January 2019
In this Issue
Stroke Treatment From Triage to Rehabilitation
• Asymptomatic Carotid Stenosis
• Intracranial Atherosclerosis
• Subarachnoid Hemorrhage
• Vascular Dementia
And more...
GUEST MEDICAL EDITOR’S PAGE
Stroke with 2020 Vision
Advances in the refined diagnosis and treatment of stroke are driving accelerated change with precision medicine.
By David S. Liebeskind, MD, FAAN, FAHA, FANA, FSVIN, FWSO
COVER FOCUS: STROKE
Triage for Higher Level of Care
Which is best: primary, comprehensive, or just thrombectomy-ready?
By Nerses Sanossian, MD

Mechanical Thrombectomy
The standard of care for acute ischemic stroke with large vessel occlusion continues to evolve.
By Shashvat M. Desai, MD; and Ashutosh P. Jadhav, MD, PhD
Subarachnoid Hemorrhage, Vasospasm, and Delayed Cerebral Ischemia
Prevention, effective monitoring, and early detection are the keys to successful management after subarachnoid hemorrhage.
By Klearchos Psychogios, MD, MSc; and Georgios Tsivgoulis, MD, PhD, MSc, FESO, FEAN
Intracranial Atherosclerotic Disease
Neurologists need to be vigilant for this common cause of ischemic stroke, associated with the highest rates of recurrent stroke.
By Arth K. Srivastava, MD; and Shyam Prabhakaran, MD, MS
Asymptomatic Carotid Artery Stenosis
Testing for plaque instability, microemboli, hemodynamic status, and cognitive function may help determine best-practice management.
By Randolph S. Marshall, MD, MS

Vascular Cognitive Impairment
Targeting risk factors may decrease vascular cognitive impairments.
By Saud Alhusaini, MD, PhD; and Eric E. Smith, MD, MPH

Direct Oral Anticoagulants for Secondary Stroke Prevention
Optimal secondary stroke prevention includes reducing modifiable risk factors and providing anticoagulation for specific indications.
By Daniel Cristancho, MD, MBE; and Donna K. George, MD
Poststroke Care
Stroke outcomes can be optimized with an evidenced-based and systematic approach during all phases of recovery.
By Oluwole O. Awosika, MD; Bridget A. Rizik, MD; Holly K. Pajor, DO; Samir R. Belagaje, MD; Elisheva R. Coleman, MD; Daniel Woo, MD; and Brett M. Kissela, MD, MS
Headache Horizons: Done by Hand
Chiropractics, the headache patient, and the lost art of touch.
By Peter McAllister, MD
MS Minute: Introducing The New Editors
Our new editors continue their professional collaboration to help advance care of patients with MS.
By Barbara S. Giesser, MD, FAAN, FANA; and Lawrence Samkoff, MD, FAAN
Dementia Insights: Blood Pressure Control and Cognitive Impairment
Could recommendations for more aggressive blood pressure control worsen prognosis for vascular and neurodegenerative cognitive impairments?
By Ronald Devere, MD, FAAN
SPOTLIGHT TOPIC: NEUROPSYCHIATRY

Cognitive Complaints and Neuropsychologic Testing
When should neuropsychologic tests be ordered and what questions should testing answer?
By Nabil Ali, MD; Kendra Corning, PsyD, HSPP; and Laura M. Clark, PhD, ABPP
Neurosyphilis-Induced Psychosis
The return of the great imitator makes it critical to know the guidelines for testing for neurosyphilis.
By Veronica Hocker, MD; and Nabil Ali, MD
CASE REPORT
Case Report: Longitudinally Extensive Transverse Myelitis
The borderline of neuromyelitis optica and systemic lupus erythematosus.