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MB ChB(Otago) FRACP

Email john.fink@cdhb.govt.nz

Department of Neurology
Christchurch Hospital
Private Bag 4710
Christchurch
New Zealand

Current Roles

  • Clinical Senior Lecturer, Department of Medicine
  • Christchurch Brain Research Group Coordinating Committee Member and Christchurch Brain Research Institute Establishment Committee Member
  • Canterbury Medical Research Society Executive Committee Member
  • Director of Basic Physician Training, Christchurch Hospital
  • Senior Fellow, Department of Mechanical Engineering, University of Canterbury

Research Interests

  • Acute Stroke Imaging and Thrombolysis
  • Cerebral Perfusion
  • Circle of Willis Haemodynamics
  • Stroke Units

Top 10 Publications

  • Fink, J.N., Kumar, S., Horkan, C., Linfante, I., Caplan, L.R., Schlaug, G. The stroke patient who woke up: clinical and radiological features, including diffusion and perfusion MRI. Stroke 33: 988-993 (2002)
  • Selim, M., Fink, J., Kumar, S., Caplan, L.R., Horkan, C., Chen, Y., Linfante, I., Schlaug, G. Predictors of hemorrhagic transformation after intravenous recombinant tissue plasminogen activator: prognostic value of the initial apparent diffusion coefficient and diffusion-weighted lesion volume. Stroke 33: 2047-2052 (2002)
  • Fink, J.N., Selim, M., Kumar, S., Silver, B., Linfante, I., Caplan, L.R., Schlaug G. Is the association of NIHSS scores and acute MRI volume equal for patients with right and left-hemisphere ischemic stroke? Stroke 33: 954-958 (2002)
  • Selim, M., Fink, J., Linfante, I., Kumar, S., Schlaug, G., Caplan, L.R. Diagnosis of cerebral venous thrombosis with echo-planar T2*-weighted magnetic resonance imaging. Archives of Neurology 59:1021-1026 (2002)
  • Selim, M., Kumar, S., Fink, J., Schlaug, G., Caplan, L.R., Linfante, I. Seizure at stroke onset: should it be an absolute contraindication to thrombolysis? Cerebrovascular Diseases 14:54-57 (2002)
  • Fink, J.N., McAuley, D.L. Mastoid air sinus abnormalities associated with lateral venous sinus thrombosis: cause or consequence? Stroke 33:290-292 (2002)
  • Fink, J.N., McAuley, D.L. Safety of anticoagulation for cerebral venous thrombosis associated with intracerebral hematoma. Neurology 57:1138-1139 (2001)
  • Fink, J.N. Localization of the “sneeze center”. Neurology 56:138 (2001)
  • Fink J.N., Caplan L.R. The importance of specific diagnosis in stroke patient management. In: Magnetic Resonance Imaging in Stroke. Davis S., Fisher M., Warach S. eds. Cambridge. Cambridge University Press (2003) 1-14.
  • Fink J.N., Caplan L.R. Cerebrovascular Cases. The Medical Clinics of North America 87:755-770 (2003)

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Publications

Langton Burnell, A., Ranta, A., Wu, T., Fink, J., McGuinness, B., Caldwell, J., Collecutt, W., … Barber, P. A. (2018). Endovascular clot retrieval for acute ischaemic stroke in New Zealand. New Zealand Medical Journal, 131(1484), 13-18. Retrieved from https://www.nzma.org.nz/journal

Wu, T., Coleman, E., Wright, S. L., Mason, D. F., Reimers, J., Duncan, R., … Hurrell, M., … Fink, J. N. (2018). Helsinki stroke model Is transferrable with “real-world” resources and reduced stroke thrombolysis delay to 34 min in Christchurch. Frontiers in Neurology, 9, 290. doi: 10.3389/fneur.2018.00290

Joshi, P., Fink, J., Barber, P. A., Davis, A., Lanford, J., Seymour, A., … Busby, W., … Ranta, A. (2016). Stroke thrombolysis in New Zealand: Data from the first 6 months of the New Zealand Thrombolysis Register. New Zealand Medical Journal, 129(1438), 42-47. Retrieved from https://www.nzma.org.nz/journal

Joshi, P., Fink, J., Barber, P. A., Davis, A., Lanford, J., Wright, P., … Ranta, A. (2016). New Zealand stroke thrombolysis: Comprehensive national data from a newly implemented mandatory national registry. Cerebrovascular Diseases, 42(Suppl. 1), (pp. 31-32). doi: 10.1159/000447732

Brownlee, W., Ranta, A., Dale-Gandar, J., Bennett, P., Gommans, J., Fink, J., & Barber, P. A. (2014). Changes in the provision of transient ischaemic attack services in New Zealand 2008 to 2013. New Zealand Medical Journal, 127(1390). Retrieved from http://www.nzma.org.nz/journal

Authored Book - Other

Gommans, J., Barber, P. A., & Fink, J. (2008). For the assessment and management of people with recent Transient Ischaemic Attack (TIA). Wellington, New Zealand: Stroke Foundation of New Zealand, 37p.

McAlister, H., Fink, J., Wilkinson, T., & et al (2005). The management of people with atrial fibrillation and flutter: Evidence-based best practice guideline. Wellington, New Zealand: New Zealand Guidelines Group. Retrieved from http://www.nzgg.org.nz

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Chapter in Book - Research

Fink, J. N., & Caplan, L. R. (2003). The importance of specific diagnosis in stroke patient management. In S. Davis, M. Fisher & S. Warach (Eds.), Magnetic resonance imaging in stroke. (pp. 1-14). Cambridge University Press.

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Journal - Research Article

Langton Burnell, A., Ranta, A., Wu, T., Fink, J., McGuinness, B., Caldwell, J., Collecutt, W., … Barber, P. A. (2018). Endovascular clot retrieval for acute ischaemic stroke in New Zealand. New Zealand Medical Journal, 131(1484), 13-18. Retrieved from https://www.nzma.org.nz/journal

Wu, T., Coleman, E., Wright, S. L., Mason, D. F., Reimers, J., Duncan, R., … Hurrell, M., … Fink, J. N. (2018). Helsinki stroke model Is transferrable with “real-world” resources and reduced stroke thrombolysis delay to 34 min in Christchurch. Frontiers in Neurology, 9, 290. doi: 10.3389/fneur.2018.00290

Joshi, P., Fink, J., Barber, P. A., Davis, A., Lanford, J., Seymour, A., … Busby, W., … Ranta, A. (2016). Stroke thrombolysis in New Zealand: Data from the first 6 months of the New Zealand Thrombolysis Register. New Zealand Medical Journal, 129(1438), 42-47. Retrieved from https://www.nzma.org.nz/journal

Brownlee, W., Ranta, A., Dale-Gandar, J., Bennett, P., Gommans, J., Fink, J., & Barber, P. A. (2014). Changes in the provision of transient ischaemic attack services in New Zealand 2008 to 2013. New Zealand Medical Journal, 127(1390). Retrieved from http://www.nzma.org.nz/journal

Child, N., Fink, J., Jones, S., Voges, K., Vivian, M., & Barber, P. A. (2012). New Zealand National Acute Stroke Services Audit: Acute stroke care delivery in New Zealand. New Zealand Medical Journal, 125(1358). Retrieved from http://www.nzma.org.nz/journal

Child, N., Barber, P. A., Fink, J., Jones, S., Voges, K., & Vivian, M. (2011). New Zealand National Acute Stroke Services Audit 2009: Organisation of acute stroke services in New Zealand. New Zealand Medical Journal, 124(1340). Retrieved from http://journal.nzma.org.nz/journal/124-1340/4810/content.pdf

Lever, M., George, P. M., Slow, S., Elmslie, J. L., Scott, R. S., Richards, A. M., Fink, J. N., & Chambers, S. T. (2009). Fibrates may cause an abnormal urinary betaine loss which is associated with elevations in plasma homocysteine. Cardiovascular Drugs & Therapy, 23(5), 395-401. doi: 10.1007/s10557-009-6188-1

De Silva, D. A., Fink, J. N., Christensen, S., Ebinger, M., Bladin, C., Levi, C. R., … EPITHET Investigators. (2009). Assessing reperfusion and recanalization as markers of clinical outcomes after intravenous thrombolysis in the echoplanar imaging thrombolytic evaluation trial (EPITHET). Stroke, 40(8), 2872-2874. doi: 10.1161/STROKEAHA.108.543595

Barber, P. A., Gommans, J., Fink, J., Hanger, H. C., Bennett, P., & Ataman, N. (2008). Acute stroke services in New Zealand: Changes between 2001 and 2007. New Zealand Medical Journal, 121(1285). Retrieved from http://journal.nzma.org.nz/journal/121-1285/3343/content.pdf

McKinlay, A., Kaller, C. P., Grace, R. C., Dalrymple-Alford, J. C., Anderson, T. J., Fink, J., & Roger, D. (2008). Planning in Parkinson's disease: A matter of problem structure? Neuropsychologia, 46(1), 384-389. doi: 10.1016/j.neuropsychologia.2007.08.018

McKinlay, A., Grace, R. C., Dalrymple-Alford, J. C., Anderson, T., Fink, J., & Roger, D. (2008). Neuropsychiatric problems in Parkinson's disease: Comparisons between self and caregiver report. Aging & Mental Health, 12(5), 647-653.

Amadeus Investigators, including Fink, J. (2008). Comparison of idraparinux with vitamin K antagonists for prevention of thromboembolism in patients with atrial fibrillation: A randomised, open-label, non-inferiority trial. Lancet, 371, 315-321. doi: 10.1016/S0140-6736(08)60168-3

McKinlay, A., Grace, R. C., Dalrymple-Alford, J. C., Anderson, T., Fink, J., & Roger, D. (2008). A profile of neuropsychiatric problems and their relationship to quality of life for Parkinson's disease patients without dementia. Parkinsonism & Related Disorders, 14(1), 37-42. doi: 10.1016/j.parkreldis.2007.05.009

Fink, J. N., Frampton, C. M., Lyden, P., Lees, K. R., on behalf of the VISTA Investigators. (2008). Does hemispheric lateralization influence functional and cardiovascular outcomes after stroke? An analysis of placebo-treated patients from prospective acute stroke trials. Stroke, 39(12), 3335-3340. doi: 10.1161/STROKEAHA.108.523365

Davis, S. M., Donnan, G. A., Parsons, M. W., Levi, C., Butcher, K. S., Peeters, A., … Fink, J. N., … EPITHET Investigators. (2008). Effects of alteplase beyond 3 h after stroke in the Echoplanar Imaging Thrombolytic Evaluation Trial (EPITHET): A placebo-controlled randomised trial. Lancet Neurology, 7(4), 299-309. doi: 10.1016/S1474-4422(08)70044-9

Chao, C.-Y., Florkowski, C. M., Fink, J. N., Southby, S. J., & George, P. M. (2007). Prospective validation of cerebrospinal fluid bilirubin in suspected subarachnoid haemorrhage. Annals of Clinical Biochemistry, 44(2), 140-144. doi: 10.1258/000456307780117966

Hanger, C., Fletcher, V., Fink, J., Sidwell, A., & Roche, A. (2007). Improving care to stroke patients: Adding an acute stroke unit helps. New Zealand Medical Journal, 120(1250). Retrieved from http://journal.nzma.org.nz/journal/120-1250/2450/content.pdf

Moore, S., David, T., Chase, J. G., Arnold, J., & Fink, J. (2006). 3D models of blood flow in the cerebral vasculature. Journal of Biomechanics, 39, 1454-1463.

Butcher, K. S., Parsons, M., MacGregor, L., Barber, P. A., . . ., Fink, J., & ... (2005). Refining the perfusion-diffusion mismatch hypothesis. Stroke, 36(6), 1153-1159.

Anderson, N. E., Mason, D. F., Fink, J. N., Bergin, P. S., Charleston, A. J., & Gamble, G. D. (2005). Detection of focal cerebral hemisphere lesions using the neurological examination. Journal of Neurology, Neurosurgery & Psychiatry, 76, 545-549.

Moorhead, K. T., Moore, S. M., Chase, J. G., David, T., & Fink, J. (2005). Impact of decentralised control in cerebral blood flow auto-regulation using 1D and 3D models. International Journal of Intelligent Systems Technologies & Applications, 1(1-2), 95-110.

Fink, J. (2005). Twelve-month experience of acute stroke thrombolysis in Christchurch, New Zealand: Emergency department screening and acute stroke service treatment. New Zealand Medical Journal, 118(1214). Retrieved from http://journal.nzma.org.nz/journal/118-1214/1430/content.pdf

Moore, S. M., Moorhead, K. T., Chase, J. G., David, T., & Fink, J. (2005). One-dimensional and three-dimensional models of cerebrovascular flow. Journal of Biomechanical Engineering, 127(3), 440-449.

Fink, J. N., Selim, M. H., Kumar, S., Voetsch, B., Fong, W. C., & Caplan, L. R. (2005). Insular cortex infarction in acute middle cerebral artery territory stroke: Predictor of stroke severity and vascular lesion. Archives of Neurology, 62(7), 1081-1085.

Selim, M. H., Fink, J. N., Kumara, S., Caplan, L. R., Horkan, C., Chen, Y., … Schlaug, G. (2002). Predictors of hemorrhagic transformation after intravenous recombinant tissue plasminogen activator: Prognostic value of initial apparent diffusion coefficient and diffusion-weighted lesion volume. Stroke, 33, 2047-2052.

Fink, J. N., Selim, M. H., Kumar, S., Silver, B., Linfante, I., Caplan, L. R., & Schlaug, G. (2002). Is the association of NIHSS scores and acute MRI stroke volume equal for patients with right - and left - hemisphere ischemic stroke? Stroke, 33, 954-958.

Selim, M. H., Fink, J. N., Linfante, I., Kumara, S., Schlaug, G., & Caplan, L. R. (2002). Diagnosis of cerebral venous thrombosis with echo-planar T2*-weighted magnetic resonance imaging. Archives of Neurology, 59, 1021-1026.

Fink, J. N., Selim, M. H., Kumara, S., Silver, B., Linfante, I., & Caplan, L. R. (2002). Is the association of NIHSS scores and acute MRI volume equal for patients with right and left- hemisphere ischemic stroke? Stroke, 33, 954-958.

Fink, J. N., & McAuley, D. L. (2002). Mastoid air sinus abnormalities associated with lateral venous sinus thrombosis: Cause or consequence? Stroke, 33, 290-292.

Selim, M. H., Fink, J. N., Kumar, S., Caplan, L. R., Horkan, C., Chen, Y., … Schlaug, G. (2002). Predictors of hemorrhagic transformation after intravenous recombinant tissue plasminogen activator: Prognostic value of the initial apparent diffusion coefficient and diffusion-weighted lesion volume. Stroke, 33, 2047-2052.

Fink, J. N., Kumara, S., Horkan, C., Linfante, I., Caplan, L. R., & Schlaug, G. (2002). The stroke patient who woke up: Clinical and radiological features, including diffusion and perfusion MRI. Stroke, 33, 988-993.

Selim, M. H., Fink, J. N., Linfante, I., Kumar, S., Schlaug, G., & Caplan, L. R. (2002). Diagnosis of cerebral venous thrombosis with echo-planar T2* - Weighted magnetic resonance imaging. Archives of Neurology, 59, 1021-1026.

Fink, J. N., & McAuley, D. L. (2002). Mastoid air sinus abnormalities associated with lateral venous sinus thrombosis: Cause or consequence? Stroke, 33, 290-292.

Fink, J. N., Kumar, S., Horkan, C., Linfante, I., Selim, M. H., Caplan, L. R., & Schlaug, G. (2002). The stroke patient who woke up: clinical and radiological features, including diffusion and perfusion MRI. Stroke, 33, 988-993.

Fink, J. N., & McAuley, D. L. (2001). Cerebral venous sinus thrombosis: A diagnostic challenge. Internal Medicine Journal, 31, 384-390.

Fink, J. N., & McAuley, D. L. (2001). Safety of anticoagulation for cerebral venous thrombosis associated with intercerebral hematoma. Neurology, 57, 1138-1139.

Fink, J. N., Wallis, W. E., & Haydock, D. A. (2001). Myasthenia gravis with thymoma is more common in the Maori and Pacific Island population of New Zealand. Internal Medicine Journal, 31, 206-210.

Fink, J. N. (2001). Localization of the ″sneeze center″. Neurology, 56, 138.

Fink, J. N. (2001). Localization of the ″sneeze center″ [Letter]. Neurology, 57, 161.

Fink, J. N., & Anderson, T. J. (1998). Lower cranial nerve palsies due to carotid artery dissection. New Zealand Medical Journal, 111, 166-168.

Fink, J. N., Donaldson, I. M., Avery, S. F., & Anderson, T. J. (1998). Is hypokalaemic periodic paralysis more prevalent in Maori? Australian & New Zealand Journal of Medicine, 28(4), 477-478.

Fink, J. N., & Anderson, T. J. (1998). Lower cranial nerve palsies due to carotid artery dissection. New Zealand Medical Journal, 111, 166-168.

Fink, J. N., Donaldson, I. M., Avery, S. F., & Anderson, T. J. (1998). Is hypokalaemic periodic paralysis more prevalent in Maori? Australian & New Zealand Journal of Medicine, 28, 477-478.

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Journal - Research Other

McKinlay, A., Grace, R. C., Dalrymple-Alford, J. C., Anderson, T., Fink, J., & Roger, D. (2008). The accuracy of the Unified Parkinson's Disease Rating Scale (UPDRS-Section 1) as a screening measure for depression [Letter to the editor]. Parkinsonism & Related Disorders, 14(2), 170-172. doi: 10.1016/j.parkreldis.2007.03.002

Jardine, D. L., Hurrell, M. A., & Fink, J. (2007). Tilt-test diagnosis of hypotensive transient ischaemic attacks. Internal Medicine Journal, 37(7), 498-501.

Fink, J. (2006). Ethnic trends in stroke in New Zealand: Closing the gaps or widening? [Editorial]. New Zealand Medical Journal, 119(1245). Retrieved from http://journal.nzma.org.nz/journal/119-1245/2305/content.pdf

Fink, J. N., & Caplan, L. R. (2003). Cerebrovascular cases. Medical Clinics of North America, 87, 755-770.

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