PMID: 9643093Jun 27, 1998Paper

Acute therapy of ischemic stroke

Praxis
R W Baumgartner

Abstract

Ischemic stroke is a neurological emergency as transition form reversible to irreversible lesions of the brain may be prevented by starting the therapy within six hours after the onset of the neurological deficits. Intravenous thrombolysis may be administered within the first three hours and intraarterial thrombolysis within the first six hours after considering inclusion and exclusion criteria. Neuroprotective drugs are under investigation and may enlarge the spectrum of acute therapy in the near future. Ischemic strokes that do not qualify for thrombolysis may be treated with unfractionated heparin, aspirin or low-molecular weight heparin. Indications for the administration of antithrombotic drugs are discussed. Blood pressure is frequently elevated in acute ischemic stroke, but rarely needs therapy or careful lowering. Fever, hypo- und hyperglycemia, epileptic seizures and intracranial hypertension should be treated.

Related Concepts

Related Feeds

Brain Ischemia

Brain ischemia is a condition in which there is insufficient blood flow to the brain to meet metabolic demand. Discover the latest research on brain ischemia here.

Acute Stroke

A stroke occurs when blood supply to the brain is interrupted depriving the brain of oxygen and nutrients. This feed focuses cerebrovascular accidents including ischemic and paralytic stroke.

Related Papers

Southern Medical Journal
Richard M Zweifler
Revista Portuguesa De Cardiologia : Orgão Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology
Freek W Verheugt
Expert Opinion on Pharmacotherapy
Avi Mazumdar, Colin P Derdeyn
© 2022 Meta ULC. All rights reserved