How to Spot a Common Stroke Zebra

Matthew Flaherty, M.D. utilizes a case-based discussion to identify rare causes of stroke. Clinicians will take away techniques to “spot a zebra”.

Target Audience

Adult and Pediatric Neurologists, Neurosurgeons, Stroke Neurologists, Neuroradiologists, Diagnostic Radiologists, Critical Care Physicians, Neurointensivists, Emergency Medicine Physicians, Internal Medicine Physicians, Interventional Neuroradiologists, Family Physicians, General Internists, Clinical Pharmacists, and other specialists interested in the field of neuroscience.

Learning Objectives

  • Identify several “rare” causes of stroke that most neurologists will encounter and describe the management of these conditions.
Additional information
Bibliography: 
  • Zhang, A. J., Dhruv, P., Choi, P., Bakker, C., Koffel, J., Anderson, D., ... & Streib, C. (2018). A Systematic Literature Review of Patients With Carotid Web and Acute Ischemic Stroke. Stroke, 49(12), 2872-2876.
  • Kim, S. J., Nogueira, R. G., & Haussen, D. C. (2019). Current understanding and gaps in research of carotid webs in ischemic strokes: a review. JAMA neurology, 76(3), 355-361.
  • Navi, B. B., Reiner, A. S., Kamel, H., Iadecola, C., Okin, P. M., Tagawa, S. T., ... & DeAngelis, L. M. (2019). Arterial thromboembolic events preceding the diagnosis of cancer in older persons. Blood, 133(8), 781-789.
Course Summary
Available credit: 
  • 0.75 ABIM MOC II
  • 0.75 AMA PRA Category 1 Credit™
  • 0.75 General certificate of attendance
  • 0.75 Florida Board of Pharmacy
Course opens: 
04/01/2020
Course expires: 
03/31/2022

Matthew Flaherty, M.D.
Professor of Neurology 
University of Cincinnati Academic Health Center
Cincinnati, Ohio

Matthew Flaherty, M.D., faculty for this educational activity, indicated that neither he is a consultant with Janssen Pharmaceuticals and is on the speakers' bureau for CSL Behring, Janssen Pharmaceuticals and Portola Pharmaceuticals, and he will not include off-label or unapproved product usage in his presentation or discussion.

This online course is a highlight from the 2019 Miami Neuroscience Symposium. The following is the symposium planning committee.

Alberto Pinzon-Ardila, M.D., PH.D., indicated that he is on the speakers' bureau for Sunovion and UCB.

Kevin Abrams, M.D., indicated that he is a consultant for Keystone Heart. He is also a shareholder in Cleerly and Keystone Heart.

Guilherme Dabus, M.D., indicated that he is a consultant for Microvention, Medtronic, Cernovus and Penumbra. He is a proctor for Medtronic. Dr. Dabus is also a shareholder in Surpass Medical/Stryker, InNeuroCo, Medina Medical/Medtronic, eLum, Three Rivers Medical and RIST.

Bruno Gallo, M.D., indicated that he is a consultant for Surgimon, Inc. He is on the speakers' bureau for Teva, Acadia, Adamas and Sunovion. Dr. Gallo has also received grant/research support from St. Jude Medical and Medtronic.

Italo Linfante, M.D., indicated that he is a consultant for Medtronic and Stryker. Dr. Linfante is also a shareholder in InNeuroCo and Three Rivers Medical.

Felipe De Los Rios La Rosa, M.D. and Karel Fuentes, M.D., have no relevant financial relationship with ineligible companies* to disclose.

All of the relevant financial relationships listed for these individuals have been mitigated.

Non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*.  

*Ineligible companies -- Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

 

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

American Board of Internal Medicine Maintenance of Certification

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 0.75 Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Your participation information will be shared with the ACCME, which will in turn report your points to ABIM. Successful completion of a course examination is required to earn ABIM MOC points.

NOTE: Maintenance of Certification (MOC) points will be automatically reported to the ABIM. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.

Available Credit

  • 0.75 ABIM MOC II
  • 0.75 AMA PRA Category 1 Credit™
  • 0.75 General certificate of attendance
  • 0.75 Florida Board of Pharmacy
Please login or register for a Baptist Health CME account to take this course.

NOTE: Maintenance of Certification (MOC) points will be automatically reported to the ABIM. Submissions are recorded in approximately 48 hours. You will receive an email when your credits have been processed.

Required Hardware/Software

PC/Mac Users
PC/Mac Users

This site is supported on the most recent stable releases of the following browsers:

Click Here to Download Google Chrome
Google Chrome
Microsoft Edge
Microsoft Edge
Safari
Safari
Moxilla Firefox
Mozilla Firefox
Internet Explorer

Attention: Internet Explorer Users
This site offers limited support for Internet Explorer 11 (IE11). When using IE11, you will be prompted to download course videos instead of viewing them in the browser. After the course video downloads, the recordings will play.

Mobile Users
Mobile Users

This site is supported on the following mobile devices:

  • Apple iOS mobile devices running iOS 10 or later
  • Android mobile devices running Android 4.4 or later, with the latest release of Google Chrome or Mozilla Firefox
Technical Support
Technical Support

If you are experiencing technical difficulties or have received an error message, please send an email to CME@baptisthealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.