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Acute management of stroke

Lookup NU author(s): Professor Gary Ford


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In this article the diagnosis, investigation and early management of stroke are discussed. Confirmation of the diagnosis of stroke can be difficult. The neurological deficit should be recorded in detail at admission. Head CT or brain MRI should be obtained in all patients within 24-48 hours of admission. Blood pressure reduction is of benefit in the secondary prevention of stroke. Monitoring and correction of physiological parameters may be partially responsible for the improved outcomes observed with acute stroke units. Ischaemic tissue is salvageable in the hyperacute phase of stroke by thrombolysis. Pneumonia is one of the most important early complications. Early rehabilitation aims include early mobilisation and appropriate management of dysphagia and communication problems. For a more detailed overview of current recommendations the European Stroke Initiative recommendations for stroke management may be consulted.

Publication metadata

Author(s): Ford GA

Publication type: Note

Publication status: Published

Journal: British Journal of Cardiology

Year: 2001

Volume: 8

Issue: 11

Pages: 654-657

Print publication date: 01/01/2001

ISSN (print): 0969-6113

ISSN (electronic): 1753-4313