Research Topics
| A BrunoSummaryAffiliation: Indiana University Country: USA Publications
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Publications
Using change in the National Institutes of Health Stroke Scale to measure treatment effect in acute stroke trialsAskiel Bruno
Department of Neurology, Indiana University School of Medicine, Indianapolis, IN 46202, USA
Stroke 37:920-1. 2006..Outcome measures in acute stroke trials are being refined. Changes in neurological deficits might be useful outcome measures because they can measure the entire spectrum of deficits...
Treatment of hyperglycemia in ischemic stroke (THIS): a randomized pilot trialAskiel Bruno
Department of Neurology, Indiana University School of Medicine, Roudebush Veterans Affairs Medical Center, Indianapolis, IN 46202, USA
Stroke 39:384-9. 2008..Hyperglycemia may worsen brain injury during acute cerebral infarction. We tested the feasibility and tolerability of aggressive hyperglycemia correction with intravenous insulin compared with usual care during acute cerebral infarction...
Plasma thrombosis markers following cerebral infarction in African AmericansAskiel Bruno
Department of Neurology, Indiana University School of Medicine, 541 Clinical Drive, Room 292, Indianapolis, IN 46202-5111, USA
Thromb Res 115:73-7. 2005
How important is hyperglycemia during acute brain infarction?Askiel Bruno
Department of Neurology, Indiana University School of Medicine, Indianapolis, 46202, USA
Neurologist 10:195-200. 2004..Further support for this therapeutic approach comes from clinical studies in acute myocardial infarction and in ventilated postsurgical patients, where lowering hyperglycemia improved outcomes...
IV insulin during acute cerebral infarction in diabetic patientsAskiel Bruno
Department of Neurology, Indiana University School of Medicine, Indianapolis, IN 46202-5111, USA
Neurology 62:1441-2. 2004
Serial urinary 11-dehydrothromboxane B2, aspirin dose, and vascular events in blacks after recent cerebral infarctionAskiel Bruno
Indiana University School of Medicine, Indianapolis, USA
Stroke 35:727-30. 2004..This pilot study was intended to evaluate the reproducibility of urinary 11-DTB2 over time and to look for evidence of aspirin resistance...
Cerebrovascular complications of alcohol and sympathomimetic drug abuseAskiel Bruno
Stroke Service, Department of Neurology, Indiana University School of Medicine, 541 Clinical Drive, R290C, Indianapolis, IN 46202, USA
Curr Neurol Neurosci Rep 3:40-5. 2003....
Aspirin and urinary 11-dehydrothromboxane B(2) in African American stroke patientsAskiel Bruno
Indiana University School of Medicine, Indianapolis, IN 46202 5111, USA
Stroke 33:57-60. 2002..The aim of the study was to evaluate the relationship between daily aspirin use and urinary excretion of a stable thromboxane metabolite, 11-dehydrothromboxane B(2) (11-DTB2), in African American stroke patients...
Admission glucose level and clinical outcomes in the NINDS rt-PA Stroke TrialA Bruno
Department of Neurology, Indiana University School of Medicine, Indianapolis, IN 46202, USA
Neurology 59:669-74. 2002..Hyperglycemia during acute ischemic stroke may augment brain injury, predispose to intracerebral hemorrhage (ICH), or both...
Effects of admission hyperglycemia on mortality and costs in acute ischemic strokeL S Williams
Roudebush VA Medical Center, Indiana University School of Medicine, Indianapolis 46202, USA
Neurology 59:67-71. 2002..Hyperglycemia at the time of acute ischemic stroke has been linked to worse outcome in both human and animal studies...
Carotid endarterectomy--an evidence-based review: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of NeurologyS Chaturvedi
Department of Neurology, Wayne State University, USA
Neurology 65:794-801. 2005..Low dose aspirin (81 to 325 mg) is preferred for patients before and after carotid endarterectomy to reduce the rate of stroke, myocardial infarction, and death (Level A)...
Protocol violations in community-based rTPA stroke treatment are associated with symptomatic intracerebral hemorrhageA M Lopez-Yunez
Department of Neurology, Indiana University School of Medicine, Indianapolis, IN 46202, USA
Stroke 32:12-6. 2001..Recombinant tissue plasminogen activator (rTPA) is an established treatment for acute ischemic stroke. The rate and type of protocol violations in rTPA use and their effect on patient outcomes in this setting are not well understood...
Cerebrovascular and cardiovascular complications of alcohol and sympathomimetic drug abuseAyrn D O'Connor
Department of Emergency Medicine, Iniana University School of Medicine, Indianapolis, IN, USA
Med Clin North Am 89:1343-58. 2005..Because many complications of alcohol and stimulant abuse are preventable and reversible, it is important to screen for these in patients with cerebrovascular and cardiovascular disease...
Percent change on the National Institutes of Health Stroke Scale: a useful acute stroke outcome measureAskiel Bruno
Department of Neurology, Indiana University School of Medicine, Indianapolis, Indiana, USA
J Stroke Cerebrovasc Dis 18:56-9. 2009..Changes in neurologic deficits might be useful outcome measures in acute stroke because they can measure within-subject changes on the entire spectrum of the scales starting at baseline...
Management of hyperglycemia during acute strokeAskiel Bruno
Department of Neurology, Medical College of Georgia, 1120 15th Street, BI 3076, Augusta, GA 30912, USA
Curr Cardiol Rep 11:36-41. 2009..One randomized efficacy trial has been reported and additional trials are needed. In the meantime, an intermediate approach to managing acute stroke hyperglycemia with subcutaneous insulin seems reasonable...
Stroke patients' knowledge of stroke. Influence on time to presentationL S Williams
Department of Neurology, Indiana University School of Medicine, Indianapolis 46202, USA
Stroke 28:912-5. 1997..Little is known about stroke patients' general knowledge about stroke, their interpretation of stroke symptoms, and how these factors influence the timing of their decision to seek medical attention...
Outcome of extracranial cervicocephalic arterial dissections: a follow-up studyFernando Gonzales-Portillo
Department of Neurology, The University of Arizona Health Sciences Center, Tucson 85724-5023, USA
Neurol Res 24:395-8. 2002..The short- and long-term outcome are usually favorable with either anticoagulant or platelet antiaggregant therapy. A medical initial approach to the management of extracranial CCAD is recommended for most patients...
Improving modified Rankin Scale assessment with a simplified questionnaireAskiel Bruno
Department of Neurology, Medical College of Georgia, 1120 15th Street BI 3076, Augusta, GA 30912, USA
Stroke 41:1048-50. 2010..The modified Rankin Scale (mRS) is a popular primary stroke outcome measure, but its usefulness is limited by suboptimal reliability (inter-rater agreement)...
About hyperglycemia during acute strokeAskiel Bruno
Stroke 38:e138; author reply e139. 2007
Factors influencing outcome and treatment effect in PROACT IILawrence R Wechsler
University of Pittsburgh, Pittsburgh, PA, USA
Stroke 34:1224-9. 2003..The purpose of the current study was to examine baseline factors to determine predictors of good outcome and response to treatment...
Predicting rtPA associated ICH in acute strokeAskiel Bruno
Stroke 35:2762; author reply 2762-3. 2004
A supervised method for calculating perfusion/diffusion mismatch volume in acute ischemic strokeJudy R James
Department of Biomedical Engineering, Indiana University-Purdue University, IUPUI) Indianapolis, IN, USA
Comput Biol Med 36:1268-87. 2006..Clinical data show that raters using our tool are consistent, fast (15min per subject) and indistinguishable from an expert using manual segmentation...
Research Grants
- Treatment of Hyperglycemia Ischemic Stroke(THIS)TrialAskiel Bruno; Fiscal Year: 2004..Additional measurements will include vital signs, serum electrolytes, hemoglobin A-1C, and a global test for multiple clinical outcomes at 3 months. ..
