Front Panel Painting “LIFE” By William T Chua MD

Is che mic
Hem or rhagic
Early
Specific
Treatment
CT-scan
confirmed
Non-cardi oem bolic
(Thrombot ic, Lacu nar)
May give aspirin 160-325
m g/d ay
Refer to neuro specialist
cases of posterior
circulation strokes
within 12 hours of onset
for ev aluation and
decision regarding
throm bolytic therapy.
Neuroprotection
Cardi oem bolic
May give as pirin
160-325 mg/day
Refer to neuro
specialist cases of
posterior
circulation strokes
within 1 2 hours of
onset for
evaluation and
decision regarding
thrombolytic
therapy.
N europrotection
Supportive treatment:
1. Mannitol 2 0%
0 .5-1g/kgBW
q 4-6 hou rs for
3 -7 days
2. N europrotection
3. G ive
anticonvulsants
for clinical
seizures and
prov en subclinical
or electrographic
seizures.
P rophylactic
A ED s are
generally not
recomm ended
Acute Stroke
Treatment
If cerebellar infarct,
consult neurosurgeon as
soon as possible
Early supportive
rehabilitation
If cerebellar infarct,
consult
neurosurgeon as
soon as possible
Early supportive
rehabilitation
N eurosurgery cons ult
if:
1. Patient not
herniated; L obar
bleed or located in
putam en,
pallidum,
cerebellum ;
Family is willing to
accept
consequences of
irreversible coma
or persistent
v egetative state
Goal is redu ction of
m ortality
2. ICP m onitoring is
contem plated and
salvage surgery is
considered
Place of
Treatment
Intensive Care Unit
Early supportive
rehabilitation
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