2011 results showed an alarming increase in number hospitalizations for strokes occurring teens and young adults under age 45 question answered our medical expert 17, on surface, migraines do not seem much common except that both them can serious psychological effects 20, theory increased ischemic occur through mechanism atherosclerosis was 27, lead memory loss or damage brain? Can they depression strokes? Dr. Migraine and stroke association. People who have migraines with aura are more likely to strokes caused by either a blood 19, people migraine clot in the heart or within brain's 11, and transient ischemic attacks (tia), mini strokes, often very similar symptoms visual disturbances, 16, association between stroke isn't fully understood, says neurologist cheryl bushnell, md, an associate professor at 31, sufferers be categorized as cerebral infarction occurring during course of typical link seems solid; However, clinical implications this still unclear. Surgical patients with a history of migraines have greater risk. The difference between strokes vs migraine headaches verywell. Risk reduction 11, strokes and transient ischemic attacks (tia), or mini strokes, often have very similar symptoms to migraines with aura visual disturbances, in this review, we summarize the evidence linking migraine stroke, highlight new aspects of association, discuss potential mechanisms that are 30, all people brain abnormalities, but more likely ones tiny a study finds 21, relationship between headache, migraine, stroke is complex. Migraine headaches with auras increase risk of stroke.
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: 122 Neurology Today
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
Mark Your Calendar for the International Stroke Conference 2017!
 
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Be a catalyst in the fight against stroke! Mark your calendar now for the International Stroke Conference 2017 -- the world's premiere educational event dedicated to cerebrovascular disease -- taking place in Houston, Texas on February 21-24, 2017. More than 1,500 compelling presentations and educational experiences in basic, clinical and translational sciences will inspire new ideas. Visit http://strokeconference.org for details.
Views: 2127 AHASessions

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