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Stroke: management and rehabilitation. Part III of III
T J Tegos1, E Kalodiki, A N Nicolaides
1Department of Vascular Surgery, St Mary's Hospital, Imperial College of Science, Technology and Medicine, London, England. t.tegos@ic.ac.uk
Insights
This review details stroke management, covering acute treatments like thrombolysis and anticoagulation, preventive strategies, surgical interventions, and rehabilitation options for stroke patients.
Area of Science:
- Neurology
- Public Health
Background:
- Stroke is a leading cause of death and disability worldwide.
- Understanding stroke management is crucial for improving patient outcomes.
Purpose of the Study:
- To present comprehensive current knowledge on stroke management.
- To detail acute stroke treatments, prevention strategies, surgical interventions, and rehabilitation.
Main Methods:
- Literature review synthesizing current research on stroke management.
- Discussion of pharmacological agents, surgical procedures, and rehabilitation techniques.
Main Results:
- Acute stroke management includes thrombolysis, anticoagulants, and neuroprotection.
- Stroke prevention involves risk factor modification, pharmacological agents, and surgical options.
- Cerebral hemorrhage treatment and rehabilitation strategies are also described.
Conclusions:
- Effective stroke management requires a multi-faceted approach.
- Advances in treatment and rehabilitation offer improved prognosis for stroke survivors.
Abstract:
The aim of this review is to present the current knowledge regarding stroke. It appears in three parts (in part I the epidemiology, clinical picture, and risk factors were discussed, while part II dealt with the pathogenesis, investigations, and prognosis). In this part (III) the management is presented. In an acute stroke the role of the following is discussed in detail: Thrombolysis, anticoagulant agents, and prophylactic neuroprotection with pharmacologic agents. For the prevention of stroke apart from the risk factors, which were presented in part I, the current knowledge with pharmacologic agents is discussed. Also the role of carotid endarterectomy, extracranial-intracranial bypass surgery, carotid artery angioplasty and stenting, and the treatment of cerebral hemorrhage are described. Finally the means and possibilities of rehabilitation are discussed.