Abstract
Treatment of patients with acute stroke requires hospitalization. Cooperation of neurologists, neuroradiologists, intensive care physicians, internists, and cardiologists is required to achieve best possible outcome. Asummary of the current recommendations for stroke treatment is provided. This update is based on the S3guidelines and incorporates additional results of the latest clinical studies; pubmed.gov was used as the database. Computed tomography (CT) or magnetic resonance imaging (MRI) are essential to differentiate between ischemic and hemorrhagic stroke. The S3guideline recommends thrombolysis within 4.5 h after the onset of symptoms, while mechanical thrombectomy for large vessel occlusions may be indicated up to 24 h after stroke onset in certain cases. Therapy should be initiated for an internal carotid artery (ICA) stenosis of at least 50%. Thrombolysis, mechanical thrombectomy, and the treatment of ICA stenosis are the three cornerstones of acute stroke treatment.
Published Version
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