Publications by authors named "Maramelia Araujo de Miranda Alves"
Article Synopsis
- - Over the last 30 years, stroke care has improved significantly due to advances in reperfusion therapy and better-organized care systems.
- - Patients treated within a well-structured stroke service experience better outcomes, leading to reduced disability and lower death rates.
- - The article reviews the scientific evidence for stroke reperfusion therapies, such as thrombolysis and thrombectomy, and their integration into Brazil's public health system.
Etiological Classification of Stroke in Patients with Chagas Disease Using TOAST, Causative Classification System TOAST, and ASCOD Phenotyping.
J Stroke Cerebrovasc Dis
December 2017
Background: Cardioembolism is considered a major pathophysiological mechanism in patients with ischemic stroke (IS) and Chagas disease (CD). However, a previous study reported that other stroke subtypes are present in more than 40% of CD patients according to the TOAST classification. Therefore, the aim of our study was to evaluate the etiologic classification of stroke in patients with CD using the Causative Classification System (CCS), the ASCOD, and the TOAST classifications in a prospective cohort of patients.
View Article and Find Full Text PDFBackground: Fluid-attenuated inversion recovery (FLAIR) vascular hyperintensities (FVHs) are common in patients with acute ischemic stroke, possibly representing impaired hemodynamics in the ischemic territory due to intracranial steno-occlusive disease. There are few reports on FVHs in patients with transient ischemic attack (TIA).
Aims: We investigated the prevalence of FVHs and its clinical correlations in patients with TIA.
Background: Early hospital admission followed by correct diagnosis with minimum delay is a prerequisite for successful new interventions in acute intracerebral hemorrhage (ICH). The aim of this study was to evaluate clinical features associated with early hospital arrival in ICH patients and their influence on the outcome.
Methods: Data from all patients arriving within 24 h of the ICH onset were prospectively collected at 2 stroke centers in São Paulo, Brazil.