Intravenous t-PA for acute ischemic stroke: therapeutic yield of a stroke code system.

Abstract:

:Subsequent to publication of the NINDS t-PA Stroke Study results, we sought to determine the proportion of patients eligible for and receiving intravenous tissue plasminogen activator (t-PA) at an active acute stroke treatment center. Over a 12-month period there were 185 stroke code activations. Of these, 134 involved patients with ischemic stroke, and 48 of these (36%) were potentially eligible for treatment with t-PA by the time criterion (i.e., interval from stroke onset to hospital presentation < 3 hours). Nine of the 48 potentially eligible patients (19%) and 9 of 134 ischemic stroke patients (7%) overall received t-PA. In our patient population only a small proportion of all patients with acute ischemic stroke presently are eligible for treatment with t-PA.

journal_name

Neurology

journal_title

Neurology

authors

Zweifler RM,Brody ML,Graves GC,U TT,Drinkard R,Cunningham S,Rothrock JF

doi

10.1212/wnl.50.2.501

subject

Has Abstract

pub_date

1998-02-01 00:00:00

pages

501-3

issue

2

eissn

0028-3878

issn

1526-632X

journal_volume

50

pub_type

杂志文章
  • From benign fasciculations and cramps to motor neuron disease.

    abstract::Fasciculations and cramps may occur in motor neuron disease or as part of a more benign syndrome. A man with apparently benign fasciculations and cramps for 4 years developed progressive muscle weakness and wasting. Such a previously undocumented evolution of benign fasciculations and cramps to motor neuron disease ma...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.36.7.997

    authors: Fleet WS,Watson RT

    更新日期:1986-07-01 00:00:00

  • Psychiatric adverse events during levetiracetam therapy.

    abstract::The prevalence and psychopathologic features of psychiatric adverse events (PAE) in 517 patients taking levetiracetam (LEV) were investigated. Fifty-three (10.1%) patients developed PAE. A significant association was found with previous psychiatric history, history of febrile convulsions, and history of status epilept...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000078031.32904.0d

    authors: Mula M,Trimble MR,Yuen A,Liu RS,Sander JW

    更新日期:2003-09-09 00:00:00

  • Underdevelopment of the postural control system in autism.

    abstract:OBJECTIVE:To determine if abnormalities exist in postural control in autism and if they are related to age. METHODS:Dynamic posturography was performed in 79 autistic individuals without mental retardation and 61 healthy volunteers between ages 5 and 52 years. Both the sensory organization and the movement coordinatio...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000145771.98657.62

    authors: Minshew NJ,Sung K,Jones BL,Furman JM

    更新日期:2004-12-14 00:00:00

  • Stroke after zoster ophthalmicus in a 12-year-old girl with protein C deficiency.

    abstract::A 12-year-old girl who had zoster ophthalmicus 10 months earlier presented with hemiparesis and corresponding basal ganglionic infarction related to middle cerebral artery branch thrombosis ipsilateral to the zoster. Hematologic evaluation disclosed protein C deficiency. This represents the first zoster-associated str...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.53.5.1128

    authors: Cadavid D,Pearl PL,Dubovsky EC,Angiolillo A,Vezina LG

    更新日期:1999-09-22 00:00:00

  • Unilateral thalamic deep brain stimulation for refractory essential tremor and Parkinson's disease tremor.

    abstract:OBJECTIVE:To determine the efficacy and tolerability of unilateral thalamic deep brain stimulation (DBS) for patients with medically refractory essential tremor (ET) and the tremor associated with Parkinson's disease (PD). BACKGROUND:The tremor of ET and PD may produce functional disability despite optimal medical the...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1212/wnl.51.4.1063

    authors: Ondo W,Jankovic J,Schwartz K,Almaguer M,Simpson RK

    更新日期:1998-10-01 00:00:00

  • Combined defects of muscle phosphofructokinase and AMP deaminase in a child with myoglobinuria.

    abstract::A 14-year-old boy with exercise-related myalgia and cramps had several episodes of myoglobinuria since early childhood. An episode at 2 years of age caused acute renal failure. Histochemical and biochemical analysis of muscle showed a combined defect of phosphofructokinase (PFK) and adenosine monophosphate (AMP) deami...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.50.1.296

    authors: Bruno C,Minetti C,Shanske S,Morreale G,Bado M,Cordone G,DiMauro S

    更新日期:1998-01-01 00:00:00

  • Dantrolene sodium and hepatic injury.

    abstract::This is a report on hepatic adverse events associated with dantrolene therapy. All cases reported to the manufacturer are included, from all sources, through 1987. Of 122 cases containing sufficient data to analyze, 47 patients had asymptomatic transaminase elevations, 12 had additional mild (less than or equal to 2.5...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.40.9.1427

    authors: Chan CH

    更新日期:1990-09-01 00:00:00

  • Idiopathic granulomatous angiitis of the CNS manifesting as diffuse white matter disease.

    abstract::A 48-year-old man presented with progressive spastic paraparesis and diffuse white matter involvement on neuroimaging that suggested a primary demyelinating disease. Brain biopsy 3 years after onset of symptoms demonstrated idiopathic granulomatous angiitis. In patients with MRI features of diffuse white matter diseas...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.49.6.1696

    authors: Finelli PF,Onyiuke HC,Uphoff DF

    更新日期:1997-12-01 00:00:00

  • Adaptation to lateral displacement of vision in patients with lesions of the central nervous system.

    abstract::The visual-motor adaptation to lateral displacement of vision by prism glasses was studied in normal individuals and patients with cerebellar dysfunction, Parkinson's disease, right or left cerebral hemisphere lesions, Alzheimer's disease, or Korsakoff's syndrome. Adaptation was analyzed in two phases, the return to n...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.33.6.766

    authors: Weiner MJ,Hallett M,Funkenstein HH

    更新日期:1983-06-01 00:00:00

  • Practice parameter: risk of driving and Alzheimer's disease (an evidence-based review): report of the quality standards subcommittee of the American Academy of Neurology.

    abstract::Studies of automobile accident frequency among drivers with AD have yielded conflicting results about the risk of accidents. To develop a practice parameter regarding driving and AD the authors performed a systematic review of the literature. The authors identified well-designed, controlled studies of driving and AD u...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.54.12.2205

    authors: Dubinsky RM,Stein AC,Lyons K

    更新日期:2000-06-27 00:00:00

  • The thymus gland in elderly patients with myasthenia gravis.

    abstract::This study was undertaken to determine the amount and histologic appearance of the persistent thymic tissue removed post mortem from 20 patients over 60 years of age with myasthenia gravis. One patient died several days after thymectomy. No recognizable thymic tissue on gross examination was seen in any patient. On mi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.25.3.294

    authors: Perlo VP,Arnason B,Castleman B

    更新日期:1975-03-01 00:00:00

  • Twelve-month recovery of medical decision-making capacity following traumatic brain injury.

    abstract:OBJECTIVE:To investigate recovery of medical decision-making capacity (MDC) over the first year following traumatic brain injury (TBI). METHODS:A total of 177 participants (111 persons with TBI and 66 healthy controls) were recruited from an inpatient/outpatient TBI rehabilitation unit and outpatient neurology departm...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000003079

    authors: Steward KA,Gerstenecker A,Triebel KL,Kennedy R,Novack TA,Dreer LE,Marson DC

    更新日期:2016-09-06 00:00:00

  • The neurologic complications of B-cell chronic lymphocytic leukemia.

    abstract::We performed a retrospective study to characterize the type, frequency, and timing of neurologic complications in patients with B-cell chronic lymphocytic leukemia (B-CLL). We reviewed 962 total charts with a median follow-up time of 57.5 months. There were 109 cases (11.3%) of neurologic complications, including 69 c...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.48.2.407

    authors: Bower JH,Hammack JE,McDonnell SK,Tefferi A

    更新日期:1997-02-01 00:00:00

  • DPPX potassium channel antibody: frequency, clinical accompaniments, and outcomes in 20 patients.

    abstract:OBJECTIVE:To describe the detection frequency and clinical associations of immunoglobulin G (IgG) targeting dipeptidyl-peptidase-like protein-6 (DPPX), a regulatory subunit of neuronal Kv4.2 potassium channels. METHODS:Specimens from 20 patients evaluated on a service basis by tissue-based immunofluorescence yielded a...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000000991

    authors: Tobin WO,Lennon VA,Komorowski L,Probst C,Clardy SL,Aksamit AJ,Appendino JP,Lucchinetti CF,Matsumoto JY,Pittock SJ,Sandroni P,Tippmann-Peikert M,Wirrell EC,McKeon A

    更新日期:2014-11-11 00:00:00

  • Saccades in children with spina bifida and Chiari type II malformation.

    abstract:BACKGROUND:Saccades are essential for optimal visual function. Chiari type II malformation (CII) is a congenital anomaly of the cerebellum and brainstem, associated with spina bifida. OBJECTIVE:To investigate the effects of CII on saccades and correlate saccadic parameters with brain MRI measurements. METHODS:Saccade...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.WNL.0000166034.71337.5E

    authors: Salman MS,Sharpe JA,Eizenman M,Lillakas L,To T,Westall C,Steinbach MJ,Dennis M

    更新日期:2005-06-28 00:00:00

  • Sensitivity and specificity of FTDC criteria for behavioral variant frontotemporal dementia.

    abstract:OBJECTIVE:We aimed to assess sensitivity and specificity of the updated criteria for behavioral variant frontotemporal dementia (bvFTD) based on a large autopsy-confirmed cohort of patients with dementia. METHODS:Two hundred thirty-nine consecutive pathologically confirmed dementia patients, clinically assessed in a s...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e318292a342

    authors: Harris JM,Gall C,Thompson JC,Richardson AM,Neary D,du Plessis D,Pal P,Mann DM,Snowden JS,Jones M

    更新日期:2013-05-14 00:00:00

  • Sex of parent transmission effect in Tourette's syndrome: evidence for earlier age at onset in maternally transmitted cases suggests a genomic imprinting effect.

    abstract::Parent of origin effects caused by genomic imprinting may influence the phenotypic expression of a number of heritable human disorders. To test this phenomenon in Tourette's syndrome (TS), we studied 437 first degree relatives systematically ascertained through 57 probands. We compared age at onset, age at diagnosis, ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.48.4.934

    authors: Eapen V,O'Neill J,Gurling HM,Robertson MM

    更新日期:1997-04-01 00:00:00

  • Dopaminergic mechanisms in hemiparkinsonian monkeys.

    abstract::The motor effects of direct agonists which act selectively on certain dopamine receptors were studied in monkeys rendered hemiparkinsonian by unilateral intracarotid injection of 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine (MPTP). The D-2 dopamine agonist, LY 171555, but not the D-1 agonist, SKF 38393, reduced parkin...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.37.10.1592

    authors: Barone P,Bankiewicz KS,Corsini GU,Kopin IJ,Chase TN

    更新日期:1987-10-01 00:00:00

  • Effect of artificial pancreas treatment on peripheral nerve function in diabetes.

    abstract::To determine whether the complete correction of hyperglycemia of diabetes can rapidly improve abnormal peripheral nerve function, eight hyperglycemic insulin-requiring diabetics underwent 3 days of glucose control with an artificial endocrine pancreas, the BIOSTATOR Glucose Controller. Comparison of neurologic assessm...

    journal_title:Neurology

    pub_type: 临床试验,杂志文章

    doi:10.1212/wnl.31.11.1375

    authors: Service FJ,Daube JR,O'Brien PC,Dyck PJ

    更新日期:1981-11-01 00:00:00

  • The Pediatric Stroke Recurrence and Recovery Questionnaire: validation in a prospective cohort.

    abstract:OBJECTIVE:We developed the Recurrence and Recovery Questionnaire (RRQ) by converting the Pediatric Stroke Outcome Measure (PSOM) to a questionnaire for telephone interview and sought to validate the RRQ in a large cohort. METHOD:We analyzed parents' RRQ responses and same-day PSOM assessments for 232 children who had ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e318266fc9a

    authors: Lo WD,Ichord RN,Dowling MM,Rafay M,Templeton J,Halperin A,Smith SE,Licht DJ,Moharir M,Askalan R,Deveber G,International Pediatric Stroke Study (IPSS) Investigators.

    更新日期:2012-08-28 00:00:00

  • Blood harmane is correlated with cerebellar metabolism in essential tremor: a pilot study.

    abstract:BACKGROUND:On proton magnetic resonance spectroscopic imaging ((1)H MRSI), there is a decrease in cerebellar N-acetylaspartate/total creatine (NAA/tCr) in essential tremor (ET), signifying cerebellar neuronal dysfunction or degeneration. Harmane, which is present in the human diet, is a potent tremor-producing neurotox...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000266663.27398.9f

    authors: Louis ED,Zheng W,Mao X,Shungu DC

    更新日期:2007-08-07 00:00:00

  • Peripheral neuropathy in classic Niemann-Pick disease: ultrastructure of nerves and skeletal muscles.

    abstract::A patient with classic (type A) Niemann-Pick disease had the usual clinical signs of failure to thrive, hepatosplenomegaly, and intellectual deterioration in the first year of life. In addition, there was striking hypotonia, areflexia, and abnormal nerve conduction velocities. Pathologically, the Schwann cells were fi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.25.2.107

    authors: Gumbinas M,Larsen M,Mei Liu H

    更新日期:1975-02-01 00:00:00

  • Brain functional connectivity network breakdown and restoration in blindness.

    abstract:OBJECTIVE:To characterize brain functional connectivity in subjects with prechiasmatic visual system damage and relate functional connectivity features to extent of vision loss. METHODS:In this case-control study, resting-state, eyes-closed EEG activity was recorded in patients with partial optic nerve damage (n = 15)...

    journal_title:Neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1212/WNL.0000000000000672

    authors: Bola M,Gall C,Moewes C,Fedorov A,Hinrichs H,Sabel BA

    更新日期:2014-08-05 00:00:00

  • Incidence of seizures with phenytoin toxicity.

    abstract::Among 50 patients with phenytoin intoxication, 14 had seizures during the episode. Seizures in 9 of these 14 patients probably resulted from poor seizure control despite high phenytoin levels, but in 5 cases, attacks were attributed to phenytoin toxicity. The only factor that seemed to correlate with seizures was a se...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.35.12.1769

    authors: Stilman N,Masdeu JC

    更新日期:1985-12-01 00:00:00

  • Partial epilepsy presenting as focal paroxysmal pain.

    abstract::A 3-year old, previously well child developed paroxysms of left thigh pain. Evaluation was unremarkable except for interictal and postictal EEG epileptiform activity in the right parietal and posterior temporal regions. The painful spells were controlled with anticonvulsant medication. Episodes of paroxysmal, unexplai...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.2.329

    authors: Trevathan E,Cascino GD

    更新日期:1988-02-01 00:00:00

  • Sensory neuronopathy and Sjögren's syndrome: clinical and immunologic study of two patients.

    abstract::In two patients, a sensory neuronopathy was the initial presentation of Sjögren's syndrome. There was no systemic or peripheral nerve vasculitis. Immunochemical studies failed to demonstrate specific antibodies against the nervous system. These features suggest that the damage to the sensory neurons might not be media...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.10.1637

    authors: Graus F,Pou A,Kanterewicz E,Anderson NE

    更新日期:1988-10-01 00:00:00

  • Applying the ATN scheme in a memory clinic population: The ABIDE project.

    abstract:OBJECTIVE:To apply the ATN scheme to memory clinic patients, to assess whether it discriminates patient populations with specific features. METHODS:We included 305 memory clinic patients (33% subjective cognitive decline [SCD]: 60 ± 9 years, 61% M; 19% mild cognitive impairment [MCI]: 68 ± 9 years, 68% M; 48% dementia...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000008361

    authors: Altomare D,de Wilde A,Ossenkoppele R,Pelkmans W,Bouwman F,Groot C,van Maurik I,Zwan M,Yaqub M,Barkhof F,van Berckel BN,Teunissen CE,Frisoni GB,Scheltens P,van der Flier WM

    更新日期:2019-10-22 00:00:00

  • A representational vertical bias.

    abstract::We attempted to determine whether separable components underlie normal subjects' upward bias in bisecting vertical and radial lines under visual guidance. Twelve normal subjects indicated the midpoint of visually presented lines oriented vertically, radially, and horizontally. We placed directional labels ("TOP" and "...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.44.4.703

    authors: Jeerakathil TJ,Kirk A

    更新日期:1994-04-01 00:00:00

  • Association of retinal layer measurements and adult cognitive function: A population-based study.

    abstract:OBJECTIVE:To quantify the associations of peripapillary retinal nerve fiber layer (pRNFL) thickness and macular ganglion cell layer (mGCL) volume with cognitive functioning and to investigate how demographic and vascular health factors affect these associations in a population-based sample of adults. METHODS:The sampl...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000010146

    authors: Ward DD,Mauschitz MM,Bönniger MM,Merten N,Finger RP,Breteler MMB

    更新日期:2020-09-01 00:00:00

  • Loss of independence in early Parkinson disease: A 5-year population-based incident cohort study.

    abstract:OBJECTIVE:To determine the risk, predictors, and prognosis of independence loss and institutionalization in patients with early Parkinson disease (PD). METHODS:We conducted a prospective population-based 5-year longitudinal study following 189 patients with incident PD and 174 controls matched for age, sex, and comorb...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0000000000003213

    authors: Bjornestad A,Tysnes OB,Larsen JP,Alves G

    更新日期:2016-10-11 00:00:00