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Case 84 - Initial management

from Section II - Neurocritical care

Published online by Cambridge University Press:  03 May 2011

By
Lauryn R. Rochlen
Edited by
George A. Mashour  and
Ehab Farag
George A. Mashour
Affiliation:
University of Michigan
Ehab Farag
Affiliation:
Cleveland Clinic
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Summary

This chapter focuses on the initial management of patients with ischemic stroke. It presents a case study of a 54-year-old female with a past medical history significant for hypertension and bilateral carotid stenosis. A head computed tomography (CT) scan was significant for evidence of a large right middle cerebral artery (MCA) infarct. The patient was transferred to an institution capable of performing intra-arterial thrombolysis. Emergency evaluation of a patient with possible ischemic stroke should initially focus on rapid assessment and stabilization of the airway, breathing, and circulation. Early diagnosis of acute ischemic stroke is facilitated with the wide spread use of neuroimaging. Intravenous thrombolytic therapy with recombinant tissue plasminogen activator (rtPA) has been shown to improve outcomes following ischemic stroke. As new data on management of ischemic stroke continue to emerge, guidelines will be updated with the latest evidence-based recommendations.

Keywords

radiation therapyventriculoperitoneal shuntvon Willebrand's diseasehypertensionanesthesiabrain tumor
Type
Chapter
Information
Case Studies in Neuroanesthesia and Neurocritical Care , pp. 281 - 283
Publisher: Cambridge University Press
Print publication year: 2011

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