Front Panel Painting “LIFE” By William T Chua MD

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T1TSE T2TSE GRE Fig. 13: Late subacute hematoma at the left posterior parietal region exhibiting hyperintense signal lesion in T1TSE (black arrow), hyperintense signal lesion with dark signal hemosiderin rim in T2TSE (white arrowhead) and hyperintense signal area with a dark signal rim in GRE (double arrow). T1TSE T2TSE GRE Neuroimaging Fig. 14: Old or chronic hemorrhage in the right lentiform nucleus seen as elongated hypointense lesion in T1TSE (arrow), markedly hypointense area with a central faint bright signal representing encephalomacia (white arrow head), elongated blooming dark signal area in GRE (double arrow). 180
Stroke Society of the Philippines NeuroImaging Guidelines in Acute Stroke: A. Hyperacute or Acute Ischemic Stroke • Non contrast CT scan of the head is the initial neuroimaging study of choice in acute stroke because of its cost, speed and availability. The main objective of immediate imaging is to exclude hemorrhagic stroke. A non-contrast study obviates the need to wait for creatinine result. • Cranial MRI – DWI surpasses non contrast Cranial CT scan in detecting early ischemic changes & in excluding some stroke mimics. MRI can be the initial imaging of choice in patients who are rTPA candidates if it is available in the center and does not result in undue delay of administration of thrombolytic agent. • A vascular study (CTA or MRA) to detect stenosis or occlusion is useful to further the diagnosis of stroke, help triage patients to the best treatment and determine prognosis. It is probably indicated in specialized centers together with the initial imaging evaluation if it is available and does not unduly delay treatment with IV thrombolysis. • Cerebral infarcts are often not documented by CT scan within 3 hours from stroke onset. However “early” infarct signs maybe seen in 60% of cases: • In cases of early neurologic deterioration secondary to large infarcts, edema or suspected hemorrhagic conversion, a follow-up non contrast CT of the head is recommended. • MRI has the ff. technical advantage over non contrast Cranial CT scan : 1) DWI for documenting early ischemia/infarction 2) GRE for detecting microbleeds, hemorrhagic transformation and chronic hemorrhages 3) T2W for small infarcts or lacunes or infarcts located in the brainstem or posterior fossa. 4) Despite of its superior yield, it is however more expensive, timeconsuming and less readily available. Neuroimaging 181
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Front Panel Painting: “LIFE” By
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Copyright © 2011 by the Stroke Soc
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Chapter IV. Guidelines for Transien
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MESSAGE from the PRESIDENT Since th
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WORLD STROKE DAY PROCLAMATION Cape
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ACTIVELY ENGAGE THE PUBLIC AROUND T
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An Overview of Stroke Overview Stro
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Overview The Cincinnati Prehospital
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Overview However, studies worldwide
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Overview Unique to this stroke hand
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Overview VI. CLINICAL STROKE SYNDRO
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Overview Posterior Cerebral Artery
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Overview VII. INCREASING THE YIELD
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Overview Strategies for preventing
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Overview workshops and helps suppor
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PREFACE TO THE GUIDELINES ON PRIMAR
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Diet modification encouraging low s
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C.2. Secondary Stroke Prevention Pr
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3 compared to patients without stro
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Primary & Secondary Prevention Sub-
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ecommend aspirin for primary preven
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Primary & Secondary Prevention 36.
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Bibliography Primary & Secondary Pr
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Primary & Secondary Prevention 3) A
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Primary & Secondary Prevention The
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Furthermore, low cholesterol is com
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Primary & Secondary Prevention Bibl
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Primary & Secondary Prevention VII.
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Primary & Secondary Prevention 2) A
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Primary & Secondary Prevention 4) M
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Primary & Secondary Prevention Loca
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Studies also suggest a dose respons
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Primary & Secondary Prevention 6. R
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Primary & Secondary Prevention 7. B
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Primary & Secondary Prevention The
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DEFINITION of TERMS Primary & Secon
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Primary & Secondary Prevention 6. T
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Primary & Secondary Prevention Andr
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Food group Allowed Restricted/avoid
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Primary & Secondary Prevention III.
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Reviewed and Approved by the Philip
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Acute Stroke Treatment I. SSP CLASS
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Acute Stroke Treatment Delayed Mana
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Acute Stroke Treatment Avoid Hypogl
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Acute Stroke Treatment 12. Hurtado
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D. ADMINISTRATION of rt-PA to ACUTE
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Acute Stroke Treatment • CT scan
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Ancillary care for patients receivi
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4. Use the following locally availa
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B. Blood pressure Management in Acu
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3. Control seizures if present. May
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VIII. HEMICRANIECTOMY FOR MALIGNANT
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Indications for EMERGENT HEMICRANIE
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2.Optimal medical therapy including
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Acute Stroke Treatment 8. Vahedi K,
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Acute Stroke Treatment Items 2. Bes
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Fig. 2: Dysarthria Ask the patient
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I. TRANSIENT ISCHEMIC ATTACK Compar
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Page 140 and 141: TIA and AF Drug Trial Design Result
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Page 144 and 145: TIA and AF 3. Antithrombotic Triali
Page 146 and 147: Table 3: CHA DS VASC score and Stro
Page 148 and 149: Table 5: Guidelines in achieving th
Page 150 and 151: Limitations of Warfarin and Alterna
Page 152 and 153: TIA and AF 7. Fuster V et al. ACC/A
Page 154 and 155: Hemorrhagic Stroke INTRACRANIAL HEM
Page 156 and 157: I. HYPERTENSIVE INTRACEREBRAL HEMOR
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Page 160 and 161: Hemorrhagic Stroke 1. Hunt and Hess
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Page 164 and 165: Hemorrhagic Stroke 19. Lysakowski C
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Page 168 and 169: SPETZLER-MARTIN AVM GRADING SYSTEM
Page 170 and 171: Bibliography 1. Ogilvy CS, Stieg PE
Page 172 and 173: NEUROIMAGING IN ACUTE STROKE STROKE
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Page 182 and 183: The detection of intracerebral hema
Page 186 and 187: B. Intracerebral Hemorrhage • CT
Page 188 and 189: Bibliography 1. de Lucas EM, Sanche
Page 190 and 191: I.1. THE STROKE CENTER I. GUIDELINE
Page 192 and 193: Stroke Unit Nurse-Rehab E.2. Delaye
Page 194 and 195: 2. Personnel with special interest
Page 196 and 197: Stroke Unit Nurse-Rehab GENERAL OBJ
Page 198 and 199: GENERAL OBJECTIVES SPECIFIC OBJECTI
Page 200 and 201: Stroke Unit Nurse-Rehab GENERAL OBJ
Page 202 and 203: COMPETENCY STATEMENTS FOR THE STROK
Page 204 and 205: C. General Supportive Care of Strok
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Page 208 and 209: Stroke Unit Nurse-Rehab METHODOLOGY
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Page 214 and 215: E. Dysphagia and Swallowing All pat
Page 216 and 217: I. ACUTE POST-STROKE REHABILITATION
Page 218 and 219: Reassessment of Rehabilitation Prog
Page 220 and 221: Assessment of Discharge Environment
Page 222 and 223: LEVELS OF STROKE CARE STROKE CENTER
Page 224 and 225: 5th Edition SSP Handbook WORKING CO
Page 226 and 227: STROKE SOCIETY OF THE PHILIPPINES B
Page 228 and 229: SSP CORPORATE MEMBERS United Labora
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Front Panel Painting “LIFE” By William T Chua MD

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