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Neuro-Intensive Care Units and Management of Acute Stroke Patients: Benefits and Limitations

  • Conference paper
Thrombolytic Therapy in Acute Ischemic Stroke III

Abstract

Reduction of mortality and improvement of outcome are the major goals of new therapeutic strategies in acute ischemic stroke. Some subtypes of acute ischemic stroke such as intracranial internal carotid artery (ICA) occlusion, proximal middle cerebral artery (MCA) occlusion, basilar thrombosis, and space-occupying infarcts carry a high mortality of more than 80% in selected cohorts [1,2]. Aggressive approaches to acute ischemic stroke such as thrombolytic therapy, hypervolemic-hypertensive therapy, or decompressive surgery require management in specialized neurological critical care units: computed tomographic (CT) scans, magnetic resonance imaging (MRI), Doppler ultrasound, and electrophysiological and intracranial pressure monitoring device are essential and should be readily available. A 24-h-shift service by neurologists and close collaboration with neurosurgery and neuroradiology are necessary. Another challenge of critical care in acute ischemic stroke is reduction of mortality from cardiovascular complications and nosocomial infections. Mortality within the first 4 weeks after an ischemic stroke is greatly influenced by coexistent cardiovascular disease [3,4]. In total, about 8%–10% of acute stroke victims may require critical care treatment.

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Authors and Affiliations

  1. Department of Neurology, University of Heidelberg, Im Neuenheimer Feld 400, D-69120, Heidelberg, Germany

    W. Hacke, M. Spranger & Th. Steiner

Authors
  1. W. Hacke
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  2. M. Spranger
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  3. Th. Steiner
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Editor information

Editors and Affiliations

  1. Cerebrovascular Division, Department of Internal Medicine, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita, Osaka, 565, Japan

    Takenori Yamaguchi M.D., D.M.Sc.  & Kazuo Minematsu M.D., D.M.Sc.  & 

  2. Clinical Neurosciences, Hyogo Institute for Aging Brain and Cognitive Disorders, 520 Saisho-ku, Himeji, Hyogo, 670, Japan

    Etsuro Mori M.D.

  3. Department of Molecular and Experimental Medicine, The Scripps Research Institute and Division of Hematology/Medical Oncology, Scripps Clinic and Research Foundation, 10666 North Torrey Pines Road, 92037, La Jolla, CA, USA

    Gregory J. del Zoppo M.D.

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© 1995 Springer-Verlag Tokyo

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Hacke, W., Spranger, M., Steiner, T. (1995). Neuro-Intensive Care Units and Management of Acute Stroke Patients: Benefits and Limitations. In: Yamaguchi, T., Mori, E., Minematsu, K., del Zoppo, G.J. (eds) Thrombolytic Therapy in Acute Ischemic Stroke III. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68459-6_16

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  • DOI: https://doi.org/10.1007/978-4-431-68459-6_16

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-70139-2

  • Online ISBN: 978-4-431-68459-6

  • eBook Packages: Springer Book Archive

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