Treatment Challenges in Acute Minor Ischemic Stroke

Patients with acute ischemic stroke may present with minor neurologic deficits. Acute treatment decisions depend on the disability imposed by the symptoms along with radiographic features. The presence of disabling neurologic deficits warrants intravenous thrombolysis, but the indications for endova...

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Bibliographic Details
Published inFrontiers in neurology Vol. 12; p. 723637
Main Authors Slawski, Diana, Heit, Jeremy J.
Format Journal Article
LanguageEnglish
Published Frontiers Media S.A 07.09.2021
Subjects
endovascular treatment
intravenous thrombolysis
low NIHSS score
minor stroke
Neurology
stroke
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Summary:Patients with acute ischemic stroke may present with minor neurologic deficits. Acute treatment decisions depend on the disability imposed by the symptoms along with radiographic features. The presence of disabling neurologic deficits warrants intravenous thrombolysis, but the indications for endovascular therapy are less defined. The degree of disability, presence of a large vessel occlusion with perfusion mismatch, and collateral circulation status may all be factors in selecting patients for endovascular treatment. Identification of patients who are at risk for neurologic deterioration is critical to preventing poor outcomes in this patient population.
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Edited by: Linxin Li, University of Oxford, United Kingdom
Reviewed by: Archana Hinduja, The Ohio State University, United States; Victor Lopez-Rivera, University of Texas Health Science Center at Houston, United States; Charith Cooray, Karolinska Institutet, Sweden
This article was submitted to Stroke, a section of the journal Frontiers in Neurology
ISSN:1664-2295
1664-2295
DOI:10.3389/fneur.2021.723637