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Submissions from 2022

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No Time to Lose: Cases of Anticoagulant Reversal Before Thrombolysis in Acute Ischemic Stroke Patients, Sheyar Amin, Karl A. Kasischke, Kareem Elsayed, W. Scott Burgin, and David Z. Rose

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Combined Approach to Eptifibatide and Thrombectomy in Acute Ischemic Stroke Because of Large Vessel Occlusion: A Matched-Control Analysis, Gaoting Ma, Xuan Sun, Huiran Cheng, W. Scott Burgin, Weiliang Luo, Weihua Jia, Yajie Liu, Wenlong He, Xiaokun Geng, Liangfu Zhu, Xingyu Chen, Huaizhang Shi, Haowen Xu, Litong Zhang, Anxin Wang, Dapeng Mo, Ning Ma, Feng Gao, Ligang Song, Xiaochuan Huo, Yiming Deng, Lian Liu, Gang Luo, Baixue Jia, Xu Tong, Liping Liu, Zeguang Ren, and Zhongrong Miao

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Association of Stroke Subtype With Hemorrhagic Transformation Mediated by Thrombectomy Pass: Data From the ANGEL-ACT Registry, Xu Tong, W. Scott Burgin, Zeguang Ren, Baixue Jia, Xuelei Zhang, Xiaochuan Huo, Gang Luo, Anxin Wang, Yijun Zhang, Ning Ma, Feng Gao, Ligang Song, Xuan Sun, Lian Liu, Yiming Deng, Xiaoqing Li, Bo Wang, Gaoting Ma, Yilong Wang, Yongjun Wang, Zhongrong Miao, and Dapeng Mo

Submissions from 2021

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Early Apixaban Use Following Stroke in Patients With Atrial Fibrillation, Arthur J. Labovitz, David Z. Rose, Michael G. Fradley, John N. Meriwether, Swetha Renati, Ryan Martin, Thomas Kasprowicz, Ryan Murtagh, Kevin Kip, Theresa M. Beckie, Marcus Stoddard, Andrea C. Bozeman, Tara McTigue, Bonnie Kirby, Nhi Tran, and W. Scott Burgin

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Direct Angiographic Intervention for Acute Ischemic Stroke with Large Vessel Occlusion, Weizhe Li, W. Scott Burgin, Kanita Beba Abadal, Maxim Mokin, and Zeguang Ren

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Letter by Rose et al Regarding Article, “Acute Cerebrovascular Events in Hospitalized COVID-19 Patients”, David Z. Rose, Swetha Renati, and W. Scott Burgin

Submissions from 2020

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Outcomes From the Pitch Study: 4-Factor PCC In Intracranial XA Inhibitor Coagulopathy Hemorrhages, Nathan Goad, Patricia Sanchez, Melissa Levesque, Jason Wilson, Jorge Pesquera, Karl Kasischke, Charles Schutt, Swetha Renati, William Burgin, and David Rose

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Direct Oral Anticoagulant Failure in Stroke/transient Ischaemic Attack: Neurologic and Pharmacokinetic Considerations, David Z. Rose and W. Scott Burgin

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Direct Oral Anticoagulant Failure in Stroke/transient Ischaemic Attack: Neurologic and Pharmacokinetic Considerations, David Z. Rose and W. Scott Burgin

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Untreated Stroke as Collateral Damage of COVID-19: “Time Is Brain” Versus “Stay at Home, David Z. Rose, W. Scott Burgin, and Swetha Renati

Submissions from 2019

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A Case Report of Extensive Cerebral Venous Sinus Thrombosis as a Presenting Sign of Relapsing Nephrotic Syndrome, Janet K. Lee, Kathleen Murray, and Swetha Renati

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Safety, Pharmacodynamics, and Potential Benefit of Omaveloxolone in Friedreich Ataxia, David R. Lynch, Jennifer Farmer, Lauren Hauser, Ian A. Blair, Qing Qing Wang, Clementina Mesaros, Nathaniel Snyder, Sylvia Boesch, Melanie Chin, Martin B. Delatycki, Paola Giunti, Angela Goldsberry, Chad Hoyle, Michael G. McBride, Wolfgang Nachbauer, Megan O'Grady, Susan Perlman, S. H. Subramony, George R. Wilmot, Theresa A. Zesiewicz, and Colin Meyer

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Indications for Mechanical Thrombectomy—Too Wide or Too Narrow?, Zeguang Ren, Maxim Mokin, Clayton T. Bauer, Zhongrong Miao, W. Scott Burgin, and Yongjun Wang

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Protocol for AREST: Apixaban for Early Prevention of Recurrent Embolic Stroke and Hemorrhagic Transformation—A Randomized Controlled Trial of Early Anticoagulation After Acute Ischemic Stroke in Atrial Fibrillation, David Z. Rose, John N. Meriwether, Michael G. Fradley, Swetha Renati, Ryan C. Martin, Thomas Kasprowicz, Aarti Patel, Maxim Mokin, Ryan Murtagh, Kevin Kip, Andrea C. Bozeman, Tara McTigue, Nicholas Hilker, Bonnie Kirby, Natasha Wick, Nhi Tran, W. Scott Burgin, and Arthur J. Labovitz

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Disparities and Temporal Trends in the Use of Anticoagulation in Patients With Ischemic Stroke and Atrial Fibrillation, Nicole B. Sur, Kefeng Wang, Marco R. Di Tullio, Carolina M. Gutierrez, Chuanhui Dong, Sebastian Koch, Hannah Gardener, Enid J. García-Rivera, Juan Carlos Zevallos, W. Scott Burgin, David Z. Rose, Jeffrey J. Goldberger, Jose G. Romano, Ralph L. Sacco, and Tatjana Rundek

Submissions from 2018

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Predictors of Thrombolysis Administration in Mild Stroke, Negar Asdaghi, Kefeng Wang, Maria A. Ciliberti-Vargas, Carolina Marinovic Gutierrez, Sebastian Koch, Hannah Gardener, Chuanhui Dong, David Z. Rose, Enid J. Garcia, W. Scott Burgin, Juan Carlos Zevallos, Tatjana Rundek, Ralph L. Sacco, and Jose G. Romano

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ASPECTS, Large Vessel Occlusion, and Time of Symptom Onset: Estimation of Eligibility for Endovascular Therapy, Maxim Mokin, Aparna Pendurthi, Vladimir Ljubimov, William S. Burgin, Adnan Siddiqui, and Christopher Primiani

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Patient Perceived Changes in Sexual Dysfunction after Initiation of Natalizumab for Multiple Sclerosis, Derrick Robertson, Angela Aungst, Ryan Collier, Jhulianna Vivar, Natalie Moreo, Lise Casady, and Tuan Vu

Submissions from 2017

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A Novel Design of a Phase III Trial of Isradipine in Early Parkinson Disease (STEADY-PD III), Kevin M. Biglan, David Oakes, Anthony E. Lang, Robert A. Hauser, Karen Hodgeman, Brittany Greco, Jillian Lowell, Rebecca Rockhill, Ira Shoulson, Charles Venuto, Diony Young, and Tanya Simuni

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Incidence of Seizure Exacerbation and Seizures Reported as Adverse Events during Adjunctive Treatment with Eslicarbazepine Acetate: A Pooled Analysis of Three Phase III Controlled Trials, Mar Carreño, Selim Benbadis, Francisco Rocha, David Blum, and Hailong Cheng

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Gender-Specific Differences for Risk of Disability and Death in Atrial Fibrillation-Related Stroke, Ryan C. Martin, W. Scott Burgin, Matthew B. Schabath, Bonnie Kirby, Sanders H. Chae, Michael G. Fradley, David Z. Rose, and Arthur J. Labovitz

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Impact of Diabetes in the Friedreich Ataxia Clinical Outcome Measures Study, Ashley McCormick, Jennifer Farmer, Susan Perlman, Martin Delatycki, George Wilmot, Katherine Matthews, Grace Yoon, Chad Hoyle, Sub H. Subramony, Theresa Zesiewicz, David R. Lynch, and Shana E. McCormack

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ASPECTS Decay During Inter-facility Transfer in Patients with Large Vessel Occlusion Strokes, Maxim Mokin, Rishi Gupta, Waldo R. Guerrero, David Z. Rose, William S. Burgin, and Sananthan Sivakanthan

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ASPECTS Values in Patients With Large Vessel Occlusion and Time of Arrival to Emergency Department: Estimation of Eligibility for Endovascular Stroke Therapy, Maxim Mokin, Aparna Pendurthi, Christopher Primiani, and William S. Burgin

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Racial‐Ethnic Disparities in Acute Stroke Care in the Florida‐Puerto Rico Collaboration to Reduce Stroke Disparities Study, Ralph L. Sacco, Hannah Gardener, Kefeng Wang, Chuanhui Dong, Maria A. Ciliberti-Vargas, Carolina M. Gutierrez, Negar Asdaghi, W. Scott Burgin, Olveen Carrasquillo, Enid J. Garcia-Rivera, Ulises Nobo, Sofia Oluwole, David Z. Rose, Michael F. Waters, Juan Carlos Zevallos, Mary Robichaux, Salina P. Waddy, Jose G. Romano, and Tatjana Rundek

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Serotonin Syndrome Complicating Treatment of Ifosfamide Neurotoxicity With Methylene Blue, Matthew Snyder, Suhas Gangadhara, Andrew S. Brohl, Steven Ludlow, and Sowmya Nanjappa

Submissions from 2016

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Sex Disparities in Ischemic Stroke Care, Negar Asdaghi, Jose G. Romano, Kefeng Wang, Maria A. Ciliberti-Vargas, Sebastian Koch, Hannah Gardener, Chuanhui Dong, David Z. Rose, Salina P. Waddy, Mary Robichaux, Enid J. Garcia, Juan A. Gonzalez-Sanchez, W. Scott Burgin, Ralph L. Sacco, and Tatjana Rundek

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Predictors of Thrombolysis Administration in Patients with Minor Stroke or TIA in the Florida Puerto Rico Collaboration to Reduce Stroke Disparities (FL-PR CReSD) Study, Negar Asdaghi, Jose G. Romano, Kefeng Wang, Sebastian Koch, Maria A. Ciliberti-Vargas, Chuanhui Dong, Hannah Gardener, David Z. Rose, W. S. Burgin, Salina P. Waddy, Mary Robichaux, Carolina M. Gutierrez, Michael F. Waters, Ralph L. Sacco, and Tatjana Rundek

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Constitutional Chromoanagenesis of Distal 13q in a Young Adult with Recurrent Strokes, R. D. Burnside, A. Harris, D. Speyer, W. S. Burgin, D. Z. Rose, and A. Sanchez-Valle

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Sex Disparities in Atrial Fibrillation as a Predictor of Poor Discharge Disposition After Ischemic Stroke Hospitalization: The Florida-Puerto Rico Collaboration to Reduce Stroke Disparities (FL-PR CReSD) Study, Ryan C. Martin, David Z. Rose, Kefeng Wang, Maria A. Ciliberti-Vargas, Jose G. Romano, Chuanhui Dong, Negar Asdaghi, Sebastian Koch, Salina P. Waddy, Mary Robichaux, Michael F. Waters, Ralph L. Sacco, Tatjana Rundek, and W. S. Burgin

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Unusual Late Onset of Parenchymal Neuro-Behçet Disease, Wai Wai Miller, Demetrios Konstas, Chetan Gandhy, and Derrick Robertson

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Progression of Friedreich Ataxia: Quantitative Characterization over 5 Years, Maya Patel, Charles J. Isaacs, Lauren Seyer, Karlla Brigatti, Sarah Gelbard, Cassandra Strawser, Debbie Foerster, Julianna Shinnick, Kimberly Schadt, Eppie M. Yiu, Martin B. Delatycki, Susan Perlman, George R. Wilmot, Theresa Zesiewicz, Katherine Mathews, Christopher M. Gomez, Grace Yoon, Sub H. Subramony, Alicia Brocht, Jennifer Farmer, and David R. Lynch

Submissions from 2015

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Anti-NMDA Receptor Encephalitis in a Patient with Previous Psychosis and Neurological Abnormalities: A Diagnostic Challenge, R. David Heekin, Maria C. Catalano, Alfred T. Frontera, and Glenn Catalano

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Frataxin Levels in Peripheral Tissue in Friedreich Ataxia, Michael Lazaropoulos, Yina Dong, Elisia Clark, Nathaniel R. Greeley, Lauren A. Seyer, Karlla W. Brigatti, Carlton Christie, Susan L. Perlman, George R. Wilmot, Christoper M. Gomez, Katherine D. Mathews, Grace Yoon, Theresa Zesiewicz, Chad Hoyle, Sub H. Subramony, Alicia F. Brocht, Jennifer M. Farmer, Robert B. Wilson, Eric C. Deutsch, and David R. Lynch

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Hemorrhagic Stroke Following use of the Synthetic Marijuana “spice”, David Z. Rose, Waldo R. Guerrero, Maxim V. Mokin, Clifton L. Gooch, Andrea C. Bozeman, Julia M. Pearson, and W. Scott Burgin

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Hemorrhagic stroke following use of the synthetic marijuana “spice”, David Z. Rose, Waldo R. Guerrero, Maxim V. Mokin, Clifton L. Gooch, Andrea C. Bozeman, Julia M. Pearson, and W. Scott Burgin

Submissions from 2014

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Ischemic Stroke After Use of the Synthetic Marijuana “spice”Author Response, William D. Freeman, Clifton L. Gooch, Irene K. Louh, Melissa J. Freeman, David Z. Rose, and W. Scott Burgin

Submissions from 2013

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Ischemic stroke after use of the synthetic marijuana “spice”, Melissa J. Freeman, David Z. Rose, Martin A. Myers, Clifton L. Gooch, Andrea C. Bozeman, and W. Scott Burgin

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Hippocampal Neurogenesis and the Brain Repair Response to Brief Stereotaxic Insertion of a Microneedle, Shijie Song, Shuojing Song, Chuanhai Cao, Xiaoyang Lin, Kunyu Li, Vasyl Sava, and Juan Sanchez-Ramos

Submissions from 2012

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Effects of Age on Outcome in the SENTIS Trial: Better Outcomes in Elderly Patients, R. R. Leker, C. Molina, K. Cockroft, D. S. Liebeskind, M. Concha, A. Shuaib, P. P. De Deyn, W. S. Burgin, R. Gupta, W. Dillon, and H. C. Diener

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Receptor Antagonism and Dyskinesia in Parkinson’s Disease, Micaela Morelli, Fabio Blandini, Nicola Simola, and Robert A. Hauser

Submissions from 2011

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Montreal Cognitive Assessment and Mini-Mental Status Examination Compared as Cognitive Screening Tools in Heart Failure, Ponrathi Athilingam, Kathleen B. King, W. Scott Burgin, Michael Ackerman, Laura A. Cushman, and Leway Chen

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Acute Stroke Care in Non-Urban Emergency Departments, W. S. Burgin, L. Staub, W. Chan, T. H. Wein, R. A. Felberg, J. C. Grotta, A. M. Demchuk, S. L. Hickenbottom, and L. B. Morgenstern

Submissions from 2010

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A Cost-Effectiveness Analysis of Carotid Artery Stenting Compared With Endarterectomy, Kate C. Young, Robert G. Holloway, W. Scott Burgin, and Curtis G. Benesch

Submissions from 2009

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A Comparative Analysis of Structural Brain MRI in the Diagnosis of Alzheimer’s Disease, Jason Appel, Elizabeth Potter, Qian Shen, Gustavo Pantol, Maria T. Greig, David Loewenstein, and Ranjan Duara

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Perceptual Relearning of Complex Visual Motion after V1 Damage in Humans, Krystel R. Huxlin, Tim Martin, Kristin Kelly, Meghan Riley, Deborah I. Friedman, W. Scott Burgin, and Mary Hayhoe

Submissions from 2005

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Prognosis and Decision Making in Severe Stroke, Robert G. Holloway, Curtis G. Benesch, W. Scott Burgin, and Justine B. Zentner

Submissions from 2004

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Ultrasound-Enhanced Thrombolysis for Acute Ischemic Stroke: Phase I. Findings of the CLOTBUST Trial, Andrei V. Alexandrov, Andrew M. Demchuk, W. Scott Burgin, David J. Robinson, and James C. Grotta

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Arterial Reocclusion and Deterioration Following Improvement, W. Scott Burgin and Andrei V. Alexandrov

Submissions from 2003

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Improving Efficiency of Stroke Research: The Brain Attack Surveillance in Corpus Christi Study, Areej Al-Wabil, Melinda A. Smith, Lemuel A. Moyé, W. Scott Burgin, and Lewis B. Morgenstern

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Increased Pelvic Vein Thrombi in Cryptogenic Stroke, Steven C. Cramer, Guy Rordorf, Jeffrey H. Maki, Larry A. Kramer, James C. Grotta, W. Scott Burgin, Judith A. Hinchey, Curtis Benesch, Karen L. Furie, Helmi L. Lutsep, Ellen Kelly, and W. T. Longstreth Jr

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Pilot Dose-Escalation Study of Caffeine Plus Ethanol (Caffeinol) in Acute Ischemic Stroke, Paisith Piriyawat, Lise A. Labiche, W. Scott Burgin, Jaroslaw A. Aronowski, and James C. Grotta

Submissions from 2002

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Insonation Method and Diagnostic Flow Signatures for Transcranial Power Motion (M-Mode) Doppler, Andrei V. Alexandrov, Andrew M. Demchuk, and W. Scott Burgin

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Intravenous Tissue Plasminogen Activator and Flow Improvement in Acute Ischemic Stroke Patients with Internal Carotid Artery Occlusion, Ioannis Christou, Robert A. Felberg, Andrew M. Demchuk, W. Scott Burgin, Marc Malkoff, James C. Grotta, and Andrei V. Alexandrov

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Early Dramatic Recovery During Intravenous Tissue Plasminogen Activator Infusion, Robert A. Felberg, Nicholas J. Okon, Ashraf El-Mitwalli, W. Scott Burgin, James C. Grotta, and Andrei V. Alexandrov

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Improving Delivery of Acute Stroke Therapy, Lewis B. Morgenstern, Lara Staub, Wenyaw Chan, Theodore H. Wein, L. Kay Bartholomew, Mary King, Robert A. Felberg, W. Scott Burgin, Janet Groff, Susan L. Hickenbottom, Kamaldeen Saldin, Andrew M. Demchuk, Anjali Kalra, Anupma Dhingra, and James C. Grotta

Submissions from 2001

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Speed of Intracranial Clot Lysis With Intravenous Tissue Plasminogen Activator Therapy, Andrei V. Alexandrov, W. Scott Burgin, Andrew M. Demchuk, Ashraf El-Mitwalli, and James C. Grotta

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Duration of Arterial Recanalization During Intravenous TPA Therapy: Classification and Short-term Improvement, Andrei V. Alexandrov, Andrew M. Demchuk, W. Scott Burgin, Ashraf El-Mitwalli, and James C. Grotta

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Deterioration Following Improvement with TPA Therapy: Carotid Thrombosis and Reocclusion, W. Scott Burgin and Andrei Alexandrov

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Clinical Improvement at 24 Hours after MCA Occlusion Can be Predicted From the End of TPA Infusion NIH Stroke Scale Score, W. Scott Burgin, Ashraf El-Mitwalli, Marc Malkoff, James C. Grotta, and Andrei V. Alexandrov

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Validity and Reliability of the Thrombolysis in Brain Infarction (TIBI) Flow Grades, W. Scott Burgin, Anne W. Wojner, Andrew M. Demchuk, Robert A. Felberg, Philip A. Barber, Michael D. Hill, Marc Malkoff, Ashraf El-Mitwalli, Paisith Piriyawat, Nancy Newcommmon, and Allison Button

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NIH Stroke Scale as a Predictor of Clot Presence, Location, and Persisting Occlusion in Candidates for Thrombolysis, W. Scott Burgin, Anne W. Wojner, James C. Grotta, and Andrei V. Alexandrov

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Arterial status after intravenous TPA therapy for ischaemic storke. A need for further interventions, I. Christou, W. S. Burgin, A. V. Alexandrov, and J. C. Grotta

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A Broad Diagnostic Battery for Bedside Transcranial Doppler to Detect Flow Changes With Internal Carotid Artery Stenosis or Occlusion, Ioannis Christou, Robert A. Felberg, Andrew M. Demchuk, James C. Grotta, W. Scott Burgin, Marc Malkoff, and Andrei V. Alexandrov

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Paradoxical Embolization in Patients with Cryptogenic Stroke, Steven C. Cramer, Jeffrey H. Maki, Gayle M. Waitches, James C. Grotta, W. Scott Burgin, and Larry A. Kramer

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Thrombolysis in Brain Ischemia (TIBI) Transcranial Doppler Flow Grades Predict Clinical Severity, Early Recovery, and Mortality in Patients Treated With Intravenous Tissue Plasminogen Activator, Andrew M. Demchuk, W. Scott Burgin, Ioannis Christou, Robert A. Felberg, Philip A. Barber, Michael D. Hill, and Andrei V. Alexandrov

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Thrombolysis in Brain Ischemia (TIBI) Transcranial Doppler Flow Grades Predict Clinical Severity, Early Recovery, and Mortality in Patients Treated With Intravenous Tissue Plasminogen Activator, Andrew M. Demchuk, W. Scott Burgin, Ioannis Christou, Robert A. Felberg, Philip A. Barber, Michael D. Hill, and Andrei V. Alexandrov

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Hypothermia After Cardiac Arrest, R. A. Felberg, D. W. Krieger, R. Chuang, D. E. Persse, W. S. Burgin, S. L. Hickenbottom, L. B. Morgenstern, O. Rosales, and J. C. Grotta

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Dramatic Recovery During IV-TPA Infusion: Time Course and Clinical Pattern, Robert A. Felberg, Nicholas J. Okon, Ashraf El-Mitwalli, W. Scott Burgin, James C. Grotta, and Andrei V. Alexandrov

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Intravenous TPA for Ischemic Stroke Patients: Houston Experience 1996–2000, James C. Grotta, Andrei V. Alexandrov, W. Scott Burgin, Megan Long, Ashraf El-Mitwalli, Morgan Campbell, Lewis B. Morgenstern, and Marc Malkoff

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Intravenous Tissue-Type Plasminogen Activator Therapy for Ischemic Stroke, James C. Grotta, W. Scott Burgin, Ashraf El-Mitwalli, Megan Long, Morgan Campbell, Lewis B. Morgenstern, Marc Malkoff, and Andrei V. Alexandrov

Submissions from 2000

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High Rate of Complete Recanalization and Dramatic Clinical Recovery During tPA Infusion When Continuously Monitored With 2-MHz Transcranial Doppler Monitoring, Andrei V. Alexandrov, Andrew M. Demchuk, Robert A. Felberg, Ioannis Christou, Philip A. Barber, W. Scott Burgin, Marc Malkoff, Anne W. Wojner, and James C. Grotta

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High Rate of Complete Recanalization and Dramatic Clinical Recovery During tPA Infusion When Continuously Monitored With 2-MHz Transcranial Doppler Monitoring, Andrei V. Alexandrov, Andrew M. Demchuk, Robert A. Felberg, Ioannis Christou, Philip A. Barber, W. Scott Burgin, Marc Malkoff, Anne W. Wojner, and James C. Grotta

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High Rate of Complete Recanalization and Dramatic Clinical Recovery During tPA Infusion When Continuously Monitored With 2-MHz Transcranial Doppler Monitoring, Andrei V. Alexandrov, Andrew M. Demchuk, Robert A. Felberg, Ioannis Christou, Philip A. Barber, W. Scott Burgin, Marc Malkoff, Anne W. Wojner, and James C. Grotta

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Deterioration Following Spontaneous Improvement, Andrei V. Alexandrov, Robert A. Felberg, Andrew M. Demchuk, Ioannis Christou, W. Scott Burgin, Marc Malkoff, Anne W. Wojner, and James C. Grotta

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Deterioration Following Spontaneous Improvement, Andrei V. Alexandrov, Robert A. Felberg, Andrew M. Demchuk, Ioannis Christou, W. Scott Burgin, Marc Malkoff, Anne W. Wojner, and James C. Grotta

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Transcranial Doppler Ultrasound Criteria for Recanalization After Thrombolysis for Middle Cerebral Artery Stroke, W. Scott Burgin, Marc Malkoff, Robert A. Felberg, Andrew M. Demchuk, Ioannis Christou, James C. Grotta, and Andrei V. Alexandrov

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Timing of Recanalization After Tissue Plasminogen Activator Therapy Determined by Transcranial Doppler Correlates With Clinical Recovery From Ischemic Stroke, Ioannis Christou, Andrei V. Alexandrov, W. Scott Burgin, Anne W. Wojner, Robert A. Felberg, Marc Malkoff, and James C. Grotta

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Timing of Recanalization After Tissue Plasminogen Activator Therapy Determined by Transcranial Doppler Correlates With Clinical Recovery From Ischemic Stroke, Ioannis Christou, Andrei V. Alexandrov, W. Scott Burgin, Anne W. Wojner, Robert A. Felberg, Marc Malkoff, and James C. Grotta

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Neuroprotection and the Ischemic Cascade, Robert A. Felberg, W. Scott Burgin, and James C. Grotta