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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke

Published on: January 18, 2018

[Neuroimaging diagnosis and aspects of therapy of hemorrhagic stroke]

V I Shmyrev, S L Arkhipov, S E Kuznetsova

    Zhurnal Nevrologii I Psikhiatrii Imeni S.S. Korsakova
    |February 24, 2001
    PubMed

    The peculiarities of the clinical manifestations of the hemorrhages into the brain were analyzed in 215 patients regarding both the degree of the blood break into the ventricular system and the size of the perifocal edema. It is demonstrated that the clinical picture, course and prognosis of the disease depend on the volume of the hemorrhage, the degree of the ventricular tamponage, presence of both acute occlusive hydrocephalus and secondary truncal syndrome. The presence of the blood in the ventricular system was not fatal, but, in some cases, led to the improvement of the patients' state because of the decrease of the voluminal influence of the hematoma. Therapy of patients with hemorrhagic strokes must be differential and be determined by the size of the perifocal edema in the ischemic tissue, the state of the system of the hemostasis as well as the presence of angiospasm of intracerebral vessels. Combined administration of calcium antagonists, antioxidants, antiedemic and antiprostaglandin preparations was grounded.

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