» Articles » PMID: 38021859

Exploring the Multifaceted Causes of Ischemic Stroke: A Narrative Review

Overview
Journal Cureus
Date 2023 Nov 29
PMID 38021859
Authors
Affiliations
Soon will be listed here.
Abstract

Neurologists are well-versed with acute ischemic stroke, a serious public health concern. Effective acute stroke treatment is built on the rapid application of reperfusion therapy. This calls for prompt symptom recognition by the general population as well as emergency workers, proper referral to specialized stroke centers, and thorough examination and assessment by the on-site stroke team. The main goal of treatment for certain individuals is to restore blood flow to the ischemic penumbra by using intravenous thrombolysis and/or endovascular thrombectomy. Acute stroke patients must be hospitalized and continuously monitored for early neurological decline in order to avoid subsequent problems. After swiftly determining the stroke mechanism, patients can start the proper secondary preventative actions.

References
1.
Bray B, Smith C, Cloud G, Enderby P, James M, Paley L . The association between delays in screening for and assessing dysphagia after acute stroke, and the risk of stroke-associated pneumonia. J Neurol Neurosurg Psychiatry. 2016; 88(1):25-30. DOI: 10.1136/jnnp-2016-313356. View

2.
Bamford J, Sandercock P, Dennis M, Burn J, Warlow C . Classification and natural history of clinically identifiable subtypes of cerebral infarction. Lancet. 1991; 337(8756):1521-6. DOI: 10.1016/0140-6736(91)93206-o. View

3.
Turc G, Bhogal P, Fischer U, Khatri P, Lobotesis K, Mazighi M . European Stroke Organisation (ESO)- European Society for Minimally Invasive Neurological Therapy (ESMINT) guidelines on mechanical thrombectomy in acute ischemic stroke. J Neurointerv Surg. 2019; 11(6):535-538. DOI: 10.1136/neurintsurg-2018-014568. View

4.
Gupta A, Gialdini G, Lerario M, Baradaran H, Giambrone A, Navi B . Magnetic resonance angiography detection of abnormal carotid artery plaque in patients with cryptogenic stroke. J Am Heart Assoc. 2015; 4(6):e002012. PMC: 4599540. DOI: 10.1161/JAHA.115.002012. View

5.
Mangla R, Kolar B, Almast J, Ekholm S . Border zone infarcts: pathophysiologic and imaging characteristics. Radiographics. 2011; 31(5):1201-14. DOI: 10.1148/rg.315105014. View