| Stroke. | |
| | |
MedLine Citation:
|
PMID: 2682065 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The annual incidence of stroke in the elderly approaches 2 per cent. The major tasks of the physician are to attempt to prevent recurrence and to supervise rehabilitation. Prevention of recurrence involves a careful consideration of differential diagnosis, treatment of contributory disease, and the initiation of therapy specific to large vessel infarction (atherothrombotic or cardiogenic embolic), lacunar infarction, or intracerebral hemorrhage. The high prevalence of lacunar infarction and the focal nature of posterior circulation transient ischemic attacks and strokes are not generally appreciated. Cardiogenic embolism due to atrial fibrillation and intracerebral hemorrhage due to congophilic angiopathy are of particular importance in the elderly. Treatment of stroke or transient ischemic attacks should be initiated quickly as the risk of recurrence is highest immediately following the signal event. History, neurologic and neurobehavioral examinations are important adjuncts in compensating for the inadequacy of CT and MRI in enabling the stroke classification necessary for proper treatment. Supportive care and rehabilitation can have a major impact on stroke morbidity and mortality and the management of risk factors can significantly reduce stroke incidence. |
| | |
Authors:
|
S E Nadeau |
Related Documents
:
|
10202985 - Cytokine-induced inflammation and long-term stroke functional outcome. 19028045 - Risk-adjusted 30-day outcomes of carotid stenting and endarterectomy: results from the ... 16187695 - V-10153 (vernalis). 15185055 - Fogging on t2-weighted mr after acute ischaemic stroke: how often might this occur and ... 19712795 - Microvascular angina and the continuing dilemma of chest pain with normal coronary angi... 9595215 - Influence of smoking status on progression of endothelial dysfunction. trend investigat... |
Publication Detail:
|
Type: Journal Article; Review |
Journal Detail:
|
Title: The Medical clinics of North America Volume: 73 ISSN: 0025-7125 ISO Abbreviation: Med. Clin. North Am. Publication Date: 1989 Nov |
Date Detail:
|
Created Date: 1989-12-15 Completed Date: 1989-12-15 Revised Date: 2005-11-16 |
Medline Journal Info:
|
Nlm Unique ID: 2985236R Medline TA: Med Clin North Am Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 1351-69 Citation Subset: AIM; IM |
Affiliation:
|
University of Florida College of Medicine. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Cerebrovascular Disorders* / diagnosis, etiology, therapy Coronary Thrombosis / complications Diagnosis, Differential Humans Recurrence |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Orthostatic hypotension.
Next Document: Acquired cognitive disorders of the elderly.