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Published on: June 18, 2021
Aspects of stroke management including subarachnoid haemorrhage
R J van Oostenbrugge1, J Troost
1Department of Neurology, University Hospital Maastricht, Maastricht, the Netherlands. rvoo@sneu.azm.nl
Insights
This review highlights recent advancements in stroke management, covering ischemic stroke genetics, intensive care, and neuroprotection. It also examines intracerebral hemorrhage risks and outcomes, and endovascular treatments for cerebral aneurysms.
Area of Science:
- Neurology
- Clinical Research
- Basic Science Research
Background:
- Stroke management is a critical area of medical research.
- Recent clinical and basic science studies offer new insights into various stroke types.
- Understanding stroke pathophysiology and treatment is essential for improving patient outcomes.
Purpose of the Study:
- To review significant clinical and basic research findings in stroke management published within the past year.
- To provide an overview of recent advancements in ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage.
- To synthesize current knowledge on genetics, intensive care, neuroprotection, risk factors, and endovascular treatments.
Main Methods:
- Literature review of clinical studies and basic research.
- Focus on publications from the past year.
- Categorization of findings into ischemic stroke, intracerebral hemorrhage, and subarachnoid hemorrhage.
Main Results:
- New insights into the genetics of ischemic stroke.
- Updates on intensive stroke care, including cerebral thrombolysis and neuroprotective treatments.
- Discussion of risk factors and outcomes for primary and iatrogenic intracerebral hemorrhage.
- Review of advancements in endovascular treatment for cerebral aneurysms.
- Exploration of causes for vasospasms and secondary cerebral ischemia.
Conclusions:
- The past year has yielded significant progress in understanding and managing various stroke types.
- Continued research into genetics, treatment modalities, and risk factors is crucial for stroke care.
- Advancements in endovascular techniques and understanding of secondary ischemia offer new therapeutic avenues.
Abstract:
The present review focuses on some aspects of stroke management and covers important clinical studies and studies in basic research published during the past year. It is subdivided in three sections. First, we focus on ischaemic stroke and discuss some new insights into the genetics of ischaemic stroke, intensive stroke care including cerebral thrombolysis, and neuroprotective treatment. Secondly, new insights into the risk factors and outcome of primary and iatrogenic intracerebral haemorrhage are discussed. Finally, we review in the section on subarachnoid haemorrhage literature on the further development of endovascular treatment of cerebral aneurysms, and research into the causes of vasospasms and secondary cerebral ischaemia.
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