Management of Acute Ischemic Stroke

Opening of the article

Treatment of stroke has undergone rapid evolution in last decade with establishment of thrombolysis in acute stroke. In coming years, there is likely to be further change in protocols in treatment of stroke, particularly with the emerging evidence that the ischemic penumbra may persist for up to 48-hrs after stroke onset. For optimum outcome it is essential that stroke teams are formed in hospitals and strict protocols are followed for stroke recognition, investigation and treatment. There is strong evidence that outcomes after stroke can be improved and that death or disability from stroke can be reduced with appropriate treatment. 125 JIMSA April-June 2006 Vol. 19 No.