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MDLinx
In addition to stroke, central causes of vertigo include brainstem glioma, medulloblastoma, vestibular schwannoma, and vestibular migraine. Peripheral causes include BPPV, Meniere disease, acute labyrinthitis, vestibular neuritis, and multiple sclerosis.
Family Medicine/General Practice November 29th 2022
Annals of Internal Medicine
When compared with rivaroxaban in a propensity score–matched cohort of 19,894 patients, apixaban was associated with an approximately 50% lower rate of ischemic stroke or systemic embolism and bleeding compared to rivaroxaban.
Cardiology October 26th 2022
The New England Journal of Medicine
Over a 5-year period, patients who presented with basilar artery stroke between 6 to 24 hours after symptom onset were randomized to thrombectomy plus medical therapy or medical therapy alone. The thrombectomy group had a greater chance of survival and of achieving good functional status (using a modified Rankin scale) at 90 days, but suffered more procedural complications and cerebral hemorrhages.
Neurology October 25th 2022
To assess short-term risk for severe cardiovascular events (excluding myocarditis and pericarditis) after COVID-19 vaccination, adults younger than 75 years hospitalized for PE, acute MI, hemorrhagic stroke, or ischemic stroke (73,325 events) were reviewed in relation to a 1st or 2nd COVID vaccine dose. No association was found between the Pfizer–BioNTech or Moderna vaccine and severe cardiovascular events. The first dose of the Oxford–AstraZeneca vaccine was associated with acute MI and PE in the second week after vaccination. An association with MI in the second week after a single dose of the Janssen vaccine could not be ruled out.
Cardiology September 6th 2022
What is the best strategy for preventing stroke in patients with non-valvular AF: anticoagulants or left atrial appendage occlusion (LAAO)? The answer depends on the individual patient’s combination of stroke and bleeding risks. In this study, combined risks favored LAAO for higher bleeding risk, but that benefit became less certain at higher stroke risks.
Cardiology August 23rd 2022
Neurology Advisor
Since 1972, clinicians have used the Cookie Theft image to assist them diagnose speech and language problems as well as spatial and visual anomalies. However, a position presented in the Journal of the American Medical Association – Neurology suggests that frequent exposure to the Cookie Theft image may reduce patients’ self-confidence and undermine their sense of belonging and trust.
Neurology August 8th 2022