Vivancos Mora J
Servicio de Neurología, Hospital Universitario de La Princesa, Madrid.
Neurologia. 1995 Dec;10 Suppl 2:23-9.
Acute ischemic stroke is a true medical emergency, as early diagnosis and treatment is the only viable way to open the so-called "therapeutic window" and prevent devastating consequences. Although neurological complications are few at onset and in the early hours, they are potential causes of death and morbidity. The main cause of death in the acute phase is cerebral edema. Early diagnosis and treatment, mainly with hyperosmolar agents, hyperventilation and/or surgery, can save lives and reduce the impact of sequelae. Early epileptic seizures are seen in 4-5% of stroke patients. Treatment is only needed in status epilepticus or recurrent episodes. We review the most important features and current therapeutic strategies for the management of complications.
急性缺血性中风是一种真正的医疗急症，因为早期诊断和治疗是打开所谓“治疗窗口”并预防灾难性后果的唯一可行方法。尽管在发病时和最初几个小时神经并发症较少，但它们是死亡和发病的潜在原因。急性期死亡的主要原因是脑水肿。早期诊断和治疗，主要使用高渗药物、过度通气和/或手术，可以挽救生命并减少后遗症的影响。4%至5%的中风患者会出现早期癫痫发作。仅在癫痫持续状态或反复发作时才需要治疗。我们回顾了并发症管理的最重要特征和当前治疗策略。
