Our Community

Share

You’re the Doctor

By Joseph P. Broderick, MD
Research Director, UCNI

1. The two scans below show the head of the same patient, who suffered an acute stroke (image at left). Members of the Greater Cincinnati/Northern Kentucky Stroke Team reopened a blocked artery in the patient’s brain with t-PA, a clot-busting medicine (right). If the blocked artery can be opened quickly enough, the restoration of blood flow can salvage damaged brain tissue. If reopening occurs too late, brain tissue will die, even if blood flow is restored. In such situations the patient will have a poorer recovery or may die.

Current national guidelines state that t-PA must be administered within how many hours after onset of stroke symptoms?

1)      8 hours
2)      6 hours
3)      4 ½ hours
4)      3 hours
5)      2 hours
(Answer at bottom of page)

2. The two CT images show the head of the same patient, 41⁄2 hours apart. The patient came to the emergency department following a sudden onset of weakness on the left side and become much more poorly responsive during the 41⁄2 hours between scans.

What is the diagnosis?

  1. Large malignant brain tumor
  2. Large ischemic stroke (dead brain from not enough blood)
  3. Large area of encephalitis
  4. Large brain hemorrhage

Clue: The bone of the skull is the most dense and appears very white on a CT scan; brain tissue is less dense and appears gray; cerebrospinal fluid is the least dense and is dark. One other substance in the body is denser than brain tissue but not as dense as bone.

(Answer at bottom of page)

Change Your Brain, Change Your Life

Below is a video of Dr. John Tew’s Oct. 6, 2009 presentation, ”Change Your Brain, Change Your Life,” to the Tocqueville Society, a leadership arm of United Way of Greater Cincinnati.

*Video:john m. tew, md

You’re the Doctor Answers

1. 4½ hours.  And the chance for an excellent outcome dramatically increases the earlier one can administer t-PA after symptoms first start.
2. Large area of encephalitis.

  • Print This Page
  • Make an Appointment: Schedule Now
  • UCNI Weekly Blog
  • Join Our Email List
    for Bi-Monthly Updates

    Click here to continue.
  • Hope Stories

    • Courtney’s Story: Traumatic Spine Injury

      Courtney's Story: Traumatic Spine Injury Courtney is positive that she was wearing her seatbelt. Perhaps that is why her head and neck – thankfully -- were fine. Perhaps that is also why her midsection was so violently impacted, as the force of the rollover twisted...
    • Alison’s Story: Ruptured Aneurysm following Neurotrauma

      Alison's Story: Ruptured Aneurysm following Neurotrauma Step by hard-earned step, word by remembered word, Dr. Alison Delgado has recovered from a bicycle accident that nearly robbed her of her life. Dr. Delgado, who suffered serious physical and neurological injuries in the 2010 accident, is today a...
    • Zettie’s Story: Aphasia

      Zettie's Story: Aphasia In November of 2004, Zettie Williams confronted what neurologists consider one of the most feared consequences of stroke. When a therapist showed her a photograph of her son, she knew she was looking at her son, but she couldn’t say...
    • Janis’s Story: Parkinson’s Disease

      Janis's Story: Parkinson's Disease When Janis Yelton gratefully enrolled in a ground-breaking study at the University of Cincinnati Neuroscience Institute, one of four institutes of the UC College of Medicine and UC Health, she was wracked by pain from advanced Parkinson’s disease, taking 32...
    • Charlie’s Story: Epilepsy

      Charlie's Story: EpilepsyBy Charlie Shor I have had many adventures in my 57 years, and I have accomplished much. But the main message of my story, which I have been given the opportunity to share, is that anything is possible. If you have...
    • Dr. Mike’s Story: Glioblastoma

      Dr. Mike's Story: Glioblastoma Sixteen months after receiving a diagnosis of brain cancer, Dr. Michael Wood continues to attack his disease with wellness. In addition to surgery, radiation, chemotherapy and strong family support, the 61-year-old Cincinnati otolaryngologist has worked hard to provide his own...
    • Blake’s Story: Medulloblastoma

      Blake's Story: Medulloblastoma Blake knew he was in the right hands the moment he saw the surgeon’s wrists. Dr. John M. Tew, Blake’s neurosurgeon, was wearing one of Lance Armstrong’s yellow LiveStrong cancer bracelets. So was Blake. Dr. Tew, who was also sporting...
    • Mike’s Hope Story: Parkinson’s disease

      Mike's Hope Story: Parkinson's disease Imagine learning you have Parkinson’s Disease. At 26. Most Parkinson’s patients are diagnosed in their 60s. Yet in 1987, after three years of unexplained symptoms, Mike Pohl learned he had the degenerative disease. After a visit to the National Institutes...
    • John’s Story: Glioblastoma

      John's Story: GlioblastomaJohn, a retired painter and carpenter, is a tall, solidly built man with a strong inclination toward getting things done. A former Vista volunteer who was equally comfortable running a food co-op in an underserved neighborhood or standing near the...
    • Dale’s Hope Story: Parkinson’s

      Dale's Hope Story: Parkinson's [hana-flv-player video="/wp-content/videos/Dale_Ankeman_Sunflower_3.flv" width="500" height="377" description="" player="2" autoload="true" autoplay="false" loop="false" autorewind="true" /] After being diagnosed with Parkinson’s disease in 2003, 46-year-old Dale Ankenman was determined not to let it keep him off his bike. Considering his long list of credentials, including former...