Virtual Didactic - Stroke Abbreviations presented by Nneka Ifejika, MD, MPH-Stroke Abbreviations Led by Nneka Ifejika, MD, MPH

Video Transcription

Video Summary

Dr. Nneka Efejika discusses various stroke abbreviations and their significance in acute stroke care. She explains the importance of last seen normal (LSN) and last known well time (LKWT) in determining the likelihood of bleeding in stroke patients. She also describes the National Institutes of Health Stroke Scale (NIHSS) as a tool for measuring stroke severity. Dr. Efejika introduces the Alberta Stroke Program Early CT Score (ASPECTS) as a measure of early ischemic changes and eligibility for reperfusion therapy. She discusses the use of tissue plasminogen activator (TPA) and tenecteplase in thrombolysis and their associated risks and benefits. The video also covers endovascular recanalization therapy (ERT) and the modified Thrombolysis in Cerebral Infarction (MTICI) score to assess reperfusion success. Dr. Efejika summarizes a case involving an 88-year-old male with a severe stroke who underwent ERT with two passes, achieving TICI 2B recanalization. The patient's modified Rankin score improved from 23 to 8 at 90 days. Overall, Dr. Efejika emphasizes the importance of understanding stroke abbreviations to interpret acute stroke care and optimize patient outcomes.

Keywords

stroke abbreviations

acute stroke care

last seen normal

last known well time

National Institutes of Health Stroke Scale

Alberta Stroke Program Early CT Score

tissue plasminogen activator

endovascular recanalization therapy

modified Rankin score