Minor Stroke ? Opt NO for t-PA

  Patients with mild ischemic stroke did not benefit from treatment with the clot busting agent alteplase at 90 days compared to aspirin (325 mg) alone according to the PRISMS Trial phase IIb.
JAMA. 2018 Jul 10;320(20):156-166

Migraine: A potent Risk Factor for Cardiovascular Disease

  Previous studies have suggested migraine is a risk factor for ischemic stroke and ischemic heart disease. Two new studies support migraine as an important risk factor for ischemic stroke, myocardial infarction, hemorrhagic stroke, venous thromboembolism, atrial fibrillation and atrial flutter.
  Strategies to reduce cardiovascular risk factors in migraine sufferers is therefore critical.
  Further study is necessary to determine if decreasing the frequency and severity of migraine is associated with less cardiovascular risk.
BMJ 2018;360:k96

Bad Sleep Equals Increased Risk of Stroke

  Sleep-disordered breathing (SDB ex. obstructive sleep apnea) has been found to be an independent risk factor for stroke. SBD and sleep-wake disturbances (SWD) increase the risk of stroke AND may impair neuroplasticity and recovery of function AFTER a stroke.
  Sleep studies should be completed in patients with stroke or warning signs of stroke in the form of TIA's.
Neurology August 3 2016

Risk of Stroke Increases With IncreasedJob Stress

In a meta-analytic study out of China, people with high stress jobs had a 22% higher risk of stroke than those with low-stress jobs. Women with high-stress jobs had a 33% higher risk of stroke than women with low-stress jobs.Those with high-stress jobs were 58% more likely to have an ischemic stroke than those with low-stress jobs. People with passive (janitors,miners, other manual laborers) and active (doctors,teachers,engineers)did NOT have an increased risk of stroke.
  High stress jobs were found in the service industry (waitresses,nurses aides).
Neurology.2015 Oct 14

Dr. Prusinski Meets with Senator Mark Kirk for Illinois

Christopher Prusinski,DO,FAHA,FAAN and Steven Lewis,FAAN meet with Senator Mark Kirk (a victim of stroke himself) for Illinois to discuss supporting the FAST Act to improve access to Neurologists in urban and suburban ares (those areas most effected by stroke) to improve stroke care and reduce costs to medicare overall. Of course, continued funding of the BRAIN initiative (Brain Research Through Advancing Innovative Neurotechnologies) a cause personal to Dr. Prusinski is always emphasized with every meeting with lawmakers.

Increase Survival Following MCA Stroke

  Increased survival after middle cerebral artery distribution stroke was achieved in patients that underwent decompressive hemi-craniotomy.
NEJM March 20, 2014

Decrease Stroke Risk : Eat Like a Mediterranean

  Mediterranean diet decreases stroke risk.
Ann Neuro 2013

Increase Motor Function After Stroke

  According to the FLAME study, fluoxetine improves motor function in patients with weakness/paralysis following stroke.
Lancet Neuro 2011;377(9778):1693-1702

Eat Your Fruits, Vegies and Protein

  Stroke risk decreased by 32% with every 200 grams of fruit consumed daily and 11% with every 200 grams of vegetables consumed daily according to a meta-analysis of 20 studies published within the last 19 years.
Stroke May 8, 2014
  Also, for every extra 20 grams of protein eaten daily the risk of stroke decreased by 26%.
Neurology June 11, 2014

Increased risk of Stroke Related to Elevated Tungsten in Urine

  Individuals with elevated levels of Tungsten (found in mobile phones and computers) demonstrated a strong association with an increased risk of stroke.
PLOS ONE November 11, 2013

Stroke, Atrial Fib And Dementia

Patients with atrial fibrillation that have had stroke are 2.4 times more likely to develop dementia.

Neurology March 8 2011