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Induced Hypertensive Therapy in an Acute Ischemic Stroke Patient with Early Neurological Deterioration

Overview
Journal J Clin Neurol
Specialty Neurology
Date 2009 Jun 11
PMID 19513130
Citations 6
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Abstract

Poststroke hypotension may be related to early neurological deterioration and infarct progression by decrease of cerebral perfusion, particularly in patients with ischemic penumbra. However, optimal management guideline of blood pressure in the setting of acute stroke is absent, and remains a matter of debate. We report here a patient who had early neurological deterioration accompanied by systemic hypotension. Phenylephrine-induced hypertensive therapy by imaging-based decision making successfully restored neurologic dysfunction in this patient.

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