A5005658290- Acute Ischemic Stroke Management
- Intracranial Aneurysms: Treatment and Complications
- Venous Thromboembolism Diagnosis and Management
- Long-Term Effects of COVID-19
- Cerebrovascular and Carotid Artery Diseases
- COVID-19 and healthcare impacts
- Blood Pressure and Hypertension Studies
- Cardiovascular and Diving-Related Complications
- Atrial Fibrillation Management and Outcomes
- Moyamoya disease diagnosis and treatment
- Blood Coagulation and Thrombosis Mechanisms
- Spine and Intervertebral Disc Pathology
- Spinal Dysraphism and Malformations
- Healthcare Decision-Making and Restraints
- Neurological Complications and Syndromes
- Simulation-Based Education in Healthcare
- Transcranial Magnetic Stimulation Studies
- COVID-19 Clinical Research Studies
- Myeloproliferative Neoplasms: Diagnosis and Treatment
- Cerebral Venous Sinus Thrombosis
- Neurological Disorders and Treatments
- Radiation Dose and Imaging
- Infective Endocarditis Diagnosis and Management
- Climate Change and Health Impacts
- Musculoskeletal pain and rehabilitation
Maine Medical Center
2012-2024
Tufts University
2024
Hospital de Clínicas de Porto Alegre
2021
Boston University
2021
Grady Memorial Hospital
2021
Universidade Federal do Rio Grande do Sul
2021
Boston Medical Center
2021
Maine Medical Center
2021
University of Massachusetts Chan Medical School
1988-2012
UMass Memorial Medical Center
2010
The COVID-19 pandemic led to profound changes in the organization of health care systems worldwide.We sought measure global impact on volumes for mechanical thrombectomy, stroke, and intracranial hemorrhage hospitalizations over a three-month period at height (1 March-31 May 2020) compared with two control periods (immediately preceding one year prior).Retrospective, observational, international study, across 6 continents, 40 countries, 187 comprehensive stroke centers. diagnoses were...
A prospective, multiInstitutional, double-blind trial comparing the effect of chymopapain (Disease) vs. placebo (cysteine-edetate-iothalamate: CEI) for lumbar Inter-vertebral disc rupture with sciatica was carried out on 173 patients, largest such study reported to date. Patients were matched respect age, sex, physical habitus, and level injection. The procedure under local anaesthesia. success rate superior in group regardless method used assess outcome or time over first 6 months at which...
Discovering potential cardiac sources of stroke is an important part the urgent evaluation ischemic patient as it often impacts treatment decisions that are essential for determining secondary prevention strategies, yet optimal approach to workup not known.A review literature concerning utility rhythm monitoring (ECG, telemetry, Holter monitors, and event recorders) structural imaging (transthoracic transesophageal echocardiography) was performed.Data supporting a definitive, optimal,...
Isolated cortical subarachnoid hemorrhage is rare and poorly understood. Differential diagnoses proposed pathophysiology vary widely the diagnostic work-up for these patients who present with transient ischemic attack-like episodes characteristic imaging findings still unclear. We report a case of isolated neurologic deficits due to vein thrombosis that was not detected by noninvasive tests. A 75-year-old woman history lobar intracerebral presented Academic Medical Center sudden-onset left...
Four cases of Parkinson's disease with advanced dementia are described. Postmortem examination revealed cell loss in the substantia nigra, Lewy bodies present, and cells basal nucleus Meynert. A few tangles were observed hippocampus, but no senile plaques or neurofibrillary found neocortex. The authors note that a dramatic syndrome may occur alone, without associated cytoskeletal markers Alzheimer's disease. Cases characterized by disorientation, episodic confusion hallucinations persisting...
This is a retrospective chart review to ascertain the rates of neurosurgical intervention following transfer patients with non-traumatic intracerebral hemorrhage (ICH) Comprehensive Stroke Center (CSC) and characterize predictors need for surgical intervention. Introduction: While required in minority cases, it has become standard practice all ICH be transferred our tertiary care center, without consideration additional factors. creates significant burden stress families as well hospital...
April 27, 2018April 10, 2018Free AccessThrombotic Therapy for Acute Stroke in Pratient with Refractory Epilepsy and an Implanted Responsive Neurostimulation Device Intravenous Recombinant Tissue Plasminogen Activator (P6.202)Heidi Henninger, Jane Morris, Diana Goodman, Barbara JobstAuthors Info & AffiliationsApril 2018 issue90 (15_supplement) Letters to the Editor
Cervical artery dissections are the most common cause for nonatherosclerotic vasculopathies in young adults who present with stroke. They occur often between ages of 35 and 50 years a peak fifth decade life. Community-based studies have shown annual incidence United States to range from 2.5-3.0 per 100,000. The importance recognizing presentations carotid help identify treat patients. Common signs include unilateral head, face, or neck pain Horner’s syndrome, cranial nerve palsies, pulsatile...
Purpose To describe our early experience with the balloon expandable Pharos Vitesse stent for symptomatic, high grade intracranial stenosis. Materials and methods Our center has enrolled five patients to date in VISSIT (Vitesse Intracranial Stent Study Ischemic Therapy) Trial.1 This prospective, multicenter, randomized trial is designed compare best medical therapy alone plus stenting In conformance study design, were treated 70–80% stenosis (inclusion criterion 70–99%) of internal carotid,...