Matches in SemOpenAlex for { <https://semopenalex.org/work/W4384937960> ?p ?o ?g. }
- W4384937960 abstract "Background Posterior circulation (PC) stroke in adults is a rare, frequently misdiagnosed, serious condition that carries with it a high rate of morbidity. Objective of this review This review evaluates the presentation, diagnosis, and management of PC stroke in the emergency department (ED) based on current evidence. Discussion PC stroke most commonly presents with dizziness or vertigo and must be distinguished from more benign diagnoses. Emergency clinicians should consider this condition in those with dizziness, even in younger patients and those who do not have traditional stroke risk factors. Neurologic examination for focal neurologic deficit, dysmetria, dysarthria, ataxia, and truncal ataxia is essential, as is the differentiation of acute vestibular syndrome versus spontaneous episodic vestibular syndrome versus triggered episodic vestibular syndrome. The head impulse, nystagmus, and test of skew (HINTS) examination can be useful for identifying dizziness presentations concerning for stroke when performed by those with appropriate training. However, it should only be utilized in patients with continuous dizziness who have ongoing nystagmus. Contrast tomography (CT), CT angiography, and CT perfusion have limited sensitivity for identifying PC strokes, and while magnetic resonance imaging (MRI) is the gold standard, it may miss some PC strokes early in their course. Thrombolysis is recommended in patients presenting within the appropriate time window for thrombolytic therapy, and while some data suggest endovascular therapy for basilar artery and posterior cerebral artery infarcts is beneficial, its applicability for all PC strokes remains to be determined. Conclusions An understanding of PC stroke can assist emergency clinicians in diagnosing and managing this disease." @default.
- W4384937960 created "2023-07-22" @default.
- W4384937960 creator A5036463797 @default.
- W4384937960 creator A5047144708 @default.
- W4384937960 creator A5091612725 @default.
- W4384937960 date "2023-07-01" @default.
- W4384937960 modified "2023-10-14" @default.
- W4384937960 title "PEARLS FOR THE EMERGENCY CLINICIAN: POSTERIOR CIRCULATION STROKE" @default.
- W4384937960 cites W1019621983 @default.
- W4384937960 cites W182014891 @default.
- W4384937960 cites W1826575359 @default.
- W4384937960 cites W1968145729 @default.
- W4384937960 cites W1969641459 @default.
- W4384937960 cites W1972838566 @default.
- W4384937960 cites W1974847968 @default.
- W4384937960 cites W1974884825 @default.
- W4384937960 cites W1982375081 @default.
- W4384937960 cites W1987751736 @default.
- W4384937960 cites W1991359499 @default.
- W4384937960 cites W2001019097 @default.
- W4384937960 cites W2010079726 @default.
- W4384937960 cites W2018085470 @default.
- W4384937960 cites W2021044027 @default.
- W4384937960 cites W2024283371 @default.
- W4384937960 cites W2036955281 @default.
- W4384937960 cites W2037399775 @default.
- W4384937960 cites W2053458119 @default.
- W4384937960 cites W2055817472 @default.
- W4384937960 cites W2062463825 @default.
- W4384937960 cites W2064190317 @default.
- W4384937960 cites W2065554551 @default.
- W4384937960 cites W2067525960 @default.
- W4384937960 cites W2067856273 @default.
- W4384937960 cites W2073537849 @default.
- W4384937960 cites W2075421261 @default.
- W4384937960 cites W2075537299 @default.
- W4384937960 cites W2076867432 @default.
- W4384937960 cites W2078021281 @default.
- W4384937960 cites W2078858572 @default.
- W4384937960 cites W2086644186 @default.
- W4384937960 cites W2093432039 @default.
- W4384937960 cites W2094129204 @default.
- W4384937960 cites W2100112154 @default.
- W4384937960 cites W2104417683 @default.
- W4384937960 cites W2105486230 @default.
- W4384937960 cites W2106101242 @default.
- W4384937960 cites W2107887218 @default.
- W4384937960 cites W2115866698 @default.
- W4384937960 cites W2115901982 @default.
- W4384937960 cites W2118777809 @default.
- W4384937960 cites W2119232786 @default.
- W4384937960 cites W2119542322 @default.
- W4384937960 cites W2127946595 @default.
- W4384937960 cites W2132649055 @default.
- W4384937960 cites W2134879379 @default.
- W4384937960 cites W2134983062 @default.
- W4384937960 cites W2136724115 @default.
- W4384937960 cites W2139149279 @default.
- W4384937960 cites W2139621750 @default.
- W4384937960 cites W2139643735 @default.
- W4384937960 cites W2143237216 @default.
- W4384937960 cites W2145629581 @default.
- W4384937960 cites W2147956557 @default.
- W4384937960 cites W2148192589 @default.
- W4384937960 cites W2153251261 @default.
- W4384937960 cites W2157314537 @default.
- W4384937960 cites W2157571549 @default.
- W4384937960 cites W2157959654 @default.
- W4384937960 cites W2159359071 @default.
- W4384937960 cites W2165251895 @default.
- W4384937960 cites W2170944215 @default.
- W4384937960 cites W2171058244 @default.
- W4384937960 cites W2256784600 @default.
- W4384937960 cites W2272741817 @default.
- W4384937960 cites W2277258071 @default.
- W4384937960 cites W2277875678 @default.
- W4384937960 cites W2295110516 @default.
- W4384937960 cites W2507582222 @default.
- W4384937960 cites W2511388967 @default.
- W4384937960 cites W2517706509 @default.
- W4384937960 cites W2573681073 @default.
- W4384937960 cites W2767776410 @default.
- W4384937960 cites W2768419164 @default.
- W4384937960 cites W2787867590 @default.
- W4384937960 cites W2791154040 @default.
- W4384937960 cites W2791895320 @default.
- W4384937960 cites W2889912326 @default.
- W4384937960 cites W2896040850 @default.
- W4384937960 cites W2902805084 @default.
- W4384937960 cites W2924359439 @default.
- W4384937960 cites W2953376445 @default.
- W4384937960 cites W2984414163 @default.
- W4384937960 cites W2992571333 @default.
- W4384937960 cites W2999689684 @default.
- W4384937960 cites W3006941819 @default.
- W4384937960 cites W3010099892 @default.
- W4384937960 cites W3012097956 @default.
- W4384937960 cites W3104502201 @default.
- W4384937960 cites W3120604211 @default.
- W4384937960 cites W3133373927 @default.