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Thrombolytic Therapy in Wake-Up Stroke Patients
Objective The aim of the study is to review existing and ongoing trial data on wake-up stroke (WUS) patients for thrombolytic therapy. Methods A literature search was conducted in PubMed (conception–October 2016) using the terms wake-up stroke, acute ischemic stroke, wake-up ...
Gretchen M, Stern +5 more
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Tenecteplase in wake-up ischemic stroke trial: Protocol for a randomized-controlled trial [PDF]
BACKGROUND: Patients with wake-up ischemic stroke who have evidence of salvageable tissue on advanced imaging can benefit from intravenous thrombolysis. It is not known whether patients who do not fulfil such imaging criteria might benefit from treatment,
Dalius Jatuzis +2 more
exaly +3 more sources
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Management of a wake-up stroke
Practical Neurology, 2019Current national guidelines advocate intravenous thrombolysis to treat patients with acute ischaemic stroke presenting within 4.5 hours from symptom onset, and thrombectomy for patients with anterior circulation ischaemic stroke from large vessel occlusion presenting within 6 hours from onset.
Xuya Huang +3 more
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Topics in Magnetic Resonance Imaging, 2017
Patients with wake-up strokes account for approximately 1 in 5 individuals presenting with an acute ischemic stroke. However, they are commonly excluded from acute stroke treatment. This article reviews the current understanding of wake-up strokes. A comparison of wake-up and awake-onset strokes demonstrated that they are physiologically, clinically ...
Jenny P, Tsai, Gregory W, Albers
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Patients with wake-up strokes account for approximately 1 in 5 individuals presenting with an acute ischemic stroke. However, they are commonly excluded from acute stroke treatment. This article reviews the current understanding of wake-up strokes. A comparison of wake-up and awake-onset strokes demonstrated that they are physiologically, clinically ...
Jenny P, Tsai, Gregory W, Albers
openaire +2 more sources
Wake-Up or Unclear-Onset Strokes: Are they Waking up to the World of Thrombolysis Therapy?
International Journal of Stroke, 2012Wake-up or unclear-onset strokes occur in up to one-fourth of patients with ischemic stroke. Although stroke severity and clinical outcomes appear to be poorer in wake-up strokes than nonwake-up strokes, many patients with wake-up strokes do not receive thrombolytic therapy because stroke onset time cannot be determined.
Dong-Wha, Kang +3 more
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Smart Wake-up Stroke Alert System
2020 IEEE REGION 10 CONFERENCE (TENCON), 2020Wake-up stroke refers to a kind of ischemic stroke where a person wakes up with symptoms of stroke that are not present before going to sleep. These symptoms may include muscle weakness, drowsiness, walking difficulties, face drooping among others. Risk factors for ischemic strokes are Diabetes, Hypertension, Obesity, age, tobacco use, etc.
Lakshmi Boppana +3 more
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Abstract T P168: A Wake-up Call for Wake-up Strokes
Stroke, 2015INTRODUCTION: Studies suggest 8%-28% of ischemic strokes present as wake-up strokes (WUS). The unknown time of symptom onset precludes these patients from approved treatments for acute ischemic stroke, but a substantial proportion of patients may be deemed candidates for treatment if other factors are considered.
Josephine F Huang +2 more
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Abstract TP75: Waking Up To A New Wake-Up Stroke Protocol Is Feasible And Safe
Stroke, 2023Introduction: Up to 25% of strokes are recognized upon awakening. Recent studies have demonstrated that a “tissue clock” rather than a time clock can be used to identify patients who may benefit from intravenous thrombolytics (IVT) beyond 4.5 hours from last known well (LKW).
Maheen Rana +21 more
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Treating Wake-Up Stroke Patients
Current Radiology Reports, 2013In 20–25 % of stroke patients, stroke occurs during sleep. Due to the missing information on time of symptom onset, these patients with “wake-up stroke” are excluded from treatment with intravenous thrombolysis based on licensing criteria. Within the past years, however, new approaches to guide treatment in wake-up stroke patients have been suggested ...
Götz Thomalla, Jens Fiehler
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Recanalisation therapies for wake-up stroke
Cochrane Database of Systematic Reviews, 2014Background About one in five strokes occur during sleep (wake-up stroke). People with wake-up strokes have traditionally been considered ineligible for thrombolytic treatment because the time of stroke onset is unknown. However, some studies suggest that these people may benefit from recanalisation therapies.
Haakon Lindekleiv +2 more
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