Advances in the Management of Transient Ischaemic Attack and Stroke - European Medical Journal

Advances in the Management of Transient Ischaemic Attack and Stroke

Neurology
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Authors:
Mayra J Montalvo,1 Matthew S. Siket,2 Mahesh V. Jayaraman,1,3 Shadi Yaghi,1 *Shadi Yaghi1
Disclosure:

The authors have declared no conflicts of interest.

Received:
08.02.16
Accepted:
02.06.16
Citation:
EMJ Neurol. ;4[1]:101-107. DOI/10.33590/emjneurol/10310035. https://doi.org/10.33590/emjneurol/10310035.
Keywords:
Transient ischaemic attack (TIA), acute stroke treatment, cryptogenic stroke, stroke rehabilitation

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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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