The Archive

Articles.

Long-form pieces on acute stroke care, landmark trials, and the small bedside decisions that decide outcomes.

17 Jun 2026

Dizziness Can Be a Stroke.

Sudden dizziness, vertigo, imbalance, double vision, vomiting, or trouble walking can sometimes be posterior-circulation stroke. Here is how to recognize the dangerous pattern.

Patient Guides
7 Jun 2026

ABCD2 Score After TIA.

The ABCD2 score estimates short-term stroke risk after a TIA. Its components, the risk strata, the limitations, and its role in selecting patients for dual antiplatelet therapy.

Clinical Review
7 Jun 2026

Atrial Fibrillation and Stroke.

Why atrial fibrillation causes stroke, how risk is estimated with CHA2DS2-VASc, and how anticoagulation, rhythm control, and appendage closure prevent it.

Prevention
7 Jun 2026

BE-FAST Stroke Warning Signs.

BE-FAST - Balance, Eyes, Face, Arm, Speech, Time - is the simple checklist for spotting a stroke fast. What each sign means, why it beats FAST, and why to call 911 now.

Patient Guides
7 Jun 2026

Stroke Recovery Timeline.

A realistic stroke recovery timeline: the hospital phase, the fastest-recovery early months, the first year and beyond, the common challenges, and how caregivers can help.

Recovery
6 Jun 2026

Types of strokes explained: what really happens in your brain.

Ischemic, hemorrhagic, TIA — what each type of stroke actually is, what's happening inside the brain when it strikes, and why the difference between them changes everything about treatment. A vascular neurologist demystifies the most common — and most misunderstood — neurological emergency.

Stroke Education
4 Jun 2026

The first 24 hours after a stroke: what families should expect.

A vascular neurology fellow explains what happens during the first 24 hours after a stroke: CT scans, clot-busting decisions, thrombectomy, blood pressure goals, swallow screening, monitoring, and recovery planning.

Stroke Education
4 Jun 2026

Vascular health and brain function: the connection that matters.

A practical guide to how vascular health affects memory, focus, stroke risk, vascular cognitive impairment, and lifelong brain function.

Brain Health
2 Jun 2026

What is a stroke? A doctor explains — with a story you won't forget.

A vascular neurology fellow explains what a stroke is, why people wait too long, and what the signs really look like — through a real story from the ER. Learn BE-FAST, ischemic vs hemorrhagic stroke, and why every minute counts.

Stroke Education
2 Jun 2026

What is a TIA? The warning stroke most people ignore.

A TIA (transient ischemic attack) looks exactly like a stroke — then disappears in minutes. Most people feel relieved and go home. A vascular neurologist explains why that's the most dangerous thing you can do.

Stroke Education
29 May 2026

Ozempic and the brain: what scientists are finding.

Scientists expected Ozempic to be a gut drug. New brain scan findings suggest GLP-1 medications may be reshaping reward circuits, emotion, and motivation in ways no one predicted.

Neuroscience
29 May 2026

PCA stroke: the back-of-the-brain stroke you can't afford to miss.

PCA strokes hide behind subtle visual, memory, and behavioral changes — and the standard NIHSS often misses them. A vascular neurology fellow walks through PCA anatomy, the classic syndromes, and a real ER case of alexia without agraphia.

Stroke Localization
29 May 2026

Stroke and dementia: the connection clinicians and patients need to understand.

Stroke more than doubles the risk of dementia. A vascular neurology fellow explains post-stroke dementia, vascular cognitive impairment, strategic infarcts, silent strokes, and what secondary prevention means for the brain long-term.

Cognitive Health
27 May 2026

Stroke in Buffalo: Your questions answered.

A vascular neurology fellow in Buffalo, NY answers the most common questions patients and families ask about stroke — what it is, how to recognize it, what we can do, and how to lower your risk.

Patient Education
26 May 2026

Early stroke rehab: what survivors should focus on today.

Early, guided stroke rehabilitation can shape recovery after discharge. Learn what survivors, caregivers, and clinicians should prioritize: safe movement, repetition, routines, and emotional support.

Stroke Recovery
26 May 2026

Post-stroke fatigue: why it's real and what helps.

Post-stroke fatigue affects up to 7 in 10 survivors and can last months to years - even in people with otherwise good recovery. Learn why it happens, what to rule out, and what actually helps.

Stroke Recovery
17 May 2026

Trends in stroke care: where the field is moving.

State-of-the-art review of acute stroke care in 2026 - tenecteplase replacing alteplase (AcT, TRACE-2), large-core thrombectomy (SELECT2, RESCUE-Japan LIMIT, ANGEL-ASPECT, TENSION), basilar thrombectomy (ATTENTION, BAOCHE), and early anticoagulation after cardioembolic stroke (ELAN, OPTIMAS).

Trial Watch
16 May 2026

The Golden Hour: why every minute counts in stroke treatment.

Ischemic stroke patients lose 1.9 million neurons per minute. Evidence from NINDS, HERMES, BEST-MSU and current AHA guidelines on door-to-needle, door-to-puncture, and how to compress time in acute stroke.

Acute Stroke

The Vascular Brief

One monthly email. The trials that mattered, the protocols that changed, the questions still open.