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Ischemic Stroke

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Abstract

Ischemic stroke is becoming an increasingly important condition for intensivists to recognize and manage in order to minimize the neurologic injury. It is a major public health issue because it is the third leading cause of death and the leading cause of adult disability. Devastating ischemic brain injury often strikes patients who are in the hospital for treatment of an unrelated medical or surgical condition. About 5–10% of acute strokes occur in the critical care and postoperative units, and on the hospital floors. Stroke that complicates another illness is a cause of increased in-hospital stay, mortality, and long-term morbidity.1 Stroke in the intensive care unit (ICU) can be classified into three major categories (Table 15.1) according to (1) the presence of a variety of adverse events associated with increased stroke risk, (2) the presence of conditions that cause critical care illnesses as well as ischemic stroke, and (3) stroke as the primary reason for critical care admission, seen much more frequently in the post-thrombolysis era. Postoperative stroke, though rarely seen after general surgery (0.08–2.9% of cases), occurs more frequently after cardiac or vascular procedures, and in patients with various cerebrovascular risk factors.

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Authors and Affiliations

  1. Neurology Service and Neurocritical Care Unit, Hospital Espanhol, Bahia, Brazil

    Jamary Oliveira-Filho (Chief)

  2. Federal University of Bahia, Salvador, BA, Brazil

    Jamary Oliveira-Filho (Associate Professor)

  3. National Institute of Neurological Disorders and Stroke, Bethesda, MD, USA

    Walter J. Koroshetz (Deputy Director)

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  1. Jamary Oliveira-Filho
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  2. Jamary Oliveira-Filho
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  3. Walter J. Koroshetz
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Editors and Affiliations

  1. Department of Surgical Critical Care Division of Surgery, The Lahey Clinic Medical Center, Burlington, MA, USA

    John M. O’Donnell (Director, Surgical Intensive Care Unit Chairman) (Director, Surgical Intensive Care Unit Chairman)

  2. University Hospital Intensive Care Medicine, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil

    Flávio E. Nácul

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Oliveira-Filho, J., Oliveira-Filho, J., Koroshetz, W.J. (2010). Ischemic Stroke. In: O’Donnell, J.M., Nácul, F.E. (eds) Surgical Intensive Care Medicine. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-77893-8_15

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