Carotid disease
CSP History
Pro-thrombotic states
Infection and stroke
Stroke Risk Factors
100

The first carotid endarterectomy procedure was performed when and by whom.

DeBakey

1953

100

This neuromuscular neurologist known for his early work on Guillain Barre syndrome was the founder of the Calgary Stroke Program.

Tom Feasby

100

These two common single gene variants are associated with a prothrombotic states, typically venous thrombosis including cerebral venous thrombosis

Factor V Leiden (leading to activated protein C resistance)

Prothrombin gene polymorphism

100

This common intracellular bacterium may be found in carotid endarterectomy specimens using in situ immunostaining.

Chlamydia pneumoniae, Helicobacter pylori

100

This is the most important risk factor (quantitatively) for stroke.

Hypertension

200

The first carotid endarterectomy was performed on the which side?

Left

200

The first academic leader of the Calgary Stroke program was Alastair Buchan, who later became the dean of University of Oxford Medical school.  His most important rodent experiments in neuroprotection identified the essential confounding role of this factor.

Temperature

200

Elevated Russell viper venom time indicates this procoagulant is present.

Lupus anticoagulant.

200

Vaccination against this common virus is associated with a reduction in stroke risk by about 25%

Influenza A

200

Hyperhomocysteinemia is a weak risk factor for atherosclerosis and stroke is commonly caused by deficiency of this vitamin.

Cobalamin (Vitamin B12)

300

This neuroradiologist unlocked the patient selection for CEA by developing a reliable and pragmatic way to measure carotid artery stenosis.  Bonus:  what was the method?

Alan Fox

300

A person (we have at least 3 in our group) who speaks Malayalam is called this.

Maloo

300

An elevated PTT which normalizes with a 50:50 mix indicates this condition.

Factor deficiency (eg. Hemophilia)

300

The virus is associated with the development of antibodies that can result in thrombosis in response to cold exposure.

Hepatitis B, Hepatitis C

300

Miller-Fisher conducted detailed pathological investigation of small penetrating arteries associated with lacunar stroke and found this cause most commonly.

Micro-atheroma
400

Among all CEA and CAS procedures performed annually in the United States, the proportion of patients that are asymptomatic.

90%

400

This experienced clinician pushed the first dose of IV alteplase for stroke in Canada on April 1st, 1996?

Nancy Newcommon

400

Among epithelial cancers, this broad type of cancer is more commonly associated with a hypercoagulable state.

Adenocarcinoma, particularly mucinous adenocarcinoma.  Squamous carcinoma are rarely associated with thrombosis.

400

Stroke due to infective endocarditis cause by Streptococcus gallolyticus (Strep. bovis) requires this investigation.

Colonoscopy

400

Osteogenesis imperfecta and Turner’s syndrome, among others, are associated with this cerebrovascular condition.

Extracranial artery dissection.

500

The number needed to treat to prevent one stroke, if CEA is performed within 2 weeks of symptom onset.

NNT = 3

ARR = 32%

500

These three brothers, Doc, BJ and Don founded Bow Valley Industries, were original Calgary Flames owners bringing the team from Calgary to Atlanta and were essential to this critical piece of infrastructure at FMC.

Seaman MR Research Centre

500

A severe deficiency of this enzyme or autoimmune inhibition of this enzyme is associated with thrombotic thrombocytopenic purpura.

ADAMTS13

500

Large vessel ectasia vasculopathy and cognitive impairment with cerebral multinucleated giant cells is pathognomonic of this virus.

HIV

500

This type of leukemia with PML:RARA fusion (formerly called M3 type) is particularly associated with acute ICH.

Acute promyelocytic leukemia