[Apoplexy (author's transl)]

Apoplexy is a common clinical picture. The clinical diagnosis is unsatisfactory. The procedure hitherto, in which angiographic clarification of the intracranial space-occupying lesions and of the extracranial vascular changes is almost always performed, will change with the introduction of computer tomography in favor of the bloodless method (Doppler echography). Angiography will then only be carried out in proven hemodynamically active stenosis after the neurological symptoms have receded. The treatment of ischemic cerebral disease is a task for the hospital. Transient ischemic attacks also require hospital supervision, preferably under conditions of intensive care. In addition to support from infusions and digitalization, Actovegin infusions are standard therapy.