STROKE is a cerebrovascular medical emergency defined as the sudden onset of neurological deficit resulting from a disruption of cerebral blood flow or intracranial bleeding. Clinical manifestations vary depending on the location and extent of brain tissue affected; symptoms may include hemiparesis or hemiplegia, aphasia or dysarthria, visual disturbances, ataxia, and sudden severe headache.

Timely diagnosis and treatment are critical for optimizing patient outcomes; patients with rapidly evolving neurological deficits should be transported immediately to the nearest Stroke Center (SC) or Comprehensive Stroke Center (CSC) for urgent diagnostic evaluation and treatment

News 2023

Ischemic stroke

Acute therapy

2024- AHA – Treatment and Outcomes of Cervical Artery Dissection in Adults
2022 – ESO guidelines for an indication for intravenous thrombolysis before mechanical thrombectomy in patients with acute ischaemic stroke and anterior circulation large vessel occlusion
2022 – ESO guidelines for the management of menopause, pregnancy, and postpartum
2021 – ESO guidelines for the management of extra- and intracranial artery dissection
2021 – ESO guidelines on intravenous thrombolysis for acute ischaemic stroke
2021 – Management of Central Retinal Artery Occlusion
2019 – AHA/ASA Guidelines for the Early Management of Patients With Acute Ischemic Stroke: Update to the 2018 Guidelines
2019 – AHA/ASA – Management of Stroke in Neonates and Children
2019 – ESO-ESMINT Guidelines on Mechanical Thrombectomy in Acute Ischemic Stroke
2018 – Guidelines for the Early Management of Patients With Acute Ischemic Stroke
2016 – Scientific Rationale for the Inclusion and Exclusion Criteria for Intravenous Alteplase in Acute Ischemic Stroke

Prevention

2022 – ESO guidelines on endarterectomy and stenting for carotid artery stenosis
2022 – AAN guidelines – Stroke Prevention in Symptomatic Large Artery Intracranial Atherosclerosis

2021 –  Guideline for the Prevention of Stroke in Patients With Stroke and TIA (AHA/ASA)
2017 – Prevention of Stroke in Patients With Silent Cerebrovascular Disease
2014 – Guidelines for the Primary Stroke Prevention (AHA/ASA)
2014 – Guidelines for the Prevention of Stroke in Women (AHA/ASA)
2011 – Guideline on the Management of Patients With Extracranial Carotid and Vertebral Artery Disease
2009 – Definition and Evaluation of Transient Ischemic Attack (AHA/ASA)

Antithrombotic therapy

2021 – EHRA Practical Guide on the use of non-vitamin K antagonist oral anticoagulants in patients with atrial fibrillation

2018 – EHRA Practical Guide on the use of non-vitamin K antagonist oral anticoagulants in patients with atrial fibrillation

PFO, LAA

2020 – AAN – Practice advisory update summary: Patent foramen ovale and secondary stroke prevention

2018 – ESC – European position paper on the management of patients with PFO

Others

2014 – Palliative and End-of-Life Care in Stroke (AHA/ASA)
2014 – Recommendations for the Management of Infarction With Swelling (AHA/ASA)

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