Empfehlungen der European Stroke Initiative (EUSI) zur Behandlung des ischämischen Schlaganfalls — Aktualisierung 2003

Külkens, Sonja; Ringleb, Peter A.; Hacke, Werner

doi:10.1007/s00115-003-1668-1

Cited by 3 publications

(2 citation statements)

References 130 publications

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“…Our patient was hypertensive with systolic blood pressures up to 200 mm Hg. According to the initial diagnosis of a posterior circulation infarction, the blood pressure was not lowered, as recommended by the national and international guidelines [17, 18] for the acute phase of an ischemic stroke. In eclampsia, the blood pressure value at which antihypertensive therapy should be initiated is not clearly determined due to the lack of clinical trials that address this issue.…”

Section: Discussionmentioning

confidence: 99%

Late Onset Postpartum Eclampsia: It is Really Never Too Late—A Case of Eclampsia 8 Weeks after Delivery

Minnerup

Kleffner

Wersching

et al. 2010

Stroke Research and Treatment

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Introduction. Eclampsia is the combination of preeclampsia and seizures. Approximately one-half of all cases of eclampsia occur postpartum. Thereby late onset postpartum eclampsia is defined by its onset more than 48 hours after delivery. Summary of Case. We report a postpartum eclampsia occurring 8 weeks after delivery, which is the latest onset ever described. The course was complicated by an intracerebral hemorrhage (ICH). Conclusion. A late onset postpartum eclampsia even several weeks after delivery should be considered as possible diagnosis, since early treatment initiation with magnesium sulphate and antihypertensive medication prevents severe complications and reduces mortality.

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Section: Discussionmentioning

confidence: 99%

Late Onset Postpartum Eclampsia: It is Really Never Too Late—A Case of Eclampsia 8 Weeks after Delivery

Minnerup

Kleffner

Wersching

et al. 2010

Stroke Research and Treatment

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“…For patients with ischemic stroke the guidelines of the ‘European Stroke Initiative’ recommend that at the time of treatment blood pressure should not exceed 185/100–105 mm Hg in patients with known hypertension and 160–180/90–100 mm Hg in previously normotensive patients [10]. …”

Section: What Should Be Performed Prior To Thrombolysis?mentioning

confidence: 99%

Vascular Diagnosis and Acute Stroke: What, When and Why Not?

Szabo

Lanczik²,

Hennerici³

2005

Cerebrovasc Dis

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Even within the 3-hour time window, the less the delay to thrombolysis, the more likely it is to be effective. Delays caused by unnecessary examinations based on physicians’ uncertainty about the relevance of vascular diagnostics must be overcome if acute therapy is to be administered efficiently. Only defined information concerning inclusion and exclusion criteria, a CT or preferably an MRI of the brain and limited additional data should be achieved prior to treatment and as quickly as possible, preferably within 1 h. All other information is to be gathered after the start of treatment, to assess the possible etiology of stroke, to classify the prognosis, and to recognize the possible need for early intervention such as in carotid stenosis. A primary diagnostic approach with MRI-guided treatment decision should be limited to cases with uncertain or 3- to 9-hour time window to improve selection of patients potentially at benefit from specific treatment and stroke unit/ICU care.

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Neurologische Notf&#X00E4;lle

HÛlser¹

Die Notfallmedizin

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Empfehlungen der European Stroke Initiative (EUSI) zur Behandlung des ischämischen Schlaganfalls — Aktualisierung 2003

Cited by 3 publications

References 130 publications

Late Onset Postpartum Eclampsia: It is Really Never Too Late—A Case of Eclampsia 8 Weeks after Delivery

Late Onset Postpartum Eclampsia: It is Really Never Too Late—A Case of Eclampsia 8 Weeks after Delivery

Vascular Diagnosis and Acute Stroke: What, When and Why Not?

Neurologische Notf&#X00E4;lle

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