Wake-up stroke-Amendable for thrombolysis-like stroke with known onset time?
Acta Neurol Scand
; 136(1): 4-10, 2017 Jul.
Article
em En
| MEDLINE
| ID: mdl-27641907
ABSTRACT
Patients suffering an acute ischemic stroke can be treated with intravenous thrombolysis in the absence of contraindications. A known onset time is a prerequisite as treatment, according to guidelines, has to be started within 4.5 hours. In patients awakening with a stroke, the last time they were seen without a neurological deficit is assumed to be the time of onset. Thus, despite of lack of contraindications on initial brain imaging, these patients are largely excluded from therapy. This review discusses the underlying pathophysiological, clinical, and radiological evidence surrounding wake-up stroke and its consequences for making treatment decisions.
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Base de dados:
MEDLINE
Assunto principal:
Sono
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Terapia Trombolítica
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Isquemia Encefálica
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Acidente Vascular Cerebral
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article