WHAT'S NEW IN RELATION TO STROKE?
Santiago Andres Vintimilla Pesantez , Diego Javier Canar Calderon, Bryam Esteban Coello Garcia, Andrea Estefania Canar Mendes, Esteban Sebastian Berrezueta Banegas, Jose Gabriel Fernandez Peralta, Karen Sofia Suscal Pelaez
Neurology Resident, Universidad de las Amï¿½ricas
Introduction: A cerebrovascular event is a pathology that affects brain tissue by an interruption of blood flow, which may result in irreversible injury. If there is spontaneous recovery of symptoms and no brain damage, it is called a transient ischaemic attack. Early diagnosis and treatment can reduce the likelihood of sequelae in stroke patients (1). Aim: The aim is to mention therapeutic novelties, both pharmacological and non-pharmacological, about stroke management, based on review articles and original articles from 2017 to the present. Methodology: This review was conducted by searching for information in Cochrane Library, Google Scholar, Science Direct and PubMed. The documents found were in Spanish and English. Some articles were excluded due to lack of relevance and not corresponding to the time needed. Results: For the initial approach to stroke, we have: acetylsalicylic acid, clopidogrel, statins and initiate thrombolysis or thrombectomy as soon as possible. Therapies such as carotid endarterectomy are vital to avoid recurrences. For the rehabilitation of patients with sequelae we have: speech and language therapy, mental practice, electromechanical trainings, mirror therapies, and above all the improvement of health services. Conclusions: Strokes need to be diagnosed early. Computed tomography or magnetic resonance imaging can help in diagnosis. There are pharmacological and non-pharmacological therapeutic alternatives. Pharmacological therapies are used in acute phases of stroke, while non-pharmacological therapies are more directed towards rehabilitation therapies.
Keywords: Stroke, Thrombolytic Therapy, Endarterectomy, Stroke Rehabilitation, Transient Ischaemic Attack.
Journal Name :
EPRA International Journal of Multidisciplinary Research (IJMR)
Published on : 2022-09-12