Posts Tagged ‘stroke’

New Conversations on the NEJM Group Open Forum

Posted by Karen Buckley • December 18th, 2014

Will the results of the MR CLEAN trial change the standard of care for patients with acute ischemic stroke? Ask the authors and other experts in the field in the latest discussion about NEJM original research. From the NEJM CareerCenter “Fascinating Physician” series, meet Dr. Wen Dombrowski, a geriatrics physician executive who develops technology, business,… Read More…

Adverse Health Effects of Marijuana Use

Posted by Sara Fazio • June 5th, 2014

As marijuana use becomes legal in some states, the dominant public opinion is that marijuana is a harmless source of mood alteration. Although the harms associated with marijuana use have not been well studied, enough information is available to cause concern.  A new review on this topic comes from Drs. Nora Volkow, Ruben Baler, Wilson… Read More…

Dizziness and Vomiting

Posted by Sara Fazio • November 1st, 2013

In the latest Case Record of the Massachusetts General Hospital, a 69-year-old man was admitted to this hospital because of dizziness and vomiting, which had begun abruptly 9 hours earlier, on awakening. Examination revealed nystagmus and a wide-based gait. CT revealed no intracranial hemorrhage. A diagnostic procedure was performed. Stroke is the leading cause of… Read More…

Getting Low: Rapid Blood Pressure Lowering after Intracerebral Hemorrhage

Posted by Rena Xu • June 19th, 2013

When a patient presents with signs of a stroke, time is of the essence.  But if the cause of the stroke turns out to be bleeding within the brain, how rapidly should the patient be treated?  Specifically, when it comes to high blood pressure — a common problem among these patients, and a predictor of… Read More…

Medicine in the Air – A Report on In-Flight Emergencies

Posted by Sushrut Jangi • May 29th, 2013

On a recent flight back to Boston, the woman sitting next to me began to have a panic attack about half an hour before we landed. “Can’t deal with turbulence,” she whimpered, grasping my arm.   She closed her eyes and began to mumble a prayer. “It’ll be okay,” I said, trying to talk her down,… Read More…

Infective Endocarditis

Posted by Sara Fazio • April 13th, 2013

Diagnosis of endocarditis is usually based on clinical, microbiologic, and echocardiographic findings. Treatment involves antimicrobial therapy targeted to the identified organism. Surgical indications include heart failure, uncontrolled infection, and prevention of embolic events. The latest article in our Clinical Practice series reviews diagnosis and treatment options for infective endocarditis. Infective endocarditis has an estimated annual… Read More…

Blurred Vision, Dysarthria, and Ataxia

Posted by Sara Fazio • October 12th, 2012

In the latest Case Record of the Massachusetts General Hospital, an 18-year-old man suddenly became weak, with slurred speech. Dysarthria and ataxia were noted. Head CT was normal. The next day, he became unresponsive, with extensor posturing. A diagnostic procedure was performed. Up to 14% of all strokes occur in children and young adults. The… Read More…

Arterial Thrombosis and Hormonal Contraception

Posted by Sara Fazio • June 15th, 2012

In a study of Danish women, oral contraceptive pills containing estrogen and progestin were associated with increased risks of stroke and myocardial infarction (MI). Variations in risk according to estrogen dose and progestin type were modest. The risk of thromboembolic complications with the use of hormonal contraception is an important issue scientifically and is relevant… Read More…

Secondary Stroke Prevention

Posted by Sara Fazio • May 16th, 2012

Patients with stroke are at high risk for subsequent vascular events, including recurrent stroke (highest risk), myocardial infarction, and death from vascular causes. The latest article in our Clinical Practice series reviews recommended strategies to reduce the risk of a subsequent stroke in patients with a history of transient ischemic attack (TIA) or stroke. Worldwide,… Read More…

Another choice for combatting clot? Apixaban for patients with atrial fibrillation

Posted by Lisa Rosenbaum • September 14th, 2011

To get some protection against stroke in atrial fibrillation, we, along with our patients have been living with the hassles of warfarin, because we have to. But warfarin may not be our only choice for much longer. In this week’s NEJM, the Apixaban for Reduction in Stroke and Other Thromboembolic Events in Atrial Fibrillation (ARISTOTLE)… Read More…