Acute Ischemic Stroke: Diagnosis and Management Approach

Abstract

Stroke is the next chief reason of death worldwide and the foremost reason of debility, with a growing occurrence in emerging countries. Ischemic stroke produced by arterial obstruction is accountable for the majority of strokes. Management focuses on fast reperfusion with endovascular thrombectomy and intravenous thrombolysis, which together decreases debility but are time grave. The important primary stage in stroke maintenance is initial identification of patients with stroke and triage to centers accomplished of transporting the suitable treatment, as fast as conceivable. Hither, we reviewed the data auxiliary prehospital and emergency stroke care, counting the usage of emergency medical facilities protocols for documentation of patients with stroke, and counting thrombectomy and thrombolysis that have transformed the care of patients with ischemic stroke. The quantity of patients who can get assistance from these treatments tend to increase as new studies have determined the outcome of not just time of subsequent stroke onset but likewise collateral circulation inspirations also. Technologies such as mobile stroke units, tele stroke and artificial intelligence are playing a cumulative role in recognizing and treating stroke. Stroke system-of-care models remain to streamline the distribution of definitive revascularization in the age of mechanical thrombectomy. Overall, in the present review, we emphasized the pathophysiology, diagnosis and management of acute ischemic stroke (AIS).

Keywords: anticoagulant therapy, antithrombotic agents, neuroprotective therapy, prehospital management, thrombectomy

Cite this Article

Asad Jamal Ansari, Md Furquan Khan, Nishat Fatima, Md Afroz Ahmad, Mohammad Monawwar, Mohd Imran. Acute Ischemic Stroke: Diagnosis and Management Approach. Research & Reviews: A Journal of Neuroscience. 2020; 10(3): 25–46p.