THE PURPOSE OF THE STROKE-MANUAL IS TO PROVIDE PRACTICAL

GUIDE TO THE DIAGNOSIS, MANAGEMENT, AND PREVENTION OF STROKE

The purpose of the STROKE-MANUAL is to provide a practical guide to the diagnosis, management, and prevention of stroke

  • stroke is a cerebrovascular medical emergency defined as a sudden onset of neurological deficit resulting from a disruption of cerebral blood flow or intracranial bleeding
  • in general, there are two types of strokes
    • ischemic stroke results from occlusion (due to thrombosis or embolism) of a vessel that supplies blood to the brain. Without oxygen and nutrients, brain cells begin to die within minutes  
    • hemorrhagic stroke is caused by sudden bleeding in the brain (intracerebral hemorrhage, subarachnoid hemorrhage)    
  • strokes can be further classified based on the etiology and location of the vessel occlusion or bleeding
  • clinical manifestations vary depending on the location and extent of brain tissue affected; symptoms may include hemiparesis or hemiplegia, aphasia or dysarthria, visual disturbances, ataxia, and sudden severe headache
  • stroke can cause permanent brain damage, long-term disability, or even death
  • timely diagnosis and management are critical for optimizing patient outcomes; patients with rapidly evolving neurological deficits should be transported immediately to the nearest Stroke Center (SC) or Comprehensive Stroke Center (CSC) for urgent diagnostic evaluation and treatment
Multiple infarcts due to cardioembolism
Hemorrhagic venous infarction due to thrombosis of the transverse and superior sagittal sinuses
Parenchymal ICH caused by a large AVM
SAH caused by MCA aneurysm rupture

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Acute therapy

Prevention

Antithrombotic therapy

PFO, LAA

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