Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-27T00:56:35.982Z Has data issue: false hasContentIssue false

12 - Ischemic Strokes

from Section 3 - Neurological Emergencies

Published online by Cambridge University Press:  02 November 2023

By
Joshua W. Joseph
Edited by
Kaushal Shah  and
Jarone Lee
Edited in association with
Clark G. Owyang  and
Benjamin Christian Renne
Kaushal Shah
Affiliation:
Weill Cornell Medical Center, New York
Jarone Lee
Affiliation:
Massachusetts General Hospital, Boston
Clark G. Owyang
Affiliation:
Weill Cornell Medical Center, New York
Benjamin Christian Renne
Affiliation:
Massachusetts General Hospital, Boston
Get access

Summary

  • Cerebrovascular accident (CVA) or stroke is an interruption of blood supply due to thrombosis or embolization.

  • Thrombosis is caused by an in situ clot at a site of atherosclerotic plaque. Embolization is caused by an intravascular embolus. Sources include atrial fibrillation, ventricular aneurysm, hypokinetic ventricle, myocardial infarction, prosthetic valve, infective endocarditis and proximal friable atherosclerotic plaques.

Keywords

thrombosishemiplegiafacial droophead CTthrombolytics
Type
Chapter
Information
Practical Emergency Resuscitation and Critical Care , pp. 101 - 113
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Demaerschalk, BM, Kleindorfer, DO, Adeoye, OM, et al. Scientific rationale for the inclusion and exclusion criteria for intravenous alteplase in acute ischemic stroke: A statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2016;47(2):581–641.CrossRefGoogle ScholarPubMed
Ma, H, Campbell, BC, Parsons, MW, et al. Thrombolysis guided by perfusion imaging up to 9 hours after onset of stroke. New Engl J Med 2019;380(19):1795–1803.CrossRefGoogle ScholarPubMed
National Institutes of Health. NIH Stroke Scale. Bethesda, MD: National Institutes of Health, National Institute of Neurological Disorders and Stroke; 2013. Available from: http://stroke.nih.gov/documents/NIH_Stroke_Scale.pdf [last accessed February 15, 2023].Google Scholar
Phipps, MS, Cronin, CA. Management of acute ischemic stroke. BMJ 2020;368.Google ScholarPubMed
Powers, WJ. Acute ischemic stroke. New Engl J Med 2020;383(3):252–260.CrossRefGoogle ScholarPubMed
Powers, WJ, Rabinstein, AA, Ackerson, T, et al. Guidelines for the early management of patients with acute ischemic stroke: 2019 update to the 2018 guidelines for the early management of acute ischemic stroke: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2019;50(12):e344–e418.CrossRefGoogle Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×