A5008005220- Acute Ischemic Stroke Management
- Autoimmune Neurological Disorders and Treatments
- Stroke Rehabilitation and Recovery
- Intracerebral and Subarachnoid Hemorrhage Research
- Neurological Disease Mechanisms and Treatments
- Gastric Cancer Management and Outcomes
- Artificial Intelligence in Healthcare and Education
- Cancer Treatment and Pharmacology
- Atrial Fibrillation Management and Outcomes
- Cannabis and Cannabinoid Research
- Colorectal Cancer Treatments and Studies
- Neurological and metabolic disorders
- Cerebrovascular and Carotid Artery Diseases
- Genetic Neurodegenerative Diseases
- Muscle and Compartmental Disorders
- Clinical practice guidelines implementation
- Sleep and related disorders
- Gastrointestinal Tumor Research and Treatment
- Telemedicine and Telehealth Implementation
- Cardiac Arrhythmias and Treatments
- Neurosurgical Procedures and Complications
- Long-Term Effects of COVID-19
- Venous Thromboembolism Diagnosis and Management
- Neutropenia and Cancer Infections
- Sarcoidosis and Beryllium Toxicity Research
University of Mississippi Medical Center
2018-2024
Arcadia
2024
Jackson Memorial Hospital
2018-2023
Guthrie Foundation
2023
Corning (United States)
2023
Baptist Memorial Hospital
2023
University of Tennessee Health Science Center
2023
Royal United Hospital Bath NHS Trust
2019-2023
University of Mississippi
2023
University of South Florida
2015-2021
It is unknown when to start anticoagulation after acute ischemic stroke (AIS) from atrial fibrillation (AF). Early may prevent recurrent infarctions but provoke hemorrhagic transformation as AF strokes are typically larger and transformation-prone. Later increases risk of secondary in this time frame. Our aim was compare early with apixaban patients or transient attack (TIA) versus warfarin administration at later intervals.AREST (Apixaban for Prevention Recurrent Embolic Stroke Hemorrhagic...
Studies that have analyzed the association between cannabis use and acute ischemic stroke (AIS) provided conflicting results. In this study, we aim to determine of recent detected through urine drug screen (UDS) among patients admitted with AIS.A retrospective observational study was performed using medical records database. All aged 18 years older from January 1, 2015, December 31, 2017, who underwent toxicology testing on admission were included in analysis. Multivariate logistic...
Stiff-person syndrome (SPS) is a rare neurologic disorder characterized by waxing and waning muscular rigidity, stiffness spasms. Three subtypes have been described: paraneoplastic, autoimmune idiopathic. Rhabdomyolysis has described in the paraneoplastic variant, but to our knowledge no case reported involving variant. We report of 50-year-old man with history SPS who presented recurrent episodes severe limb back He was hospitalized on two separate occasions for uncontrollable spasms...
The objective of this study was to report on sleep-onset REM period (SOREMP) during routine EEG and conditions associated with it at a comprehensive epilepsy program. We retrospectively reviewed all outpatient inpatient EEGs performed Tampa General Hospital, center over four-month period. All were by experienced board-certified epileptologists. When SOREMP identified, the chart identify most likely etiology that might be contributing. A total 449 between August 10, 2009, December 9, 2009. Of...
Describe two cases of cerebral ischemic strokes presenting with carotid thrombi associated severe iron deficiency anemia (IDA) and thrombocytosis.
Objective Controlling modifiable risk factors provides a strong impact on secondary stroke prevention. Stroke outpatient follow-up (OPFU) significant role in assuring these goals are met. However, our institute 2018, one out of four patients was not seen the clinic after their stroke. To increase this ratio, we instituted performance improvement project (PIP) to determine that contribute OPFU and offered rescheduling missed appointment. Methods The nurse scheduler called labeled as...
OBJECTIVE:Rhabdomyolysis has been described in the paraneoplastic variant, but to our knowledge no case reported involving autoimmune variant. BACKGROUND:Stiff Person Syndrome (SPS) is a rare neurologic disorder characterized by waxing and waning muscular rigidity, stiffness spasms. Three subtypes have described: paraneoplastic, idiopathic. Rhabdomyolysis clinical syndrome caused an injury skeletal muscle involves release of intracellular contents into plasma. It leads wide spectrum severity...
Introduction: At most teaching hospitals, first- and second-year residents respond to a “Stroke Alert” where “Time is Brain.” Interpreting neurologic signs symptoms acute management of stroke complex. In many medical specialties, simulated instruction improves performance addresses patient safety needs without harm to, or practice upon, real-live patient. Thus, we designed virtual simulation training course: boost knowledge, skill sets, confidence in managing hyperacute scenarios with this...
Introduction: Electronic health records (EHRs) were introduced into healthcare in order to minimize errors and increase efficiency. Unfortunately, the use of EHRs have also resulted note bloat (“notes that contain multiple pages nonessential information, often leaving key aspects buried or lost”). SmartBlocks (figure 1) Epic EHR can be utilized stroke template reduce amount time it takes complete each note, bloat, automate data capture. Method: We first ischemic at University Mississippi...
<h3>Objective:</h3> NA <h3>Background:</h3> All-trans retinoic acid (ATRA) is an initial treatment for acute promyelocytic leukemia (APL). Studies suggest that ATRA has neuroprotective effects since it reduces atherosclerosis and neural inflammation. We present a case series of patients developed recurrent ischemic strokes demonstrated rapid progression intracranial extracranial stenosis in the setting therapy. <h3>Design/Methods:</h3> <h3>Results:</h3> <h3>Case 1:</h3> A 47-year-old female...
Objective: We report a case of bilateral dentate nuclei injury after global cerebral hypoperfusion. Background: Water zone infarcts in the cerebellum are usually seen at borders anterior inferior cerebellar artery, superior posterior and their branches. The nucleus has been shown to be involved hypoperfusion prior study using diffusion tensor imaging. To authors’ knowledge, there no reports describing lesions from injury. Design/Methods: A retrospective chart review was performed....
April 27, 2018April 10, 2018Free AccessUncomplicated intravenous thrombolysis after lumbar puncture: A case report (P6.203)Shashank Shekhar, Hebatalla Elhusseiny, Christa O’hana Nobleza, Rebecca Sugg, and Shreyas GangadharaAuthors Info & AffiliationsApril 2018 issue90 (15_supplement) Letters to the Editor
May 7, 2019April 9, 2019Free AccessAssociation Between Recent Cannabis Use and Acute Ischemic Stroke (P3.3-012)Carmela San Luis, Shashank Shekhar, Rebecca Sugg, Christa O’hana Nobleza, Shreyas GangadharaAuthors Info & AffiliationsApril 2019 issue92 (15_supplement)https://doi.org/10.1212/WNL.92.15_supplement.P3.3-012 Letters to the Editor
Objective: Acute ischemic stroke (AIS) and Myocardial Infarction (AMI) are well recognized clinical entities with established management algorithms. However simultaneous cardio-cerebral infarction (CCI) is an exceedingly rare phenomenon grave prognosis. Here, we present a case report the literature available on managing such complex presentations. Background: NA Design/Methods: A 52-year-old African American male was brought to emergency department acute onset left hemiparesis, spastic...
Sunday, April 26April 14, 2020Free AccessQuality Improvement Project: Factors for Stroke Clinic ‘No Shows’ (2292)Carmela San Luis, Shreyas Gangadhara, Shashank Shekhar, and Christa O’hana NoblezaAuthors Info & AffiliationsApril 2020 issue94 (15_supplement)https://doi.org/10.1212/WNL.94.15_supplement.2292 Letters to the Editor
Objective: To describe a case of adult-onset seizures in the setting anti-phospholipid antibody syndrome (APS). Background: Neurological involvement with APS can have varied presentation. The reported prevalence is about 3.2 to 10 percent. However, seizure-like activity associated presence systemic lupus erythematosus (SLE) may be higher than previously described. Besides ischemic lesions due hypercoagulability, antibody-mediated immune pathology has been proposed as cause seizures. Certain...