Intensive care management of stroke patients

Stroke; a Journal of Cerebral Circulation
John W Norris, Vladimir Hachinski

Abstract

Two hundred eighty patients were admitted to an intensive care stroke unit over a one-year period. Subsequent investigation indicated that only 199 of these patients actually had cerebral ischemic or hemorrhagic lesions, 10 had other cerebrovascular lesions, and the remaining 71 patients had unrelated diseases, predominantly seizures. Detailed analysis of 103 stroke patients revealed an overall incidence of 59% hypertension, and 72% had hypertensive, ischemic or valvular heart disease. Fifty percent of the patients had various cardiac arrhythmias, some of which were responsible for the acute cerebrovascular lesion. Fourteen patients died during the acute phase, 11 from apparently irreversible cerebral selling, mainly due to cerebral hemorrhage. Secondary complications such as pneumonia, pulmonary embolism, pressure sores and urinary infection were almost nonexistent, but beneficial effects on the primary cerebral lesions were more difficult to demonstrate.

References

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Citations

Oct 1, 1992·Annals of Neurology·A H Ropper
Jan 1, 1994·Intensive Care Medicine·P BurtinA Larcan
Feb 6, 1982·Lancet·John W Norris, Vladimir Hachinski
Jun 3, 2010·Cerebrovascular Diseases·Vladimir HachinskiStroke Synergium
May 26, 2010·Stroke; a Journal of Cerebral Circulation·Vladimir HachinskiJaakko Tuomilehto
Jun 19, 2009·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·John W Norris, Vladimir Hachinski
May 18, 2013·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·José G MerinoSteven Warach
Jan 1, 1992·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·R Còtè
Jul 20, 2010·International Journal of Stroke : Official Journal of the International Stroke Society·Vladimir HachinskiJaakko Tuomilehto
Feb 25, 2009·International Journal of Stroke : Official Journal of the International Stroke Society·Blanca Fuentes, Exuperio Díez-Tejedor
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Jan 24, 2012·Lancet Neurology·Peter Sörös, Vladimir Hachinski
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Related Concepts

Age Factors
Diastolic Blood Pressure
Cerebral Hemorrhage
Cerebrovascular Occlusion
Electroencephalogram
Heart Diseases
Intensive Care Unit
Subwakefullness Syndrome

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