Timing of surgery for aneurysmal subarachnoid haemorrhage
Abstract Background The timing of surgery to secure a ruptured aneurysm after a subarachnoid haemorrhage is an important issue. Early clipping of an aneurysm prevents rebleeding, a major cause of death after a subarachnoid haemorrhage. However, concerns about the possible deleterious effects of early surgery raise questions about the safety and efficacy of this approach. […]
Eversion versus conventional carotid endarterectomy for preventing stroke
Abstract Background Carotid endarterectomy (CEA) is conventionally undertaken by a longitudinal arteriotomy. Eversion CEA, which employs a transverse arteriotomy and reimplantation of the carotid artery, is reported to be associated with low perioperative stroke and restenosis rates but an increased risk of complications associated with a distal intimal flap. Objectives To determine whether eversion CEA […]
Electrical stimulation for preventing and treating post-stroke shoulder pain
Abstract Background Shoulder pain after stroke is common and disabling. The optimal management is uncertain, but electrical stimulation (ES) is often used to treat and prevent pain. Objectives To determine the efficacy of any form of surface ES in the prevention and/or treatment of pain around the shoulder at any time after stroke. Search methods […]
Aspirin for vascular dementia
Abstract Background Aspirin is widely prescribed for patients with a diagnosis of vascular dementia. In a survey of UK geriatricians and psychiatrists 80% of patients with clinical diagnoses of vascular dementia were prescribed aspirin. However, a number of queries remain unanswered. Is there convincing evidence that aspirin benefits patients with vascular dementia? Does aspirin affect […]