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

    • Alison’s Story: Ruptured Aneurysm following Neurotrauma

      Alison's Story: Ruptured Aneurysm following Neurotrauma She has completed medical school, has won the Flying Pig Marathon and has reached the summit of two of Colorado’s 14,000-foot peaks.Today Dr. Alison Delgado is tackling a mountain of a different kind. Step by hard-earned step, word by remembered...
    • Dick’s Story: Ischemic Stroke

      Dick's Story: Ischemic Stroke As a firefighter who attends regular EMS drills, Dick Koeniger was well versed in the signs and symptoms of stroke. While driving home with a friend one evening last June, he suddenly noticed that his peripheral vision was slightly impaired....
    • Norma’s Story: Essential Tremor

      Norma's Story: Essential TremorQuestion: what progressive neurological condition causes a rhythmic trembling of the head, voice, legs or trunk; can be treated with medication or deep brain stimulation; has no definitive cure; and is eight times more common than Parkinson’s disease? If you’re...
    • 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...
    • Amber’s story: Ruptured aneurysm

      Amber's story: Ruptured aneurysmThe only visible sign of Amber Gray’s ordeal is the long slender scar that runs along her forearm. It is the area where a surgeon carefully removed her radial artery, which was needed to bypass a damaged artery in her...
    • Sandra’s Story Glioma

      Sandra's Story Glioma Sandra (Sandy) is a smiling, breathing reminder that hope exists for patients with even the most challenging type of brain tumors. Nine years ago, when Sandy was first told that she had six months to live, she stared back blankly...
    • Tim’s Story: Traumatic Brain Injury

      Tim's Story: Traumatic Brain Injury This story includes a graphic description of Tim’s traumatic brain injury. If you are squeamish or faint of heart, you may wish to close this file and turn to a different story of hope.   Tim was outdoors doing what he liked...
    • Joe’s Story: Oligodendroglioma

      Joe's Story: Oligodendroglioma Joe calls it a miracle and a gift from “a higher power.” Others might call it a fortuitous turn of fate. Either way, Joe’s experience embodies a reversal of fortune that is both wonderful and startling. Once a man with...
    • Laura’s Story: Traumatic Spine Injury

      Laura’s Story: Traumatic Spine Injury What began as a shortcut became, for Laura Brunner, a monumental detour. Laura, a prominent Cincinnati business executive, was enjoying a mountain hike in Montana with fellow trustees from the Dan Beard Council of the Boy Scouts when the group decided...
    • Matt’s Story: Head Injury

      Matt's Story: Head Injury A poor decision nearly cost Matt his life. But state-of-the-art neurosurgical and neurocritical care, dedicated therapists, and family support gave him a chance to start over again. Today, in what is proving to his best decision ever, Matt is studying...