Update in the management of acute ischemic stroke

Abstract

Acute ischemic stroke is the fourth leading cause of death and the leading cause of disability in the United States. Stroke is a medical emergency. The development of stroke systems of care has changed the way practitioners view and treat this devastating disease. Ample evidence has shown that patients presenting early and receiving intravenous thrombolytic therapy have the best chance for significant improvement in functional outcome, particularly if they are transported to specialized stroke centers. Early detection and management of medical and neurologic complications is key at preventing further brain damage in patients with acute ischemic stroke.

Keywords: Acute ischemic stroke; Cerebral edema; Critical care; Hemicraniectomy; Neurocritical care; Neuroprotection; Outcomes; Thrombolysis.