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Hubert, G. J., Santo, G., Vanhooren, G., Zvan, B., Campos, S. T., Alasheev, A., … Corea, F. (2018). Recommendations on telestroke in Europe. European Stroke Journal



Lack of stroke specialists determines that many European rural areas remain underserved. Use of telemedicine in stroke care has shown to be safe, increase use of evidence-based therapy and enable coverage of large areas of low population density. The aim of this article is to summarise the following recommendations of the Telestroke Committee of the European Stroke Organisation on the setup of telestroke networks in Europe: Hospitals participating in telestroke networks should be chosen according to criteria that include population density, transportation distance, geographic specifics and in-hospital infrastructure and professional resources. IMG_8869Three hospital categories are identified to be part of a hub-and-spoke network: (1) the Telemedicine Stroke Centre (an European Stroke Organisation stroke centre or equivalent with specific infrastructure and setup for network and telemedicine support), (2) the telemedicine-assisted stroke Unit (equivalent to an European Stroke Organisation stroke unit but without 24 h onsite stroke expertise) and (3) the telemedicine-assisted stroke ready hospital (only covering hyperacute treatment in the emergency department and transferring all patients for further treatment).


via Epidemiology of stroke in Maputo, Mozambique.



The chance to offer a low cost alternative to acute ischemic stroke may bring new interest on Strptokinase.

The wide availability of this drug for cardiological units may offer an great opportunity. A need for a restriction of the indication is the main countermeasure to adopt. On the International Stroke Journal you can read a deeper analysis of the topic.






An excellent overview on current stroke syndromes, including problematic clinical pictures various editors (Bogousslavsky, Agnelli, Caso and Paciaroni) .
In the Frontiers of Neurology and Neurosciences by Karger out this month.

Since Stroke is the most common neurologic disease and the leading cause of adult disability in Western countries. The initial diagnosis of stroke is clinical and needs to be done as rapidly as possible to guarantee optimal medical and interventional therapy. The emergency stroke management depends heavily upon stroke scores to quantify the damage and to speed up the diagnosis process. Unfortunately, several important stroke syndromes are not taken into consideration in these currently used stroke scores and therefore tend to be overlooked and not treated. Compiled by leading international experts, this book provides an excellent overview on current stroke syndromes, including particularly problematic clinical pictures. Thus, together with stroke scores, the publication will lead to more thorough assessments in emergency settings.

“…..This book is indispensable for neurologists, neurosurgeons, neuroradiologists and physicians involved in the care of stroke patients…..”

The recent paper published on Stroke reported how the kind of emergency transport adopted in the Austrian Alps was associated to specific chances to benefit fromclot busters

Helicopter Transport of Stroke Patients and Its Influence on Thrombolysis Rates

Data From the Austrian Stroke Unit Registry

Veronika Reiner-Deitemyer, MD; Yvonne Teuschl, PhD; Karl Matz, MD; Martina Reiter, MD; Raoul Eckhardt, MD; Leonhard Seyfang, MSc; Claudia Tatschl, MD; Michael Brainin, MD; for the Austrian Stroke Unit Registry Collaborators

From the Center of Clinical Neurosciences, Danube University Krems and Department of Neurology, Danube Clinic Tulln, Austria.

Unofficial news reported as soon available an open journal in stroke medicine. The name is supposed to be cerebrovascular disease extra. Indexed in medline but without impact factor. This may offer larger diffusion for CED manuscripts otherwise buried in karger archives. Many reccommended how open sourcing should be an istitutional choice for large academical and educational projects and not a minor fund raising activity for second level science.

From funny experiments to other initiatives publication bias is a big problem  for modern research. Researchers publish only favorable results, and it can have far-reaching consequences.

Pharmaceutical companies, for example, are notorious for manipulating the data in this way, potentially very dangerous when the lives of patients are at risk.

When a medical company has spent tens or hundreds of millions of dollars on research, it is tempting to bury any results that support the null hypothesis.

Unfortunately, pharmaceutical companies are businesses, attempting to maximize profits, and there is always the temptation to promote products, even when they have been shown to be ineffective or even potentially harmful.

The leading joiurnals in stroke medicine are 4: Stroke (US based, with impact factor 7.041), Cerebrovascular Diseases (Germany based IF 3.5), Stroke and Cerebrovascular disease (pacific area IF na), International Journal of Stroke with impact fator 2.87 (world stroke soc.).

Marc Fisher 2010
Vice Editor
Karen Furie

Associate Editors
Pierre Amarenco—European Clinical
Kennedy R. Lees—European Clinical
Eng Lo—Basic Science
Wolf Schäbitz—Basic Science
K.S. Lawrence Wong—Asia-Pacific Clinical

Cerebrovascular disease
Hennerici M.G. (Mannheim)
Associate Editors

S. Davis, Melbourne
J.P. Mohr, New York, N.Y.
Y. Shinohara, Tokyo
N. Venketasubramanian, Singapore

Stroke and cerebrovascular disease
José Biller, MD, FACP, FAAN, FAHA
Professor and Chairman, Loyola University Chicago, Stritch School of
Medicine, Department of Neurology, Bldg. 105, 2160 South First Avenue,
Maywood, IL 60153
Shinichiro Uchiyama, MD, PhD, FAHA
Professor and Chairman, Department of Neurology Tokyo Women’s Medical
University c/o The Japan Stroke Society, 4F Maruishi Building, 1-10-4
Kaji-cho, Chiyoda-ku, Tokyo 101-0044, Japan

Intern journ of stroke
Geoffrey A. Donnan
Professor of Neurology, University of Melbourne

Associate Editors
Andrei Alexandrov
Peter Rothwell
Conrado Estol

Stroke Declines From the Second to the Third Leading Organ- and Disease-Specific Cause of Death in the United States.

With stroke death rates decreasing substantially in the United States from 1996 to 2005, stroke moved from the second to the third leading organ- and disease-specific cause of death. For details look at Stroke the paper by Amytis Towfighi, MD; Bruce Ovbiagele, MD, MS Jeffrey L. Saver, MD.

Marc Fisher, the New Editor-in-Chief of Stroke

..Few candidates have been as prepared and qualified as the newly appointed Editor-in-Chief of Stroke, Marc Fisher, who will be taking over the helm and receiving new manuscripts as of July 1, 2010…  Vladimir Hachinski

February 2019
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