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National <strong>clinical</strong> guideline <strong>for</strong> <strong>stroke</strong><br />

Specialist A clinician whose practice is limited to a particular branch of medicine or<br />

surgery, especially one who is certified by a higher educational organisation.<br />

Specificity The ability of a test to detect the right problem.<br />

Splint A custom or ready-made external device to support a joint or limb in a<br />

certain position.<br />

Stenosis Abnormal narrowing of a blood vessel.<br />

Stenting A metal mesh tube is placed in an artery or blood vessel to increase blood<br />

flow to an area blocked by stenosis.<br />

Stroke The damaging or killing of brain cells starved of oxygen as a result of the<br />

blood supply to part of the brain being cut off. Types of <strong>stroke</strong> include:<br />

ischaemic <strong>stroke</strong> caused by blood clots to the brain, or haemorrhagic <strong>stroke</strong><br />

caused by bleeding into the brain.<br />

Stroke liaison Someone whose aim is to return patients and their carers to normal roles<br />

worker by providing emotional and social support and in<strong>for</strong>mation, and liaising<br />

with services to improve aspects of participation and quality of life.<br />

Subluxation An incomplete or partial dislocation of a joint.<br />

Systematic review A way of combining the findings from a variety of different research<br />

studies, to better analyse whether the studies have provided a convincing<br />

answer to a research question.<br />

Telemedicine The use of telecommunication and in<strong>for</strong>mation technologies in order to<br />

provide <strong>clinical</strong> healthcare at a distance.<br />

Thrombolysis The use of drugs to break up a blood clot. An example of a thrombolysis<br />

drug is alteplase, also sometimes called tPA.<br />

Thrombosis A <strong>for</strong>mation of a blood clot.<br />

Transdermal A route of administration where active ingredients are delivered across the<br />

skin.<br />

Transient ischaemic A <strong>stroke</strong> that recovers within 24 hours from the onset of symptoms.<br />

attack (TIA)<br />

Venography An X-ray test that provides an image of the leg veins after a contrast dye is<br />

injected into a vein in the patient’s foot.<br />

Video fluoroscopy A test <strong>for</strong> assessing the integrity of the oral and pharyngeal stages of the<br />

swallowing process. It involves videotaping X-ray images as the patient<br />

swallows a bolus of barium.<br />

Agnosia The inability <strong>for</strong> a patient to recognise or make proper sense of sensory<br />

in<strong>for</strong>mation.<br />

Visual analogue A scoring system used in questionnaires that assesses <strong>for</strong> subjective<br />

scale characteristics or attitudes that cannot be directly measured.<br />

WHO World Health Organization.<br />

Xanthochromia The yellowish appearance of cerebrospinal fluid that occurs after bleeding<br />

into the fluid usually after subarachnoid haemorrhage.<br />

xxii © Royal College of Physicians 2012

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