The Mount Sinai Journal of Medicine

 


Volume 69 Number 3
May 2002
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Management of Stroke and Transient Ischemic Attack 121–130

Stanley Tuhrim, M.D.

Address correspondence to Stanley Tuhrim, M.D., Associate Professor, Department of Neurology, Box 1137, Mount Sinai School of Medicine, One East 100th Street, New York, NY 10029.

This work was supported in part by NIH (NINDS) grant #NS29762.

Adapted from a presentation at Grand Rounds to the Department of Medicine, Mount Sinai School of Medicine, New York, NY on December 7, 1999 and updated as of November 2001.

ABSTRACT

Stroke is a major cause of death and disability. The resulting burden on society continues to grow, despite recent advances in acute stroke therapy. Thrombolysis reduces stroke morbidity but is only applicable to a small percentage of stroke patients. Acute stroke units, which allow for the greatest overall improvement in outcome, provide the best facilities for acute intervention. Despite recent advances in acute management, such as endarterectomy and anticoagulation, primary and secondary preventive measures to control stroke risk factors, along with appropriate specific interventions, are the key to reducing the overall burden of stroke.

KEYWORDS

Stroke, treatment, prevention, transient ischemic attack.



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