stroke | STROKE MANUAL

Early management of patients with suspected stroke

Infarct caused by the P2 segment occlusion

GENERAL THERAPY Early management of patients with suspected stroke David Goldemund M.D.Updated on 07/05/2024, published on 07/06/2022 [toc] any patient experiencing rapidly evolving neurological deficits should be evaluated as a potential candidate for recanalization therapy and transported ASAP to the nearest Stroke Center (SC) or Comprehensive Stroke Center (CSC) for urgent diagnostic evaluation and treatment ... Read more

Acute stroke in anticoagulated patient

ISCHEMIC STROKE / THERAPY Acute stroke in an anticoagulated patient David Goldemund M.D.Updated on 06/11/2023, published on 18/04/2022 [toc] anticoagulants have become the mainstay of stroke prevention in patients with atrial fibrillation (AFib) or other potential sources of cardioembolism however, despite anticoagulant therapy, ischemic stroke can occur, and we then face two basic scenarios: the ... Read more

Chinese Ischemic Stroke Subclassification (CISS)

Chinese ischemic stroke classification (CISS)

ISCHEMIC STROKE / CLASSIFICATION Chinese Ischemic Stroke Subclassification (CISS) David Goldemund M.D.Updated on 05/11/2023, published on 12/04/2022 [toc] classification of an acute ischemic stroke has a significant impact on patient care, secondary stroke prevention, and stroke research the most popular and widely used stroke classification system is the TOAST other established systems include: A–S–C–O classification ... 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) David Goldemund M.D.Updated on 04/11/2023, published on 22/02/2022 [toc] ESO guidelines for prophylaxis for venous thromboembolism in immobile patients with acute ischaemic stroke deep vein thrombosis (DVT) is a condition characterized by the formation of blood clots in veins. It most commonly occurs in the deep veins of ... Read more

Surgical treatment of an acute ischemic stroke

ISCHEMIC STROKE / ACUTE THERAPY Surgical treatment of an acute ischemic stroke David Goldemund M.D.Updated on 21/12/2023, published on 27/01/2022 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, although good results have been reported in case ... Read more

Stroke in young adults

ISCHEMIC STROKE / CLASSIFICATION AND ETIOPATHOGENESIS Stroke in young adults David Goldemund M.D.Updated on 12/01/2024, published on 17/12/2021 young adults stroke = stroke in persons aged 18 to 55 years some authors specify an upper age limit of 45 or 49 years young adults comprise 10%–15% of all stroke patients, with a significant increase after ... Read more

Cryptogenic stroke

ISCHEMIC STROKE / CLASSIFICATION AND ETIOPATHOGENESIS CRYPTOGENIC STROKE David Goldemund M.D.Updated on 11/04/2024, published on 17/12/2021 [toc] Definition of cryptogenic stroke cryptogenic stroke (CS) = a stroke of unknown etiology (a diagnosis of exclusion) TOAST 5 (no strict diagnostic algorithm defined) ASCOD (Atherosclerosis, Small Vessel Disease, Cardiac Causes, Other, and Dissection) CCS (Causative Classification ... Read more

Cardioembolic stroke

ISCHEMIC STROKE / CLASSIFICATION AND ETIOPATHOGENESIS Cardioembolic stroke David Goldemund M.D.Updated on 01/01/2024, published on 06/12/2021 [toc] cardioembolism occurs in 20-30% of stroke patients (some recent data suggest up to 50%) approximately 50% of cardioembolic strokes are due to atrial fibrillation (Afib or AF) [Jabaudon, 2004] the most common source is the left atrium or ... Read more

Antiplatelet therapy in stroke prevention

DRUGS / ANTIPLATELET THERAPY Antiplatelet therapy in stroke prevention David Goldemund M.D.Updated on 25/04/2024, published on 28/11/2021 [toc] → overview of antiplatelet agents Antiplatelet therapy in the primary stroke prevention General population aspirin in primary prevention in the general population leads to only a modest or no reduction in cardiovascular (CV) risk while increasing the ... Read more

Antiplatelet and anticoagulant therapy in acute stroke

ISCHEMIC STROKE / ACUTE THERAPY Antiplatelet and anticoagulant therapy in acute stroke David Goldemund M.D.Updated on 26/12/2023, published on 16/11/2021 [toc] Antithrombotic therapy in acute stroke antithrombotic medication is crucial in stroke prevention, as it significantly reduces the risk of both initial and recurrent strokes antiplatelet therapy is the preferred treatment for lesions characterized by ... Read more