Apopleksi med hastigt progredierende symptomer--"stroke in progression". Haemodynamiske og kliniske aspekter

E Garde, N A Lassen

4 Citationer (Scopus)

Abstract

Stroke-in-progression, SIP, occurs in about 30% of patients with acute stroke and negatively affects the prognosis and mortality. The underlying caused are thought to be clot propagation, cerebral haemorrhage or oedema. In some cases these rather obvious mechanisms cannot be demonstrated, and other variables such as a decrease in blood pressure must be considered as major factors. In this paper the basic haemodynamic mechanisms of cerebral blood flow and the relevant pathophysiology of focal cerebral infarcts are described with emphasis on the penumbra. In addition, available clinical studies are reviewed and current treatment discussed. Our main conclusion is that to assure sufficient collateral flow a high perfusion pressure must be maintained, and we advocate withholding antihypertensive therapy during the acute phase of focal cerebral ischaemia.
Bidragets oversatte titelApoplexy with rapidly deteriorating symptoms--"stroke in progression". Hemodynamic and clinical aspects
OriginalsprogDansk
TidsskriftUgeskrift for Laeger
Vol/bind157
Udgave nummer30
Sider (fra-til)4234-9
Antal sider6
ISSN0041-5782
StatusUdgivet - 24 jul. 1995

Emneord

  • Cerebrovascular Disorders
  • Hemodynamics
  • Humans
  • Ischemic Attack, Transient
  • Prognosis
  • Risk Factors

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