Advances in the Management of Transient Ischaemic Attack and Stroke

Mayra J Montalvo,1 Matthew S. Siket,2 Mahesh V. Jayaraman,1,3 Shadi Yaghi,1 *Brian Silver1

1. Department of Neurology, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, Rhode Island, USA
2. Department of Emergency Medicine, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, Rhode Island, USA
3. Department of Diagnostic Imaging, Rhode Island Hospital, Alpert Medical School of Brown University, Providence, Rhode Island, USA
*Correspondence to bsilver@lifespan.org

Disclosure: The authors have declared no conflicts of interest.
Received: 08.02.16 Accepted: 02.06.16
Citation: EMJ Neurol. 2016;4[1]:101-107.

Abstract

Among many important advances in the management of transient ischaemic attack (TIA) and stroke are: the updated definition of TIA; risk stratification scores for TIA; the urgent diagnostic and treatment process for TIA; thrombectomy treatment for large vessel occlusive ischaemic stroke; cryptogenic stroke evaluation and treatment, including long-term monitoring for paroxysmal atrial fibrillation; and strategies to improve outcomes for patients including mirror therapy for neglect and timing of mobilisation after stroke. Future research will focus on: antiplatelet strategies after TIA; selecting patients for treatment with recanalisation therapies in an extended time window; uncovering the cause of strokes previously defined as cryptogenic; and better defining the optimal timing and dose of mobilisation after stroke.

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