European Medical Journal Neurology (Jul 2016)

Advances in the Management of Transient Ischaemic Attack and Stroke

  • Mayra J Montalvo,
  • Matthew S. Siket,
  • Mahesh V. Jayaraman,
  • Shadi Yaghi,
  • Brian Silver

Journal volume & issue
Vol. 4, no. 1
pp. 101 – 107

Abstract

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Among many important advances in the management of transient ischaemic attack (TIA) and stroke are: the updated definition of TIA; risk stratification scores for TIA; the urgent diagnostic and treatment process for TIA; thrombectomy treatment for large vessel occlusive ischaemic stroke; cryptogenic stroke evaluation and treatment, including long-term monitoring for paroxysmal atrial fibrillation; and strategies to improve outcomes for patients including mirror therapy for neglect and timing of mobilisation after stroke. Future research will focus on: antiplatelet strategies after TIA; selecting patients for treatment with recanalisation therapies in an extended time window; uncovering the cause of strokes previously defined as cryptogenic; and better defining the optimal timing and dose of mobilisation after stroke.

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