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Management of acute stroke within the stroke pathway and stroke clinics 

Management of acute stroke within the stroke pathway and stroke clinics
Chapter:
Management of acute stroke within the stroke pathway and stroke clinics
Source:
Oxford Textbook of Geriatric Medicine (3 edn)
Author(s):

Jonathan Birns

and Ajay Bhalla

DOI:
10.1093/med/9780198701590.003.0119_update_001
Previous versions of this chapter are available. To view earlier versions of this chapter view the full site here.

There have been considerable advances in stroke research leading to translation of drug therapy for stroke into the clinical arena. Thrombolysis for ischaemic stroke is a key advance that significantly reduces disability. This has revolutionized the manner in which acute stroke is treated as a medical emergency. The use of advanced imaging techniques and adjuncts to thrombolysis could potentially improve selection of patients who may benefit from reperfusion therapy such as mechanical thrombectomy and allow treatment decisions to be based on individual brain pathophysiology, rather than arbitrary time windows. It is likely that reconfiguration of stroke services may be required to accommodate further delivery of hyperacute interventions for acute stroke.

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