Excellet discussion! Stroke in young continues to be an evolving discussion. > Usually DAPT X 21 days if NIH OCP use more typically causes venous infarcts, unlikely to be brainstem. Estrogen containing OCPs more implicated. Discontinuation of OCPs for the foreseeable future is usually recommended > Cervical manipulation/ trauma is usually implicated in young brainstem strokes. Usually also have a history of sneezing/ straining/ heavy coughing. This history is useful to obtain. Vertebral artery dissection is the most commonly implicated in a stroke in this location.
Fascinating! I had 3 TIAs in my mid-late 20's in the right side of my brain as a complication of aorta surgery for Dunbar syndrome, resulting in temporary paralysis. I worked as an emergency nurse on a rescue squad some time later & wondered how common are young strokes?
Few Questions 1.When to give single and dual antiplatlets 2.when to start anticoagulants in Ischemic stroke 3.First dose of atorvastatin in 80mg, what is follow up daily dose? 4.Stat dose of Aspirin is 300mg, how long to continue 300mg?
Sir in ischemic stroke For DVT prophylaxis heparin to be started from fisrt day ????? Will it increase chances of hemorrhagic conversion of stroke !!!!!!!!! Kindly guide sir. Because as I know evev in ischemic stroke neurophysician don't advised to start heparin on first day even small area of brain is involves .
Excellet discussion! Stroke in young continues to be an evolving discussion.
> Usually DAPT X 21 days if NIH OCP use more typically causes venous infarcts, unlikely to be brainstem. Estrogen containing OCPs more implicated. Discontinuation of OCPs for the foreseeable future is usually recommended
> Cervical manipulation/ trauma is usually implicated in young brainstem strokes. Usually also have a history of sneezing/ straining/ heavy coughing. This history is useful to obtain. Vertebral artery dissection is the most commonly implicated in a stroke in this location.
Mangekyuo sharingan
Thankyou Sir and the little docs too👍😊😀
Worth of watching 🎉.. thank you ❤
Wealth of Knowledge in short time😊
Fascinating! I had 3 TIAs in my mid-late 20's in the right side of my brain as a complication of aorta surgery for Dunbar syndrome, resulting in temporary paralysis. I worked as an emergency nurse on a rescue squad some time later & wondered how common are young strokes?
Thnk q for giving this type of content sir .... Very helpful to medical students
Excellent discussion ,thank you sir !
Few Questions
1.When to give single and dual antiplatlets
2.when to start anticoagulants in Ischemic stroke
3.First dose of atorvastatin in 80mg, what is follow up daily dose?
4.Stat dose of Aspirin is 300mg, how long to continue 300mg?
Thank you so much sir
🙏🙏🙏
Well explained 😬, just one question, Atorvastatin starting dose is 80 mg, then what could be subsequent dose if abnormal lipid profile detected.
Atorva 20 for 3 months then again lipid profile check and if normal then continue same
Why the Homocysteine levels were not checked??
Hyperhomocystenemia can also be one of the causes of stroke in Young
Please sir make video on antiplatelets and anticoagulants usage and duration of this drugs needs to given on various scenarios
Refer video of NINJA NERD
Sir in ischemic stroke
For DVT prophylaxis heparin to be started from fisrt day ?????
Will it increase chances of hemorrhagic conversion of stroke !!!!!!!!!
Kindly guide sir.
Because as I know evev in ischemic stroke neurophysician don't advised to start heparin on first day even small area of brain is involves .
Don't worry...start LMWH from first day onward in ischemic stroke pt. As it prevents further clots & not increases the stroke
Dual antiplatelet therapy is contraindicated in stroke.
But in video you gave pt both Aspirin & Clopidogrel.
OMGGGGG
It is not a treatment but prophylaxis...so we can give
Wrong. POINT trial, 21 days of dual antiplateletets in strokes with NIH
Cardasil