Update on the Acute Management of Ischemic Stroke

Authors

  • Alim Akhtar Bhuiyan Senior Consultant & Head, Dept. of Neurology, United Hospital Ltd., Dhaka
  • SM Sadlee Associate Consultant, Department of Neurology, United Hospital Ltd. , Dhaka
  • Noor E Jabeen Specialist, Department of Neurology, United Hospital Ltd. , Dhaka

DOI:

https://doi.org/10.3329/bccj.v12i1.72424

Keywords:

Acute Ischemic Stroke, I/V Thrombolysis (r tpa), Mechanical Thrombectomy

Abstract

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.

Bangladesh Crit Care J March 2024; 12 (1): 41-49

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Published

2024-04-04

How to Cite

Alim Akhtar Bhuiyan, SM Sadlee, & Noor E Jabeen. (2024). Update on the Acute Management of Ischemic Stroke. Bangladesh Critical Care Journal, 12(1), 41–49. https://doi.org/10.3329/bccj.v12i1.72424

Issue

Vol. 12 No. 1 (2024)

Section

Review Articles

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