Acute ischemic stroke management: Medical management

Research output: Contribution to journalArticlepeer-review

10 Scopus citations


The initial management of a patient with suspected stroke necessitates a rapid and focused evaluation. Establishing the time of symptom onset, performing a focused neurologic examination, and interpreting ancillary tests facilitates delivery of acute stroke therapies to eligible patients. This review emphasizes the fundamentals of urgent stroke evaluation and evidence-based acute ischemic stroke therapies. Results from randomized clinical trials of intravenous thrombolysis, glucose management, and blood pressure management in acute ischemic stroke patients will be highlighted. External ultrasound as an adjunct to intravenous thrombolysis and treatment of those patients that wake up with stroke symptoms will also be discussed.

Original languageEnglish (US)
Pages (from-to)461-468
Number of pages8
JournalSeminars in Neurology
Issue number5
StatePublished - 2010


  • Acute ischemic stroke
  • ischemic stroke management
  • tissue plasminogen activator

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology


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