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This site is undergoing updates November-December 2017 so some material is missing. Please bookmark and revist

Welcome

Welcome to this website for healthcare professionals on all aspects of assessment, diagnosis, investigations and management of those who have had a stroke or TIA. Stroke Medicine is a fascinating and a challenging speciality. It is a mixture of neurology and imaging with acute medicine, cardiology, geriatrics, pharmacology and a good understanding of evidence based medicine and risk assessment. These patients often have acute problems in many organ systems. Stroke is not about the brain. One needs a holistic grasp of medicine. Diagnosing stroke is just the first in the process and then the challenge is of trying to establish the underlying pathological processes which demands a degree of focused detective work to apprehend the aetiological culprit. Then one has to try and designate individualised strategies to prevent reoccurrence. Rehabilitation is a key component of care. The next few years will see the development of thrombectomy services throughout the UK using different models. It is vital that we use all the tools available to improve prognosis and outcome from this disease which is so disabling to many.

I hope you find this site of interest. The main rationale is to provide high-quality stroke information for professionals and public free on the internet. It is part of my work towards promoting free access to medical knowledge online also known as FOAMed. Please bookmark the page and share with colleagues and please come back again. If you have any comments or would like to donate images or any other teaching material then please contact me. I have based the content broadly on the Stroke and Vascular Fellowship curriculum. Stroke is constantly changing and will keep a record here of latest developments and interesting papers and references.

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Introduction to Stroke

Basic Science and Anatomy | Basic Neuroscience Neurones | Introduction to Stroke | Stroke Epidemiology | Stroke Risk Factors | Stroke Pathophysiology | Ischaemic Stroke | Cardioembolic Strokes Haemorrhagic Stroke | Subarachnoid Haemorrhage | Stroke Complications | Stroke Rehabilitation | Cerebral Cortex | Cerebellum | Basal Ganglia | Thalamus | Brainstem |

Stroke Diagnosis

Stroke Screening | Clinical History in Stroke Disease | Clinical Examination in Stroke Disease | NIHSS assessment | Basic and Advanced Investigations | Stroke Imaging CT and MRI | Identifying Vascular Syndromes | Migraine and Stroke | Transient Ischaemic Attacks | Functional disorders mimicking Stroke | Brain Tumours mimicking Stroke |

Stroke Causes

Large Artery Ischaemic Stroke Cryptogenic Stroke | Carotid Artery Dissection | Vertebral Artery Dissection | Cardioembolic Strokes | List of Causes of Ischaemic and Haemorrhagic Stroke | Thrombophilias | Paradoxical Embolism | Atrial Fibrillation | CADASIL | Fabry Disease | Fibromuscular Dysplasia | Reversible Cerebral Vasoconstriction Syndrome | Cerebral Amyloid Angiopathy | Behcet Syndrome | Infective Endocarditis | Giant Cell Arteritis | Vasculitis | Takayasu Arteritis | Polyarteritis Nodosa | MELAS | Migraine and Stroke | Susac Syndrome | Saccular (Berry) Aneurysms | Arteriovenous Malformations | Cavernous Angiomas (Cavernomas) Polyarteritis Nodosa

Stroke Management

Hyperacute care of Ischaemic and Haemorrhagic stroke | Stroke Thrombolysis | Mechanical Thrombectomy | Managing Bleeding risk and Coagulopathy | Role of Neurosurgery | Role of Surgery in Ischaemic and Haemorrhagic Stroke | Carotid Interventions |

Stroke Service Issues

Definition of a Stroke Physician

Extras

My other teaching and knowledge based work