Use of antithrombotic drugs in the treatment of acute ischemic stroke: a survey of neurologists in practice in the United States.

Abstract:

:In an attempt to determine the opinions and practices of neurologists regarding the use of antithrombotic drugs in the treatment of acute ischemic stroke, we conducted a survey of 349 randomly selected neurologists from throughout the United States. Responses were received from 247 (71%), and 219 identified themselves as primary or consulting physicians for patients with acute ischemic stroke. During the previous 12 months, these 219 physicians estimated that they had seen a total of 14,636 patients within 24 hours of acute ischemic stroke, and 22% of these patients were treated with heparin. The most frequently reported indications were prevention of recurrent cerebral embolism (82% of physicians) and progressing stroke (70%). Despite the frequent use of heparin, only 6.4% of neurologists felt that it has been shown to be effective, and 16.4% felt that it has been shown to be of no value. The primary concern about the use of heparin was lack of proven efficacy in 48% and safety concerns in 41%. Results of a future trial testing the efficacy of antithrombotic drugs would be useful for most neurologists in their management of patients with acute or progressing ischemic stroke.

journal_name

Neurology

journal_title

Neurology

authors

Marsh EE 3rd,Adams HP Jr,Biller J,Wasek P,Banwart K,Mitchell V,Woolson R

doi

10.1212/wnl.39.12.1631

subject

Has Abstract

pub_date

1989-12-01 00:00:00

pages

1631-4

issue

12

eissn

0028-3878

issn

1526-632X

journal_volume

39

pub_type

杂志文章
  • The syndrome of frontal lobe epilepsy: characteristics and surgical management.

    abstract::We reviewed the historical features, preoperative diagnostic evaluation, operative procedure, and surgical outcome in 16 patients with refractory frontal lobe epilepsy. Clinical expression of the epilepsy varied widely, particularly with respect to seizure characteristics, although high monthly seizure frequency and a...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.45.4.780

    authors: Laskowitz DT,Sperling MR,French JA,O'Connor MJ

    更新日期:1995-04-01 00:00:00

  • Reduced contrast sensitivity in compressive lesions of the anterior visual pathway.

    abstract::A clinical procedure for determining contrast sensitivity was performed on patients with suspected sella area masses. The test consisted of a series of six plates, each containing a bar pattern of fixed sinusoidal spatial frequency in which contrast varies along the length of the bar. Patients with compressive lesions...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.31.5.550

    authors: Kupersmith MJ,Siegel IM,Carr RE

    更新日期:1981-05-01 00:00:00

  • Gram-negative bacterial molecules associate with Alzheimer disease pathology.

    abstract:OBJECTIVE:We determined whether Gram-negative bacterial molecules are associated with Alzheimer disease (AD) neuropathology given that previous studies demonstrate Gram-negative Escherichia coli bacteria can form extracellular amyloid and Gram-negative bacteria have been reported as the predominant bacteria found in no...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000003391

    authors: Zhan X,Stamova B,Jin LW,DeCarli C,Phinney B,Sharp FR

    更新日期:2016-11-29 00:00:00

  • Retraction of the lower eyelid.

    abstract::Retraction of the lower eyelid is a useful sign of disease. It is an early manifestation of weakness of the facial muscles, occurring with myopathies, myasthenia, and upper and lower motor neuron facial paresis. Rarely, lower and upper lid retraction occur without proptosis in patients with Graves disease. Lower lid r...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.29.3.386

    authors: Cohen MM,Lessell S

    更新日期:1979-03-01 00:00:00

  • Measurement of tissue oxygen consumption in patients with mitochondrial myopathy by noninvasive tissue oximetry.

    abstract::We measured oxygen consumption in the exercising lower limb by using noninvasive tissue oximetry with the near-infrared spectra of hemoglobin in the quadriceps muscle during bicycle ergometer exercise in four normal controls and three patients with chronic progressive external ophthalmoplegia (CPEO) as well as one pat...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.49.3.837

    authors: Abe K,Matsuo Y,Kadekawa J,Inoue S,Yanagihara T

    更新日期:1997-09-01 00:00:00

  • Lumbosacral plexus neuritis.

    abstract::We studied four patients with neurologic disorders of the lumbosacral plexus. Except for location of symptoms, the disorder confirmed to criteria established for the clinical diagnosis of brachial plexus neuritis. Acute onset of pain in one or both legs was followed by weakness, loss of stretch reflexes, and sometimes...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.31.4.470

    authors: Sander JE,Sharp FR

    更新日期:1981-04-01 00:00:00

  • Intensity dependence of auditory evoked potentials is pronounced in migraine: an indication of cortical potentiation and low serotonergic neurotransmission?

    abstract::Migraine is associated with stimulus hypersensitivity, increased evoked cortical responses, and abnormal 5-HT levels in peripheral blood. We studied cortical auditory evoked potentials (AEPs) between attacks in 35 patients suffering from migraine without aura (MO, n = 25) or with aura (MA, n = 10) and in 25 healthy vo...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.46.5.1404

    authors: Wang W,Timsit-Berthier M,Schoenen J

    更新日期:1996-05-01 00:00:00

  • The effects of myasthenic immunoglobulins on neuromuscular transmission and thymus histology in mice.

    abstract::An autoimmune reaction to the endplate acetylcholine receptor (AChR) is thought to be responsible for the muscular weakness of myasthenia gravis (MG). However, the significance of antithymic antibodies and the thymic AChR-like protein is still uncertain. We transferred immunoglobulins (Igs) from patients with MG to mi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.33.10.1356

    authors: Dalkara T,Onur R,Ruacan SA,Topaktaş S

    更新日期:1983-10-01 00:00:00

  • Surgical and hardware complications of subthalamic stimulation: a series of 160 procedures.

    abstract:OBJECTIVE:To assess the surgical and hardware complications in a series of 81 consecutive patients undergoing subthalamic (STN) deep brain stimulation (DBS) for Parkinson disease (PD). METHODS:The authors prospectively documented surgical and hardware complications occurring at the time of surgery and at subsequent ne...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000134650.91974.1a

    authors: Lyons KE,Wilkinson SB,Overman J,Pahwa R

    更新日期:2004-08-24 00:00:00

  • Relationship between Meige syndrome and alpha-methyldopa-induced parkinsonism.

    abstract::We studied two patients with Meige syndrome who developed alpha-methyldopa-induced parkinsonism. Opposite responses of parkinsonian and dystonic symptoms to antiparkinson drugs in some cases suggest a functionally reciprocal relationship between these disorders. ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.35.11.1668

    authors: Sechi GP,Demontis G,Rosati G

    更新日期:1985-11-01 00:00:00

  • Plasma multianalyte profiling in mild cognitive impairment and Alzheimer disease.

    abstract:OBJECTIVES:While plasma biomarkers have been proposed to aid in the clinical diagnosis of Alzheimer disease (AD), few biomarkers have been validated in independent patient cohorts. Here we aim to determine plasma biomarkers associated with AD in 2 independent cohorts and validate the findings in the multicenter Alzheim...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0b013e318266fa70

    authors: Hu WT,Holtzman DM,Fagan AM,Shaw LM,Perrin R,Arnold SE,Grossman M,Xiong C,Craig-Schapiro R,Clark CM,Pickering E,Kuhn M,Chen Y,Van Deerlin VM,McCluskey L,Elman L,Karlawish J,Chen-Plotkin A,Hurtig HI,Siderowf A,Swens

    更新日期:2012-08-28 00:00:00

  • Quantifiable evaluation of cerebellar signs in children.

    abstract:OBJECTIVE:To validate, examine the internal validity, and adapt to children the electronic version of the composite cerebellar functional severity (CCFS) score. METHODS:In this multicenter study, we compared the validated manual device with the new electronic version (n = 46) and analyzed its kinetics in 146 patients ...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0000000000001403

    authors: Filipovic Pierucci A,Mariotti C,Panzeri M,Giunti P,Boesch S,Schulz JB,Pandolfo M,Durr A,Tezenas du Montcel S,EFACTS Study Group.

    更新日期:2015-03-24 00:00:00

  • Early clinicopathologic description of nodoparanodopathy in the 19th century.

    abstract::Nodoparanodopathy is a recent concept in the field of peripheral neuropathy, corresponding to peripheral nerve disorders stemming from an autoimmune attack directed and limited to the nodal region. This concept was identified using modern techniques of electrophysiology, immunology, and pathology (including electron m...

    journal_title:Neurology

    pub_type: 历史文章,杂志文章

    doi:10.1212/WNL.0000000000008399

    authors: Mathis S,Le Masson G,Vallat JM

    更新日期:2019-10-29 00:00:00

  • Blink reflex excitability cycle in hemifacial spasm.

    abstract::We studied electrically elicited blink reflex responses in patients with hemifacial spasm (HFS) by applying single isolated, as well as paired (conditioning and test), stimuli at both sides of the face. Responses after single stimuli were of larger size on the side of the spasm compared with the uninvolved side and co...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.39.8.1061

    authors: Valls-Sole J,Tolosa ES

    更新日期:1989-08-01 00:00:00

  • Auditory system degeneration in Alzheimer's disease.

    abstract::We observed a highly topographically specific and consistent pattern of degeneration in the auditory system of Alzheimer's disease (AD) patients. Senile plaques (SP) and neurofibrillary tangles (NFT) were distributed throughout the ventral nucleus of the medial geniculate body (MGB) and the central nucleus of the infe...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.4.779

    authors: Sinha UK,Hollen KM,Rodriguez R,Miller CA

    更新日期:1993-04-01 00:00:00

  • Highly fatal fast-channel syndrome caused by AChR ε subunit mutation at the agonist binding site.

    abstract:OBJECTIVE:To characterize the molecular basis of a novel fast-channel congenital myasthenic syndrome. METHODS:We used the candidate gene approach to identify the pathogenic mutation in the acetylcholine receptor (AChR) ε subunit, genetically engineered the mutant AChR into HEK cells, and evaluated the level of express...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0b013e31825b5bda

    authors: Shen XM,Brengman JM,Edvardson S,Sine SM,Engel AG

    更新日期:2012-07-31 00:00:00

  • Cheiro-oral topography of sensory disturbances due to lesions of thalamocortical projections.

    abstract::Sensory disturbance in the unilateral hand and ipsilateral mouth region, the cheiro-oral syndrome, may be due to cortical, thalamic, or brainstem lesions. We report five patients with this syndrome due to infarction at the border of the posterior limb of the internal capsule and the corona radiata. The sensory fibers ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.43.1_part_1.51

    authors: Isono O,Kawamura M,Shiota J,Araki S,Hirayama K

    更新日期:1993-01-01 00:00:00

  • Deletions of mitochondrial DNA in Kearns-Sayre syndrome.

    abstract::We have identified large-scale deletions in muscle mitochondrial DNA (mtDNA) in seven of seven patients with Kearns-Sayre syndrome (KSS). We found no detectable deletions in the mtDNA of ten non-KSS patients with other mitochondrial myopathies or encephalomyopathies, or three normal controls. The deletions ranged in s...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.38.9.1339

    authors: Zeviani M,Moraes CT,DiMauro S,Nakase H,Bonilla E,Schon EA,Rowland LP

    更新日期:1988-09-01 00:00:00

  • Methylphenidate, cognition, and epilepsy: A double-blind, placebo-controlled, single-dose study.

    abstract:OBJECTIVE:To evaluate the potential efficacy of immediate-release methylphenidate (MPH) for treating cognitive deficits in epilepsy. METHODS:This was a double-blind, randomized, single-dose, 3-period crossover study in patients with epilepsy and chronic cognitive complaints comparing the effects of placebo and MPH 10 ...

    journal_title:Neurology

    pub_type: 杂志文章,随机对照试验

    doi:10.1212/WNL.0000000000003564

    authors: Adams J,Alipio-Jocson V,Inoyama K,Bartlett V,Sandhu S,Oso J,Barry JJ,Loring DW,Meador K

    更新日期:2017-01-31 00:00:00

  • Cerebral atrophy and functional deficits in alcoholics without clinically apparent liver disease.

    abstract::Ninety-seven chronic alcoholics, both impaired and unimpaired, without clinically evident liver disease, showed significantly more cerebral atrophy on computed tomography than age-matched neurologic controls. Age was the variable most highly correlated with cerebral atrophy measurements, and it accounted for most of t...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.31.4.377

    authors: Carlen PL,Wilkinson DA,Wortzman G,Holgate R,Cordingley J,Lee MA,Huszar L,Moddel G,Singh R,Kiraly L,Rankin JG

    更新日期:1981-04-01 00:00:00

  • Ictal downbeat nystagmus in Ménière disease: A cross-sectional study.

    abstract:OBJECTIVE:To determine the mechanism of ictal downbeat nystagmus in Ménière disease (MD), we compared the head impulse gain of the vestibulo-ocular reflex (VOR) for each semicircular canal between patients with (n = 7) and without (n = 70) downbeat nystagmus during attacks of MD. METHODS:We retrospectively analyzed th...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000010653

    authors: Lee SU,Kim HJ,Choi JY,Kim JS

    更新日期:2020-10-27 00:00:00

  • Cholesterol emboli neuropathy.

    abstract::We report the clinical and pathologic features of a patient with peripheral neuropathy that was the first clinical expression of cholesterol emboli syndrome (CES). Biopsy of skeletal muscle and peripheral nerve revealed cholesterol clefts in lumens of small arteries, necrotizing arteritis, and severe degeneration of p...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.42.2.428

    authors: Bendixen BH,Younger DS,Hair LS,Gutierrez C,Meyers ML,Homma S,Jaffe IA

    更新日期:1992-02-01 00:00:00

  • The lower hippocampus global connectivity, the higher its local metabolism in Alzheimer disease.

    abstract:OBJECTIVES:Based on the hippocampus disconnection hypothesis in Alzheimer disease (AD), which postulates that uncoupling from cortical inputs contributes to disinhibition-like changes in hippocampus activity, we suggested that in patients with AD, the more the intrinsic functional connectivity between hippocampus and p...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000001575

    authors: Tahmasian M,Pasquini L,Scherr M,Meng C,Förster S,Mulej Bratec S,Shi K,Yakushev I,Schwaiger M,Grimmer T,Diehl-Schmid J,Riedl V,Sorg C,Drzezga A

    更新日期:2015-05-12 00:00:00

  • Childhood absence epilepsy: poor attention is more than seizures.

    abstract::Dr. Masur and colleagues(1) from the Childhood Absence Epilepsy Study Group tried to answer a few important questions regarding childhood absence epilepsy (CAE) in their article "Pretreatment cognitive deficits and treatment effects on attention in childhood absence epilepsy." First, they wanted to know whether childr...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/01.wnl.0000436060.67147.25

    authors: Thio LL

    更新日期:2013-10-29 00:00:00

  • Delivery of active hexosaminidase across the blood-brain barrier in rats.

    abstract::The ability to deliver enzymatically active human hexosaminidase A across the blood-brain barrier and into brain cells of the normal rat was examined. Following osmotic blood-brain barrier modification in the rat, intraarterially administered human hexosaminidase A and B were shown to cross the barrier and enter brain...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.34.8.1012

    authors: Neuwelt EA,Barranger JA,Pagel MA,Quirk JM,Brady RO,Frenkel EP

    更新日期:1984-08-01 00:00:00

  • Natural history of succinic semialdehyde dehydrogenase deficiency through adulthood.

    abstract:OBJECTIVE:The natural history of succinic semialdehyde dehydrogenase (SSADH) deficiency in adulthood is unknown; we elucidate the clinical manifestations of the disease later in life. METHODS:A 63-year-old man with long-standing intellectual disability was diagnosed with SSADH deficiency following hospitalization for ...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000001906

    authors: Lapalme-Remis S,Lewis EC,De Meulemeester C,Chakraborty P,Gibson KM,Torres C,Guberman A,Salomons GS,Jakobs C,Ali-Ridha A,Parviz M,Pearl PL

    更新日期:2015-09-08 00:00:00

  • Head injury does not alter disease progression or neuropathologic outcomes in ALS.

    abstract:OBJECTIVES:To study the effects of head injury on disease progression and on neuropathologic outcomes in amyotrophic lateral sclerosis (ALS). METHODS:Patients with ALS were surveyed to obtain head injury history, and medical records were reviewed. Linear regression was performed to determine if head injury was a predi...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/WNL.0000000000001522

    authors: Fournier CN,Gearing M,Upadhyayula SR,Klein M,Glass JD

    更新日期:2015-04-28 00:00:00

  • Paradoxical longevity in obese patients with intracerebral hemorrhage.

    abstract:BACKGROUND:The paradoxical phenomenon of relative longevity among obese patients with established diseases has been reported for various disease conditions. The authors sought to investigate whether the obesity paradox also applies to intracerebral hemorrhage (ICH) survivors. METHODS:A total of 1,604 patients with ICH...

    journal_title:Neurology

    pub_type: 杂志文章,多中心研究

    doi:10.1212/WNL.0b013e31820b7667

    authors: Kim BJ,Lee SH,Ryu WS,Kim CK,Lee J,Yoon BW

    更新日期:2011-02-08 00:00:00

  • Autoimmunity and ALS.

    abstract::Significant evidence has accrued suggesting that antibodies to voltage-gated calcium channel are observed in at least some patients with sporadic ALS (SALS) and that such antibodies alter the function of these ion channels in vitro and in vivo. Further, passive transfer of these immunoglobulin-containing fractions int...

    journal_title:Neurology

    pub_type: 杂志文章,评审

    doi:10.1212/wnl.47.4_suppl_2.40s

    authors: Smith RG,Siklos L,Alexianu ME,Engelhardt JI,Mosier DR,Colom L,Habib Mohamed A,Appel SH

    更新日期:1996-10-01 00:00:00

  • Spatial disorientation in Alzheimer's disease: the remembrance of things passed.

    abstract:BACKGROUND:Patients with Alzheimer's disease (AD) and many older adults become lost even in familiar surroundings. This is commonly attributed to memory impairment, but it may reflect impaired spatial cognition. METHODS:The authors examined the role of memory, perceptual, and cognitive mechanisms in spatial disorienta...

    journal_title:Neurology

    pub_type: 杂志文章

    doi:10.1212/wnl.61.11.1491

    authors: Monacelli AM,Cushman LA,Kavcic V,Duffy CJ

    更新日期:2003-12-09 00:00:00