CEREBROVASCULAR DISEASE/STROKE

Speaker: Elisabeth B. Marsh, MD, Assistant Professor of Neurology at Johns Hopkins School of Medicine Video Provided by the Johns Hopkins School of Medicine and the World Neurology Foundation. Please visit our website at worldneurology.com today!

Speaker: Rafael H. Llinas, M.D. Associate Professor of Neurology Video Provided by the Johns Hopkins School of Medicine and the World Neurology Foundation. Please visit our website at worldneurology.com today!

UCLA neurologist Jeffrey Saver, MD tackles stroke, the leading cause of death and disability in the US. Dr. Saver will discuss lifestyle, medication and procedure treatments to prevent stroke and to reverse stroke injury once it starts. Learn more about the warning signs of a possible stroke and newly approved treatments available to patients.

CARDIOLOGY TRACK SESSION 4 • Structural Heart "Diagnosis and Medical Management of Stroke" Speaker: John Volpi, MD ------------------------------------------ CARDIOVASCULAR FELLOWS’ BOOT CAMP "Laying the Foundation" AUGUST 10 - 12, 2018 Hosted by the DeBakey Institute for Cardiovascular Education & Training

Dr. Todd Collier of Kamloops' Royal Inland Hospital demonstrates a procedure to screen for stroke.

Please note that this video was made in 2018, so the acute management of stroke has changed somewhat. While the principles still hold, we do not discuss the indications for thrombectomy. Please refer to my most recent videos for that (https://youtu.be/pUkBT_aT5WU and https://youtu.be/MiiDphLAe4Y). 00:56 Objectives 00:52 Vascular anatomy and syndromes ACUTE ISCHEMIC STROKE 07:59 Case of a confused man 11:35 National Institutes of Health Stroke Scale 14:21 Reading a head CT 17:13 Primary goal of acute ischemic stroke management 17:46 Intravenous tissue plasminogen activator 19:40 Mechanical thrombectomy 21:05 Time is brain! 23:30 Preventing secondary injury and preventing stroke recurrence 25:28 Ischemic stroke workup 26:43 Classification and pathologies 33:24 Ischemic stroke risk by mechanism 38:49 Prevention regimen 40:06 Transient ischemic attack 41:47 Interlude ACUTE CEREBRAL HEMORRHAGE 43:03 Case of a man with a headache 44:15 Acute management 46:36 Classification and mechanisms 48:02 Diagnostic workup 51:14 Hemorrhagic stroke risk by mechanism 51:41 Subarachnoid hemorrhage 54:10 Management of acute subarachnoid hemorrhage 56:05 SUMMARY Slides: https://drive.google.com/file/d/1OCezp3wzQ1r2UZajZlXGu1XnTFMaVJXf/view?usp=sharing Developed, Produced and Narrated by: Igor Rybinnik MD Assistant Professor of Neurology Neurology Clerkship Director Rutgers Robert Wood Johnson Medical School Appropriate for: MS2-4 learner level Disclaimer: Please note that this material was simplified for educational purposes. For patient management, please review your clinical society's guidelines and engage expert consultation when appropriate. Also, the opinions expressed in this talk do not necessarily reflect those of Rutgers Robert Wood Johnson Medical school or Rutgers University as a whole.

► Sign up here and try our FREE content: http://lectur.io/freecontentyt ► If you’re an medical educator or faculty member, visit: http://lectur.io/medytb2u This video “Stroke & Cerebral Ischemia” is part of the Lecturio course “Pathology” ► WATCH the complete course on http://lectur.io/stroke ► LEARN ABOUT: - Overview of stroke - Stroke vs. transient ischemic attack - Pathophysiology of stroke - Focal cerebral ischemia - Global cerebral ischemia ► LECTURIO is your single-point resource for medical school: Study for your classes, USMLE Step 1, USMLE Step 2, MCAT or MBBS with video lectures by world-class professors, recall & USMLE-style questions and textbook articles. Create your free account now: http://lectur.io/stroke ► INSTALL our free Lecturio app iTunes Store: https://app.adjust.com/z21zrf Play Store: https://app.adjust.com/b01fak ► READ TEXTBOOK ARTICLES related to this video: Stroke (CVA, Cerebrovascular Accident) — Causes and Symptoms http://lectur.io/strokearticle ► SUBSCRIBE to our YouTube channel: http://lectur.io/subscribe ► WATCH MORE ON YOUTUBE: http://lectur.io/playlists ► LET’S CONNECT: • Facebook: https://www.facebook.com/lecturio.medical.education.videos • Instagram: https://www.instagram.com/lecturio_medical_videos • Pinterest: https://www.pinterest.de/lecturiomedical • LinkedIn: https://www.linkedin.com/company/lecturio-medical/

00:00 - Intro 01:25 - Case 04:12 - Early Risk And Long-Term Benefit 07:05 - 2018-2019 ASA/AHA Guidelines 10:58 - Ischemic Stroke Severity Classification 12:12 - Expert Opinion: ACT-SAFe Study 13:23 - Hemorrhagic Transformation Severity Classification 14:07 - Expert Opinion: ACT-SAFe Study 16:16 - Prediction of Ischemic Recurrence Risk 19:25 - Anticoagulation Algorithm 22:06 - Practice Cases Narrated by: Igor Rybinnik, MD Produced by: Igor Rybinnik MD Neurology Clerkship Director Rutgers Robert Wood Johnson Medical School Graphics, video clips adapted from: - The Late Late Show with James Corden, "Spill Your Guts or Fill Your Guts with Arnonld Schwarzenegger," 2019. Sounds Effects, Music: Adobe Audition Content, Bizet "Habanera," JVNA "Wonders" Disclaimer: Please note that this material was simplified for educational purposes. For patient management, please review your clinical society's guidelines and engage expert consultation where appropriate. Also, the opinions of the presenters do not necessarily reflect those of Rutgers Robert Wood Johnson Medical School or Rutgers University as a whole.

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