A 52-year-old woman was admitted with acute onset of right hemispheric carotid syndrome. Computed tomography angiography revealed a right intracranial internal carotid artery occlusion and a thrombus at the aortic arch occluding the left subclavian artery. She had no palpable left radial pulse. No vertebral territory ischemia was documented. Angiography demonstrated a persistent primary trigeminal artery and a ...
Objectives: To investigate the safety and efficacy outcomes of intravenous thrombolysis (IVT) in patients aged >80 years with acute ischaemic stroke (AIS) after IVT was approved in this patient population in several European and non-European countries during 2018-2019. Design: This is an observational registry study using prospectively collected data from the Safe Implementation of Treatment in Stroke (SITS) re...
Background: The time frame for mechanical thrombectomy (MT) in acute ischemic stroke (AIS) is enlarging. Guidelines recommend MT until 6 h of symptom onset in M2 segment occlusions (grade IIB). In practice, it is frequently performed later. Aims: To assess the functional prognosis of AIS patients subjected to M2 segment's MT beyond 6 h, compared to standard intervention. Methods: Retrospective cohort study incl...
Introduction: The stroke prevention strategy in patients with intracerebral hemorrhage (ICH) and atrial fibrillation (AF) is a clinical dilemma. The aim of this study was to evaluate themanagement of anticoagulation therapy in patients with AFand admitted with ICH. Methods: We performed a descriptive analysis of patientsadmitted for ICH from 2009 to 2021. Data collection was carried out by consulting the proces...
Background and purpose: Several risk factors of symptomatic intracerebral hemorrhage (SICH) following intravenous thrombolysis for acute ischaemic stroke have been established. However, potential predictors of good functional outcome post-SICH have been less studied. Methods: Patient data registered in the Safe Implementation of Treatment in Stroke-International Stroke Thrombolysis Register (SITS-ISTR) from 200...
Introduction: In order to personalize stroke treatment, it is important to know if there are differences between genders in clinical features, acute phase treatment and outcomes. Material and Methods: Longitudinal retrospective study that included patients with ischemic stroke, admitted in a stroke unit during a 30 months period and treated with thrombectomy with or without thrombolysis. The objective was to as...
Occult carcinoma is a common diagnostic problem in Internal Medicine Departments. Its correct diagnostic strategy is polemic, both among internists and other specialities, even with the availability of the most recent complementary diagnostic methods. It usually causes great difficulties for the doctor and extreme suffering for the patient, making it essential that the diagnosis takes the least time possible.We...