This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on ISI (17)  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Emergency Medicine  • Cerebrovascular Disease  • Alert me on articles by topic

Harold P. Adams, Jr, MD

Arch Neurol. 1998;55:457-461.

The success of treatment with tissue plasminogen activator serves as an impetus to approach stroke as a medical emergency; diagnosis and treatment must be accurate and prompt. The initial evaluation should be straightforward and aimed at confirming ischemic stroke as the cause of the patient's acute neurologic impairments. Until the usefulness of diagnostic tests to demonstrate an arterial occlusion is established in emergent management, their application before treatment should not be mandated. Most individuals with acute ischemic stroke will receive their initial, key treatment in a community setting. Thus, strategies for emergent treatment should aim at management of patients whose strokes are diagnosed and first treated by emergency treatment and primary care physicians with the collaboration of neurologists.

From the Division of Cerebrovascular Diseases, Department of Neurology, University of Iowa College of Medicine, Iowa City.

RELATED ARTICLE

Stroke 1998
Roger N. Rosenberg
Arch Neurol. 1998;55(4):448.
EXTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Contrast-Enhanced Transcranial Color-Coded Sonography in Acute Cerebral Infarction Response
Cheung et al.
Stroke 2000;31:2025-2026.
FULL TEXT  

Noninvasive Vascular Assessment in Suspected Acute Basilar Artery Occlusion • Response
Cheung et al.
Stroke 1999;30:2759-2768.
FULL TEXT  

Single-Photon Emission Computed Tomography–Derived Relative Hypoperfusion Volume After Ischemic Stroke • Response
Cheung et al.
Stroke 1999;30:1733-1734.
FULL TEXT  

Differentiation Between Intracerebral Hemorrhage and Ischemic Stroke by Transcranial Duplex Sonography • Response
Cheung et al.
Stroke 1999;30:1735-1736.
FULL TEXT  

Predicting Early Deterioration or Improvement in Ischemic Stroke by Transcranial Doppler • Response
Cheung et al.
Stroke 1998;29:2443-2444.
FULL TEXT  

North Carolina Stroke Prevention and Treatment Facilities Survey : rtPA Therapy for Acute Stroke
Goldstein et al.
Stroke 1998;29:2069-2072.
ABSTRACT | FULL TEXT  

Stroke 1998
Rosenberg
Arch Neurol 1998;55:448-448.
FULL TEXT