Responses to<i>A practical approach to acute vertigo</i>: Table

Wren, D; Moynihan, B; Pereira, Alcione Botelho

doi:10.1136/jnnp.2008.162545

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2020

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“… 30 31 As its positive predictive value is only 69%, an isolated abnormal head impulse test (suggesting unilateral peripheral vestibulopathy) should be interpreted with caution. 32 …”

Section: Introductionmentioning

confidence: 99%

Diagnosis and management of acute ischaemic stroke

et al. 2020

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Acute ischaemic stroke is a major public health priority and will become increasingly relevant to neurologists of the future. The cornerstone of effective stroke care continues to be timely reperfusion treatment. This requires early recognition of symptoms by the public and first responders, triage to an appropriate stroke centre and efficient assessment and investigation by the attending stroke team. The aim of treatment is to achieve recanalisation and reperfusion of the ischaemic penumbra with intravenous thrombolysis and/or endovascular thrombectomy in appropriately selected patients. All patients should be admitted directly to an acute stroke unit for close monitoring for early neurological deterioration and prevention of secondary complications. Prompt investigation of the mechanism of stroke allows patients to start appropriate secondary preventative treatment. Future objectives include improving accessibility to endovascular thrombectomy, using advanced imaging to extend therapeutic windows and developing neuroprotective agents to prevent secondary neuronal damage.

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“… 30 31 As its positive predictive value is only 69%, an isolated abnormal head impulse test (suggesting unilateral peripheral vestibulopathy) should be interpreted with caution. 32 …”

Section: Introductionmentioning

confidence: 99%