Recanalization therapy in pediatric stroke

ISCHEMIC STROKE / ACUTE THERAPY Recanalization therapy in pediatric stroke Created 21/09/2022, last revision 21/09/2022 [toc] AHA/ASA (2019) - Management of Stroke in Neonates and Children stroke is relatively rare in children but can lead to significant morbidity/mortality acute management strategies are extrapolated from adult studies, but with some specific considerations Specifics of stroke in ... Read more

Recanalization therapy in acute stroke

Recanalization therapy in acute stroke
ISCHEMIC STROKE / ACUTE THERAPY Recanalization therapy in acute stroke Created 16/09/2022, last revision 19/09/2022 [toc] Introduction Recanalization restoration of flow at the primary occlusion site AOL  Reperfusion restoration of anterograde flow in the vessels beyond the primary occlusion site (anterograde perfusion) TICI  Collateral circulation retrograde perfusion  Distal embolization new occlusion detected distal to the ... Read more

Mechanical recanalization in acute stroke

Mechanical recanalization in acute stroke
ISCHEMIC STROKE / ACUTE THERAPY Mechanical recanalization Created 26/07/2022, last revision 15/09/2022 [toc] 2019 - ESO - ESMINT Guidelines on Mechanical Thrombectomy in Acute Ischemic Stroke 2019 - AHA/ASA Acute Ischemic Stroke Introduction mechanical recanalization (thrombectomy/endovascular treatment) is an essential therapeutic method for large vessel occlusions (LVO) the goal is to achieve rapid and complete ... Read more

Early management of patients with suspected stroke

GENERAL THERAPY Early management of patients with suspected stroke Created 07/06/2022, last revision 05/09/2022 [toc] every patient with rapidly developing neurological deficits should be evaluated as a potential candidate for recanalization treatment and should be transported ASAP to the nearest stroke center or comprehensive stroke center for emergent diagnostic evaluation and therapy Definition and clinical ... Read more

Blood pressure management in an acute stroke

GENERAL THERAPY Blood pressure management in an acute stroke Vloženo 25.10.2019, poslední aktualizace 02.05.2022 [toc] elevated blood pressure (BP) is a common correlate of an acute stroke except for hypertensive encephalopathy and hypertonic hemorrhage, high BP is a consequence and not a cause of the acute neurological disorder the cause of hypertension is multifactorial: autoregulation ... Read more

Acute stroke in anticoagulated patient

Acute stroke in anticoagulated patient
ISCHEMIC STROKE / THERAPY Acute stroke in anticoagulated patient Created 18/04/2022, last revision 25/05/2022 anticoagulants have become the mainstay of stroke prevention in patients with atrial fibrillation or other potential sources of cardioembolism however, even with this therapy (including DOACs), ischemic stroke can occur, and we then address 2 basic scenarios in the acute phase: ... Read more

Chinese Ischemic Stroke Subclassification (CISS)

Chinese Ischemic Stroke Subclassification (CISS)
ISCHEMIC STROKE / CLASSIFICATION Chinese Ischemic Stroke Subclassification (CISS) Created 12/04/2022, last revision 26/09/2022 [toc] classification of an acute ischemic stroke has a significant impact on patient care, secondary stroke prevention, and stroke research the most popular and commonly used stroke classification system is the TOAST other established systems: A–S–C–O classification (Amarenco, 2009) SSS-TOAST (Ay, ... Read more

Prevention of Venous Thromboembolism (VTE) in stroke patients

Intermittent pneumatic compresion (Venaflow) used in prevention of venous thromboembolism (VTE)
GENERAL MEDICINE Prevention of Venous Thromboembolism (VTE) Created 22/02/2022, last revision 08/06/2022 [toc] ESO guidelines for prophylaxis for venous thromboembolism in immobile patients with acute ischaemic stroke deep vein thrombosis (DVT) refers to a condition where blood clots form in the veins. It most commonly occurs in the deep veins of the calf or thigh ... Read more

Surgical treatment of an acute ischemic stroke

Surgical treatment of an acute ischemic stroke
ISCHEMIC STROKE / ACUTE THERAPY Surgical treatment of an acute ischemic stroke Created 27/01/2022, last revision 16/09/2022 Emergency carotid endarterectomy (< 24h) insufficient data on the effectiveness of the method in acute stroke  (AHA/ASA 2019 IIb/B-NR) surgical risk in neurologically unstable patients is increased, but good results were reported in case series; no RCTs are ... Read more

Stroke in young adults

ISCHEMIC STROKE / CLASSIFICATION AND ETIOPATHOGENESIS Stroke in young adults Created 17/12/2021, last revision 22/09/2022 young adults stroke/juvenile stroke = stroke in persons aged 18 to 55y some authors use an upper age limit of 45 or 49 years young adults comprise 10%–15% of all stroke patients, with a significant increase above the age of ... Read more
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