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Cerebrovasc Dis Extra. 2016 Mar 31;6(1):22-6. doi: 10.1159/000444765. eCollection 2016 Jan-Apr.

International Survey on the Management of Wake-Up Stroke.

Author information

1
Division of Interventional Neuroradiology, Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.
2
Department of Neurology, Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.
3
Division of Diagnostic Neuroradiology, Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.

Abstract

BACKGROUND:

Patients who wake up having experienced a stroke while asleep represent around 20% of acute stroke admissions. According to international guidelines for the management of acute stroke, patients presenting with wake-up stroke are not currently eligible to receive revascularization treatments. In this study, we aimed to assess the opinions of stroke experts about the management of patients with wake-up stroke by using an international multicenter electronic survey.

METHOD:

This study consisted of 8 questions on wake-up stroke treatment.

RESULTS:

Two hundred invitations to participate in the survey were sent by e-mail. Fifty-nine participants started the survey, 4 dropped out before completing it, and 55 completed the full questionnaire. We had 55 participants from 22 countries.

CONCLUSIONS:

In this study, most stroke experts recommended a recanalization treatment for wake-up stroke. However, there was considerable disagreement among experts regarding the best brain imaging method and the best recanalization treatment. The results of ongoing randomized trials on wake-up stroke are urgently needed.

KEYWORDS:

Brain imaging; Endovascular treatment; Intra-arterial thrombolysis; Intravenous thrombolysis; Mechanical thrombectomy; Wake-up stroke

PMID:
27099612
PMCID:
PMC4836135
DOI:
10.1159/000444765
[Indexed for MEDLINE]
Free PMC Article

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