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Clin Geriatr Med. 1999 Nov;15(4):701-20.

Management of acute ischemic stroke.

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  • 1Division of Cerebrovascular Diseases, Department of Neurology, University of Iowa, Iowa City 52242, USA.


Management of an acute ischemic stroke is multifaceted. Treatment in a specialized stroke unit reduces mortality and morbidity. Components of care include interventions to control or prevent medical or neurologic complications, rehabilitation, and initiations of therapies to forestall recurrent stroke. The key to modern treatment is the emergent administration of tissue plasminogen activator (rtPA). Thrombocyte treatment improves outcome when it is given within 3 hours of onset of stroke to carefully selected patients.

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