Stroke, Acute

Examined II


Back as an examiner again! How hard can it be?

  1. Blood pressure control
  2. CT features of ischemia
  3. Imaging for thrombectomy vs. starting thrombolysis
  4. Lab tests and initiation of thrombolysis
  5. Neuroimaging of stroke
  6. Stroke mimics and chameleons
  7. The National Institutes of Health Stroke Scale (NIHSS)
  8. Thrombolysis and blood pressure control
  9. When is thrombectomy indicated?
  10. When should thrombolysis be considered?
  1. DEMAERSCHALK BM, KLEINDORFER DO, ADEOYE OM, DEMCHUK AM, FUGATE JE, GROTTA JC, KHALESSI AA, LEVY EI, PALESCH YY, PRABHAKARAN S, SAPOSNIK G, SAVER JL, SMITH EE, AMERICAN HEART ASSOCIATION STROKE COUNCIL AND COUNCIL ON EPIDEMIOLOGY AND PREVENTION.. Scientific Rationale for the Inclusion and Exclusion Criteria for Intravenous Alteplase in Acute Ischemic Stroke: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke [online] 2016 Feb, 47(2):581-641 [viewed 18 March 2017] Available from:
  2. DUPRE CM, LIBMAN R, DUPRE SI, KATZ JM, RYBINNIK I, KWIATKOWSKI T. Stroke chameleons. J Stroke Cerebrovasc Dis [online] 2014 Feb, 23(2):374-8 [viewed 17 April 2017] Available from:
  3. EUROPEAN STROKE ORGANISATION (ESO) EXECUTIVE COMMITTEE., ESO WRITING COMMITTEE.. Guidelines for management of ischaemic stroke and transient ischaemic attack 2008. Cerebrovasc Dis [online] 2008, 25(5):457-507 [viewed 17 April 2017] Available from:
  4. FORD GA, AHMED N, AZEVEDO E, GROND M, LARRUE V, LINDSBERG PJ, TONI D, WAHLGREN N. Intravenous alteplase for stroke in those older than 80 years old. Stroke [online] 2010 Nov, 41(11):2568-74 [viewed 18 March 2017] Available from:
  5. HACKE W, KASTE M, BLUHMKI E, BROZMAN M, DaVALOS A, GUIDETTI D, LARRUE V, LEES KR, MEDEGHRI Z, MACHNIG T, SCHNEIDER D, VON KUMMER R, WAHLGREN N, TONI D, ECASS INVESTIGATORS.. Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke. N Engl J Med [online] 2008 Sep 25, 359(13):1317-29 [viewed 18 March 2017] Available from:
  6. JAUCH EC, SAVER JL, ADAMS HP JR, BRUNO A, CONNORS JJ, DEMAERSCHALK BM, KHATRI P, MCMULLAN PW JR, QURESHI AI, ROSENFIELD K, SCOTT PA, SUMMERS DR, WANG DZ, WINTERMARK M, YONAS H, AMERICAN HEART ASSOCIATION STROKE COUNCIL., COUNCIL ON CARDIOVASCULAR NURSING., COUNCIL ON PERIPHERAL VASCULAR DISEASE., COUNCIL ON CLINICAL CARDIOLOGY.. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke [online] 2013 Mar, 44(3):870-947 [viewed 18 March 2017] Available from:
  7. POWERS WJ, DERDEYN CP, BILLER J, COFFEY CS, HOH BL, JAUCH EC, JOHNSTON KC, JOHNSTON SC, KHALESSI AA, KIDWELL CS, MESCHIA JF, OVBIAGELE B, YAVAGAL DR, AMERICAN HEART ASSOCIATION STROKE COUNCIL.. 2015 American Heart Association/American Stroke Association Focused Update of the 2013 Guidelines for the Early Management of Patients With Acute Ischemic Stroke Regarding Endovascular Treatment: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke [online] 2015 Oct, 46(10):3020-35 [viewed 18 March 2017] Available from:
  8. WAHLGREN N, MOREIRA T, MICHEL P, STEINER T, JANSEN O, COGNARD C, MATTLE HP, VAN ZWAM W, HOLMIN S, TATLISUMAK T, PETERSSON J, CASO V, HACKE W, MAZIGHI M, ARNOLD M, FISCHER U, SZIKORA I, PIEROT L, FIEHLER J, GRALLA J, FAZEKAS F, LEES KR, ESO-KSU, ESO, ESMINT, ESNR AND EAN.. Mechanical thrombectomy in acute ischemic stroke: Consensus statement by ESO-Karolinska Stroke Update 2014/2015, supported by ESO, ESMINT, ESNR and EAN. Int J Stroke [online] 2016 Jan, 11(1):134-47 [viewed 18 March 2017] Available from:
  9. WINTERMARK M, SANELLI P, ALBERS GW, BELLO J, DERDEYN C, HETTS SW, JOHNSON MH, KIDWELL C, LEV MH, LIEBESKIND DS, ROWLEY H, SCHAEFER PW, SUNSHINE JL, ZAHARCHUK G, MELTZER CC. Imaging Recommendations for Acute Stroke and Transient Ischemic Attack Patients: A Joint Statement by the American Society of Neuroradiology, the American College of Radiology and the Society of NeuroInterventional Surgery AJNR Am J Neuroradiol [online] 2013 Aug 1, 34(11):E117-E127 [viewed 11 August 2017] Available from: