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[Apoplexy (author's transl)].

H H Albert, H Franz

    MMW, Munchener Medizinische Wochenschrift
    |December 16, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Apoplexy diagnosis is challenging. Computer tomography and Doppler echography will replace angiography for evaluating intracranial lesions and vascular changes, improving stroke diagnosis and management.

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    Area of Science:

    • Neurology
    • Radiology
    • Vascular Medicine

    Background:

    • Apoplexy (stroke) presents a common yet diagnostically challenging clinical picture.
    • Current diagnostic procedures for intracranial space-occupying lesions and extracranial vascular changes heavily rely on angiography.
    • The clinical diagnosis of stroke is often unsatisfactory, necessitating advanced imaging techniques.

    Purpose of the Study:

    • To evaluate the shift in diagnostic procedures for stroke.
    • To highlight the role of new imaging technologies in stroke management.
    • To outline the updated approach to diagnosing and treating cerebrovascular diseases.

    Main Methods:

    • The study discusses the transition from traditional angiography to less invasive methods.
    • Introduction of computer tomography (CT) and Doppler echography as primary diagnostic tools.

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  • Comparison of the efficacy and application of different vascular imaging techniques.

    • Main Results:

    • Computer tomography and Doppler echography are emerging as preferred, bloodless methods for initial stroke evaluation.
    • Angiography will be reserved for specific cases, such as proven hemodynamically active stenosis, post-symptom resolution.
    • Ischemic cerebral disease and transient ischemic attacks necessitate hospital supervision, including intensive care.

    Conclusions:

    • The diagnostic paradigm for apoplexy is shifting towards non-invasive imaging modalities.
    • Hospitalization and intensive care are crucial for managing ischemic cerebral disease and transient ischemic attacks.
    • Standard therapy includes infusions, digitalization, and specifically Actovegin infusions.