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Diagnosis and management of acute ischaemic stroke
by
Hurford, Robert
, Muir, Keith W
, Hughes, Tom A T
, Sekhar, Alakendu
in
Aphasia
/ Apraxia
/ Ataxia
/ Brain Ischemia - diagnostic imaging
/ Brain Ischemia - therapy
/ Disease Management
/ Endovascular Procedures - methods
/ First responders
/ How to Do It
/ Humans
/ Hypertension
/ Ischemic Stroke - diagnostic imaging
/ Ischemic Stroke - therapy
/ Neurology
/ Patients
/ Risk factors
/ Stroke
/ Thrombectomy - methods
/ Thrombolytic drugs
/ Thrombolytic Therapy - methods
/ Veins & arteries
/ Vertigo
2020
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Diagnosis and management of acute ischaemic stroke
by
Hurford, Robert
, Muir, Keith W
, Hughes, Tom A T
, Sekhar, Alakendu
in
Aphasia
/ Apraxia
/ Ataxia
/ Brain Ischemia - diagnostic imaging
/ Brain Ischemia - therapy
/ Disease Management
/ Endovascular Procedures - methods
/ First responders
/ How to Do It
/ Humans
/ Hypertension
/ Ischemic Stroke - diagnostic imaging
/ Ischemic Stroke - therapy
/ Neurology
/ Patients
/ Risk factors
/ Stroke
/ Thrombectomy - methods
/ Thrombolytic drugs
/ Thrombolytic Therapy - methods
/ Veins & arteries
/ Vertigo
2020
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Diagnosis and management of acute ischaemic stroke
by
Hurford, Robert
, Muir, Keith W
, Hughes, Tom A T
, Sekhar, Alakendu
in
Aphasia
/ Apraxia
/ Ataxia
/ Brain Ischemia - diagnostic imaging
/ Brain Ischemia - therapy
/ Disease Management
/ Endovascular Procedures - methods
/ First responders
/ How to Do It
/ Humans
/ Hypertension
/ Ischemic Stroke - diagnostic imaging
/ Ischemic Stroke - therapy
/ Neurology
/ Patients
/ Risk factors
/ Stroke
/ Thrombectomy - methods
/ Thrombolytic drugs
/ Thrombolytic Therapy - methods
/ Veins & arteries
/ Vertigo
2020
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Journal Article
Diagnosis and management of acute ischaemic stroke
2020
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Overview
Acute ischaemic stroke is a major public health priority and will become increasingly relevant to neurologists of the future. The cornerstone of effective stroke care continues to be timely reperfusion treatment. This requires early recognition of symptoms by the public and first responders, triage to an appropriate stroke centre and efficient assessment and investigation by the attending stroke team. The aim of treatment is to achieve recanalisation and reperfusion of the ischaemic penumbra with intravenous thrombolysis and/or endovascular thrombectomy in appropriately selected patients. All patients should be admitted directly to an acute stroke unit for close monitoring for early neurological deterioration and prevention of secondary complications. Prompt investigation of the mechanism of stroke allows patients to start appropriate secondary preventative treatment. Future objectives include improving accessibility to endovascular thrombectomy, using advanced imaging to extend therapeutic windows and developing neuroprotective agents to prevent secondary neuronal damage.
Publisher
BMJ Publishing Group LTD,BMJ Publishing Group
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