Background: Atrial fibrillation leads to increased risk of systemic embolism (SE) and stroke. To decrease the occurrence of stroke/SE, anticoagulation is routinely prescribed. Recently, non-vitamin K anticoagulants like apixaban and rivaroxaban have become more popular and are preferred over warfarin. We here compare the efficacy and safety of apixaban with warfarin. Methods: Eligible participants were [...]

Background: Atrial fibrillation (AF) is a very common condition which usually requires anticoagulation (AC). There are very clear indications of when to initiate AC but recommendations regarding bridging during elective surgery are not very clear. We here tried to answer this important question by calculating the risk of bleeding and stroke/systemic embolism (SE). Methods: We [...]

Background: Up to 17% of all strokes occur in patients hospitalized for another diagnosis or procedure, and in-hospital strokes complicate up to 0.06% of all admissions. In-hospital strokes carry higher mortality, longer length of stay and greater disability than community-onset strokes. Multiple factors contribute to the worse outcomes of in-hospital stroke. Prompt recognition and treatment [...]

Case Presentation: A 76- year old smoker woman with a medical history of emphysema and left MCA stroke six months back, presented with acute bilateral occipital headache and visual impairment.On Exam, she was well appearing, normal vital signs, and no murmurs on heart exam. Neurological exam was normal except for dysmetria due to visual impairment [...]

Case Presentation: Patient is a 53 year old African American male with past medical history of hypertension who presented with syncope. He had this episode a total of 3 times, most recently 1 month prior and initial episode 1 year prior. He had resolution of symptoms both times and diagnostic workup did not reveal any [...]

Case Presentation: A 51 year old female with a history of schizophrenia, COPD, and obstructive sleep apnea presented to hospital with complaints of generalized fatigue and acute onset of right-sided extremity weakness. The patient’s family members noted progressive lethargy and confusion on the day of admission. Family members reported the patient’s difficulty with ambulation and [...]

Case Presentation: We present a case of 26-year-old female presented with acute ischemic stroke. She presented with altered mental status from Rehabilitation center. She has history of sickle cell and recurrent strokes in the past. Extensive prior work up for recurrent strokes was done and she was thought to have Moyamoya disease. Before this presentation, [...]

Case Presentation: An 80-year-old man with hypertension, coronary artery disease s/p PCI and new-onset depression on SSRI presented with slurred speech due to a sensation of tongue heaviness that started 3 days prior to presentation. Acute stroke was ruled out and further history revealed the patient experienced multiple falls over the past 4 years, each [...]