CODE STROKE system is a rapid respond system for hyperacute ischemic stroke patient’s care to have immediate therapy in order to increase effectiveness and achieve optimal functional outcome.
-inhouse training in Wijaya Kusuma Hospital, Lumajang.
pretest.
M/57 was brought to the neurology clinic with complaints of right arm twitching and weakness of the right half of the body since 4 days. The patient was conscious during the seizure. He complained of left chest pain 3 days ago and had received aspirin and clopidogrel.
His blood sugar was normal. No other datas of lab or imaging. His BP was 178/107, HR 96 regular. Neurological physical examination GCS 15, abnormal right plantar reflex.
1. create neurological working diagnosis!
2. what are your diagnostic planning to him?
Head down tilt 15° to increase collateral flow in acute ischemic stroke: rationale and study protocol of a multicenter, randomized, proof of concept, phase 2a/b trial in patients treated with mechanical thrombectomy (DOWN-SUITE)
https://t.co/EoTU12AA1G
pretest.
1. please 2D draw the vascular territory of the cerebral artery and the spinal cord artery!
2. explain the etiology of ischemic stroke and hemorrhagic stroke!
3. mention the indications and contraindications of lumbar puncture!
By integrating clinical observations with EEG and neuroimaging data, the guide provides a standardized language to assist in accurate syndrome diagnosis and treatment selection.
ILAE has introduced an updated 2025 seizure classification system designed to improve clinical precision and global communication. This framework organizes seizures into four primary categories: focal, generalized, unknown, and unclassified.
https://t.co/wHhKXuNPTO
The system offers a basic version for general healthcare settings and an expanded version featuring detailed semiological descriptors for specialized diagnostic use.
Pretest.
F40 came to the clinic with stabbing back pain. She had herpes a month ago & history of chickenpox before. Physical examination: traces from ruptured and dried vesicles on the left back; neurological examination: hyperalgesia and alodinia along the dermatom Th10 - Th 12
imagine our brain is like a super busy city that needs a constant supply of “fuel” (blood carrying oxygen & nutrients) to keep everything running: thinking, moving, feeling. the Circle of Willis is a smart “traffic roundabout” of brain where big blood vessels connect in a loop.
pretest. F/75 with DOC. She complained of weakness; continued speaking but was not clear, then suddenly vomited and lost consciousness. She had history of personality disorders since 1 year. Isochoric pupils and right motor lateralization. Hb 11.9, Na 121.
what will you do in ER?