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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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Induced hypertensive therapy in an acute ischemic stroke patient with early neurological deterioration

Hye-Jin Kim1, Dong-Wha Kang

  • 1Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Korea.

Journal of Clinical Neurology (Seoul, Korea)
|June 11, 2009
PubMed

Poststroke hypotension may be related to early neurological deterioration and infarct progression by decrease of cerebral perfusion, particularly in patients with ischemic penumbra. However, optimal management guideline of blood pressure in the setting of acute stroke is absent, and remains a matter of debate. We report here a patient who had early neurological deterioration accompanied by systemic hypotension. Phenylephrine-induced hypertensive therapy by imaging-based decision making successfully restored neurologic dysfunction in this patient.

Keywords:
Acute ischemic strokeEarly neurological deteriorationInduced hypertensive therapy

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