Emedicine acute stroke management

Common Questions and Answers about Emedicine acute stroke management


Avatar n tn Rapid assessment of acute ischemia is critical for the management of acute stroke patiens who may benefit from thrombolytics or neuroprotective therapeutics. Differentiation of acute from chronic stroke, which may all appear hyperintense on T2- Weighted Imaging(T2WI ), is essential in determining the management of patiens.
Avatar n tn Look on google or emedicine or search archives of this forum to learn more. See an ophthalmologist to make sure it is not a retinal or vitreous detachment or a transient ischemic attack.
Avatar f tn pubmed medscap emedicine
Avatar f tn The goal for the acute management of patients with stroke is to stabilize the patient and to complete initial evaluation and diagnostics within a certain time frame after the patient arrives in the hospital. Depending on the results and evaluation of the attending physician, critical decisions may focus on the individualized management of each patient, whether blood pressure control or determination of risk/benefit for thrombolytic intervention are initiated.
Avatar n tn my father suffered left side stroke on march 2012 and latest he had suffered chest pain DR says he may have to undergo angioplasty later, he is under medical management as of now stroke is acute infarct which is complete occulsion his condition is that he can walk and speak few word properly but some times his both legs looks swollen, his face looks swollen when he wakes up in morning. Can any body guide why is it happening ? what can be done, is there any danger to his life ?
Avatar n tn In addition to management of the underlying causes, major considerations in acute treatment of increased ICP relates to the management of stroke and cerebral trauma.The standard modes of treatment are hyperventilation,controlling blood pressures with calcium channel blockers, reducing mass effect with craniotomies, inserting an extraventricular drain, medications like mannitol can also help. Consult your neurophysician for further assistance. Best.
Avatar n tn Can you tell me what would be the initial line of treatment for someone approaching hepatic coma (2 days away) with acute jaundice, acute ascites of the abdomen, low blood pressure, tacacardic, deranged blood works and a past hiistory of alcohol abuse?
Avatar m tn I had a minor (inguel? sp?) hernia repair one year ago and continue to experience acute discomfort-up-to-wincing pain in the crease of the groin when I sit. I assume the mesh "patch" that was inserted for the repair is irrititating or inflaming the tissue below the skin. Anyone have similar experience? Know of a cure or non-surgical fix?
Avatar m tn The most common causes of hemorrhagic stroke are hypertension, elderly age group, weakness in the artery wall in the brain and blood coagulation issues. After the acute management of the condition, stabilization of airway, breathing and circulation, the long-term therapy includes rehabilitation. Recovery is variable and hence different requirement of therapy for different patients. Care must be taken for repositioning her to avoid bedsores.
Avatar n tn Depending on how an MRI scan is completed it can show both acute and chronic strokes. Radiologists comment on the fact that there is no acute stroke either to indicate that they did special imaging to look for an acute stroke, or because this is a common reason to obtain a MRI of the brain. Chronic strokes can be seen with standard MRI techniques, and therefore the comment normal MRI excludes the presence of chronic strokes.
Avatar n tn There has been no change in 7 months. Everything from a stroke to neurological problems has been ruled out. We have seen 4 retinal specialists and one neurologist. No one can explain the cause. Is anyone studying this condition? There are many desperate people on the internet looking for answers. Most have been told the same. It might be a virus of the eye we aren't sure. It usually goes away. But it hasn't for many.
Avatar f tn This is the only MRI done since his initial stroke. The MRI showed old infarct in pons area + acute infarct in anterior portion of corpus callosum + subacute infarct in the other side of the corpus callosum. It also showed lesions in the thalamic portion + basil ganglia. The neurologist resident stated that my dad had a TIA (or stroke) 2 weeks prior to his stroke on February 19,09 (at home-it was never noticed).
Avatar n tn Some of the symptoms your husband is experiencing are manifestations of a TIA. Statistically, about one-third of those who have a TIA will have an acute stroke some time in the future. Many strokes can be prevented by giving importance to the TIAs and treating underlying risk factors. The most important treatable factors linked to TIAs and stroke are high blood pressure, cigarette smoking, heart disease, carotid artery disease, diabetes, and heavy use of alcohol.
Avatar n tn Also drug of cchoice for the acute condition and then management. I prefer to manage in the most natural and conservative manner. Harriet L.
Avatar f tn then pain moved into down my arm the pcp got a nerve conduction test no nerve damage progressed into major muscle spasm tightness of neck always put my head to one aide atiff spasm started in my leggs left side went numb blurred vision like a stroke was not a stroke now have to see a nurologist put me on steroids stopped. Muscle spasms and now sudden jerks had put me on a med thats stops my movemnts all doctors say it sounds like ms .i honestly.
Avatar f tn As my father is affected by Acute Brain Stem Infarct (Pontine Stem Stroke) which has all the vital functions like breathing, swallowing, sleeping, thinking, movements etc. He got the stroke on 2nd Mar 2012 and now he is able to breath by himself. Swallowing is not properly done, so Ryle's tube is inserted through the nose for his feed. He is not able to move and he is bed - ridden. On 26th Mar 2013 he vomited some black particles through the Treacheostomy tube.
Avatar n tn http://www.emedicine.com/med/topic553.htm Mortality/Morbidity: Morbidity and mortality resulting from diaphragmatic disorders are associated with the etiology of the dysfunction. Individuals with anatomic defects are much more likely to survive than individuals with unresolving defective or absent neurologic impulses. Persons with unilateral dysfunction are much more likely to remain asymptomatic when compared with individuals with bilateral involvement.
Avatar n tn tt2 and flair hyperintense lesion seen in right side of pons showing diffusion restriction and low adc values so acute infarct
Avatar f tn 1) Three punctate areas of acute infarction left parietal lobe. Multifocality concerning embolic disease. 2) Diffuse cerebral atrophy with ventriculomegaly. 3) Chronic posterior right parietal/occipital infarction. 4) Increased T2/FLAIR signal in the para ventricular and deep white matter is non-specific but most likely due to chronic small vessel ischemic change/chronic lacunar infarctions.
Avatar n tn My mother recently suffered an acute stroke after a mini-stroke two weeks earlier. While at the hospital the neurologist told our family that had they known she had atrial fibrillation in her first mini-stroke, they would have prescribed coumadin and the acute stroke would likely have been prevented. I was told by a geriatric nurse practitioner friend that they should have done the Holter EKG rather than the short EKG as it would have detected the atrial fibrillation.
Avatar f tn my mom is 72 3 weeks ago she came down with acute west nile and in the middle of that she had a stroke. A bleeder and it affected 25 % of her left side brain. she is having severe headaces. Can't move her right side, can't eat or drink. The drs. are going to start intense rehab. Is there a chance for recovery or are we just biding time. I want to give her every chance possible. I quess I may be in a state of shock just looking for answers.
Avatar m tn If my memory serves me right, acute ischemic event is just the medical jargon for a stroke. Congratulations, it looks like you are in the clear.
Avatar n tn Acupuncture treatment, used in its aftermath and recovery period can also be used in the acute phase. In recent years a large number of shows, stroke acupuncture treatment time is very important, no matter what type of stroke should seek early treatment. In addition, some recent acupuncture workers started to attach importance to the cause of stroke and certain mental obstacles to the treatment of mental disorders.
Avatar f tn My 86 year old mother had a acute stroke in Dec 08. The Drs have said that it has just effected her balance. Just wanting to know more about it. She many other health issues, high blood pressure,diabeties, heart bypass surgery, ect. Any info would be helpful.