WHAT FUCKING STUPIDITY; PREDICTION NOT RECOVERY OR PREVENTION! You're all fired for incompetence! I'd have to say you don't even have two neurons to rub together for a spark of intelligence!
Promising Tool to Predict Poststroke Cognitive Impairment
Can transcranial Doppler imaging help predict cognitive impairment after stroke? In posing this question, this study sheds light on two growing areas of interest in the field: the use of transcranial Doppler imaging (TCD) and the burden of cognitive impairment in stroke survivors.
Over recent years, there has been increasing use for TCD in the setting of ischemic stroke. In addition to providing real-time information on vessel hemodynamics that cannot be captured on CT or MR angiography, TCDs can also be used to detect microemboli. Microembolic signals have been shown to correlate with stroke recurrence and, more recently, to correlate with cognitive impairment after carotid intervention.
In this study, the study authors theorize that patients with microemboli signals (MES) are more likely to have ischemic events and the eventual development of cognitive impairment. In short, they ask: Can we use TCD findings of microemboli to predict cognitive outcomes after stroke?
The study was conducted at Centro Hospitalar Universitario de Sao Joao in Portugal and was prospective in design. Patients were included if they had acute ischemic stroke, TCDs could be performed within 72 hours, and prestroke mRS was <4. Patients were excluded if they had conditions that would confound TCD findings or cognitive assessment, including severe aphasia, large infarct size, pre-existing cognitive impairment.
Microemboli detection portion of TCDs was performed for a total of 60 minutes per patient, with 30 minutes each for the anterior circulation (bilateral M1 segments) and posterior circulation (bilateral P2 segments). Presence of MES was defined as at least one positive signal, as analyzed by single experience and blinded reader.
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