Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Monday, February 13, 2012

Early CT Angiography Identifies Recurrent Stroke Risk

So ask your doctor for this.
http://www.diagnosticimaging.com/ct/content/article/113619/2029855?GUID=319C3475-8FD4-465D-A3A2-F339A17D5A82&rememberme=1&ts=13022012

Use of CT/CT angiography (CTA) as soon as possible in patients presenting with transient ischemic attacks (TIA) or minor stroke predicts risk of recurrent stroke and clinical outcome, according to a study published online in Stroke: Journal of the American Heart Association.

Although MRIs are frequently used for early assessment, CT scanners are usually more readily available to the emergency department, said the study authors. The median waiting time for diffusion-weighted MRI was 17.5 hours, but for CTA imaging, the wait was only 5.5 hours. In addition, CTA does not take much time, adding only five minutes to the standard CT brain scan.

It is estimated that there is a 10 percent risk of recurrent stroke within 90 days of a patient experiencing a TIA or minor stroke, with the majority recurrent strokes occurring within 48 hours of TIA or mild stroke onset. CTA, which uses contrast media to image the vasculature, can identify large artery disease, allowing physicians to determine risk. “A symptomatic intracranial or extracranial severe arterial stenosis or occlusion was predictive of recurrent stroke,” wrote the authors.

In the study, 491 patients with either TIA or minor stroke underwent CT/CTA within 24 hours of onset and most had subsequent MRI. Results showed there were 36 recurrent strokes, with a median time to the event of one day, and a positive CT/CTA scan was a predictor of recurrent stroke.

The authors concluded, “Adoption of CT/CTA into clinical practice for the assessment of patients with TIA and minor stroke identifies a high risk group suitable for aggressive acute stroke prevention treatment.”

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