Monday, December 21, 2015

Acute Ischemic Stroke Therapy The Way Forward

I can only see the first page but there is NO mention of the neuronal cascade of death. To me that means that our stroke medical professionals still have NO fucking idea of what needs to be done to solve all the problems in stroke.
http://archneur.jamanetwork.com/article.aspx?articleid=2448751

Louis R. Caplan, MD1; Anthony J. Furlan, MD2; Werner Hacke, MD, PhD3
JAMA Neurol. 2015;72(12):1405-1406. doi:10.1001/jamaneurol.2015.2872.
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This Viewpoint discusses the future of thrombolysis and thrombectomy for patients with acute brain ischemia.
Progress in acute stroke management during the past decade involved: (1) the organization of stroke services and fast referral to suitable stroke centers, (2) medical prevention treatment of patients with ischemic stroke during and after hospitalization including hypertension and blood glucose control, statins, carotid interventions, and novel antithrombotic use, and (3) thrombolysis and thrombectomy for patients with acute brain ischemia. In this Viewpoint, we discuss only the latter; it is the most en courant topic that demands future complex integrated organization of services.

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