A5048765269- Acute Ischemic Stroke Management
- Traumatic Brain Injury and Neurovascular Disturbances
- Stroke Rehabilitation and Recovery
- Cerebrovascular and Carotid Artery Diseases
- Venous Thromboembolism Diagnosis and Management
- Intracerebral and Subarachnoid Hemorrhage Research
- Cerebral Venous Sinus Thrombosis
- Cardiovascular and Diving-Related Complications
- Alcoholism and Thiamine Deficiency
- Long-Term Effects of COVID-19
- Neurological and metabolic disorders
- Infectious Encephalopathies and Encephalitis
- Neurosurgical Procedures and Complications
- Intracranial Aneurysms: Treatment and Complications
- Cerebrospinal fluid and hydrocephalus
Oslo University Hospital
2019-2025
Stavanger University Hospital
2014-2022
University of Birmingham
2021
Østfold Hospital Trust
2019
In eligible patients with acute ischaemic stroke, rapid revascularisation is crucial for good outcome. At our treatment centre, we had achieved and sustained a median door-to-needle time of under 30 min. We hypothesised that further improvement could be through implementing revised protocol in situ simulation-based team training sessions. This report describes quality project aiming to reduce times stroke thrombolysis.All members the were surveyed tailor interventions local conditions....
Acute Ischemic Stroke (AIS) treatment has been revolutionised in the last two decades with increasing use of Intravenous Thrombolysis (IVT) and advent Endovascular therapy (EVT). AIS outcome are time dependant saving measures being implemented at every step chain. These changes have resulted lower times in-hospital, but it is unclear if this translates into more patients treated within 60 min symptom onset – Golden Hour. The clinical IVT patient group was our secondary outcome. From 2009...
Up to 25% of stroke patients wake up with a neurological deficit, so called wake-up (WUS). Different imaging approaches that may aid in the selection likely benefit from reperfusion therapy are currently under investigation. The magnetic resonance (MRI) diffusion weighted - fluid attenuated inversion recovery (DWI-FLAIR) mismatch concept is one proposed method for identifying presenting within 4.5 hours ischemic event.To report our experience DWI-FLAIR be thrombolysed at centre.Patients...
<b><i>Objectives:</i></b> Endovascular treatment (EVT) has emerged as the gold standard therapy for stroke due to large vessel occlusion (LVO). There is however limited evidence suggest that similar efficacy can be expected in elderly patients. We aimed assess and safety of EVT patients (aged &#x3e; 80), comparing outcomes younger &#x3c; 80). <b><i>Material Methods:</i></b> A total 195 with LVO treated were included dichotomized by age....
This study aims to evaluate the implementation of a rapid response treatment protocol for patients presenting with acute onset ischemic stroke. Improvements routines surrounding admission and intravenous thrombolysis (IVT), such as door-to-needle (DTN) times, increasing numbers treated are discussed.We conducted retrospective analysis all (n = 320) IVT stroke at Stavanger University Hospital, Norway, between 2003 2012. In 2009, succession changes pre- intra-hospital were made well an...
Background. Metabolic syndromes such as Wernicke's encephalopathy may present with a sudden neurological deficit, thus mimicking acute onset stroke. Due to current emphasis on rapid admission and treatment of stroke patients, there is significant risk that these mimics end up being treated thrombolysis. Rigorous clinical radiological skills are necessary correctly identify metabolic mimics, in order avoid doing any harm patients due the unnecessary use Patient. A 51-year-old Caucasian male...
Our purpose was to evaluate the safety and efficacy of endovascular treatment (EVT) stroke caused by large vessel occlusions (LVO) performed general interventional radiologists in cooperation with neurologists neuroradiologists at a center limited annual number procedures. We aimed compare our results those previously reported from larger centers.
Endovascular treatment (EVT) is the gold standard for emergent large vessel occlusion (LVO). The benefit of EVT LVO in elderly patients (>80 years old) still debated as they have been under-represented randomized controlled trials. Elderly with an are a growing population warranting further study.We included 225 consecutive treated either anterior or posterior circulation. clinical outcome was assessed using National Institute Health Stroke Scale (NIHSS). Long-term functional 90-day modified...
Air embolisms are mostly iatrogenic and a rare yet dreaded complication following percutaneous procedures. Intravascular entrapment of air can result in occlusion end arteries subsequent tissue ischemia infarction. Cerebrovascular occlusions caused by time-sensitive an uncommon cause ischemic stroke, warranting alternative acute management reperfusion strategy.During CT-guided lung biopsy, the patient developed left-sided paresis sensory deficits prior to loss consciousness. CT revealed...
OPINION article Front. Neurol., 15 April 2021 | https://doi.org/10.3389/fneur.2021.670204
Abstract Background The coronavirus disease (COVID-19) pandemic has led to an unprecedented worldwide burden of disease. However, little is known the longer-term implications and consequences COVID-19. One these may be a COVID-19 associated coagulopathy that can present as venous thromboembolism (VTE) further, multiple paradoxical cerebral emboli. Case presentation A 51 year old man presented emergency department with simultaneous embolic infarctions 11 months after mild In subacute phase...
Endovascular treatment (EVT) is traditionally performed by neurointerventional radiologists at tertiary medical centres imposing long transport ways to large vessel occlusion (LVO) stroke patients in rural areas. The purpose of this study evaluate the technical and clinical results over time Stavanger University Hospital, a hospital without expertise, where trained general interventional radiologist performs EVT.All with LVO treated EVT from May 2009 December 2018 were included analysis....
<title>Abstract</title> <underline>Background</underline>The coronavirus disease (COVID-19) pandemic has led to an unprecedented worldwide burden of disease. However, little is known the longer-term implications and consequences COVID-19. One these complications a COVID-19 associated coagulopathy that can present as venous thromboembolism (VTE) and, yet unreported, multiple paradoxical cerebral emboli. <underline>Case Presentation</underline>A 51 year old man presented emergency department...
Reversed Robin Hood Syndrome (RRHS) was first described in 2007 as a cause of worsening neurological deficit the setting an acute ischemic event. RRHS is shunting cerebral blood flow to nonstenotic vascular territories due impaired vasodilation bought on by hypercapnia. A 77 year old lady presented with onset left hemiparesis and exacerbation her underlying chronic obstructive pulmonary disease (COPD). CT angiography perfusion visualized appropriate treatment initiated. Treatment strategies...