Ischaemic Strokes

Aspirin for strokes and transient ischaemic attacks.

Reply: Intravenous thrombolysis for ischaemic strokes: a call for reappraisal.

Sir, Many thanks for giving us the opportunity to reply to the letter in reference to our review ‘The exact science of stroke thrombolysis and the quiet art of patient selection’ (Balami et al., 2013). Aside from well documented limitations, recombinant tissue plasminogen activator (rt-PA, alteplase) remains the only evidence-based treatment in acute ischaemic stroke (Balami et al., 2013) with ...

Fibrinogen and lipid concentrations as risk factors for transient ischaemic attacks and minor ischaemic strokes.

OBJECTIVES To determine whether fibrinogen and lipid concentrations are risk factors for ischaemic stroke. DESIGN Case-control study with a population based comparison within the overall study. SETTING Oxfordshire community stroke project and a neurology clinic. SUBJECTS 105 patients who had a transient ischaemic attack or minor ischaemic stroke and 352 randomly chosen controls matched fo...

Simultaneous onset of haemorrhagic and ischaemic strokes in a haemodialysis patient.

Primary brain haemorrhage and infarction only very rarely occur simultaneously. A patient with end stage renal disease from diabetic nephropathy suddenly had motor aphasia and horizontal nystagmus soon after finishing haemodialysis. Neuroradiological studies showed a haematoma on the right side of the pons and an infarct in the left frontal lobe with occlusion of the left internal carotid arter...

Circadian pattern of onset of ischaemic and haemorrhagic strokes, and their relation to sleep/wake cycle.

OBJECTIVE To determine whether there is a circadian pattern of onset of ischaemic and haemorrhagic strokes, and their relation to sleep/wake cycle. METHODS A descriptive study with prospective data was conducted at the Combined Military Hospital Lahore from Jan 2004 to Dec 2007. Eight hundred patients above 26 years of age who had their first ever stroke were included in the study. Strokes we...