Chapter 18 Neurological Deterioration in Acute Stroke

摘要: Publisher Summary This chapter discusses the major causes of neurological worsening in acute stroke, and attempts to identify methods differentiating among them treating them. Deterioration condition after stroke can be because variety factors, including cerebral edema, hemorrhagic conversion infarct, recurrent concurrent infection, metabolic disturbance, other less well understood contributors. Recurrent is a relatively uncommon occurrence setting, but obviously lead cumulative deficits. Even high-risk population such as those with atrial fibrillation, recurrence risk setting low. Hemorrhagic transformation an ischemic infarct symptomatic or asymptomatic. In patients transformation, headache, underlying focal deficit, decreased level consciousness occur. Thrombolysis known increase intracerebral hemorrhage. cases intracranial hemorrhage (ICH) nonthrombolysis patients, supportive care neurosurgical consultation are appropriate.