6. Acute Management of Cerebral Ischemia

  1. Edward M. Manno MD, FCCM, FAAN, FAHA
  1. Leonid Groysman MD and
  2. Gene Sung MD, MPH

Published Online: 11 APR 2012

DOI: 10.1002/9781118297162.ch6

Emergency Management in Neurocritical Care

Emergency Management in Neurocritical Care

How to Cite

Groysman, L. and Sung, G. (2012) Acute Management of Cerebral Ischemia, in Emergency Management in Neurocritical Care (ed E. M. Manno), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118297162.ch6

Editor Information

  1. Neurological Intensive Care Unit Cleveland Clinic Cleveland, OH, USA

Author Information

  1. Neurocritical Care and Stroke Division, University of Southern California, Los Angeles, CA, USA

Publication History

  1. Published Online: 11 APR 2012
  2. Published Print: 11 MAY 2012

Book Series:

  1. Neurology in Practice

Book Series Editors:

  1. Robert A. Gross and
  2. Jonathan W. Mink

Series Editor Information

  1. Department of Neurology, University of Rochester Medical Center, Rochester, NY, USA

ISBN Information

Print ISBN: 9780470654736

Online ISBN: 9781118297162



  • cerebral ischemia, acute management;
  • blood pressure management, controversial;
  • indications/contraindications to IV tPA;
  • emergency angioplasty, stenting, occlusive clot extraction;
  • mechanical clot removal, and NIHSS score;
  • NCCU, indications for admission;
  • after AIS, indications for admission to NCCU;
  • NIHSS scale, neurological evaluation;
  • AIS, subsequent management in neuroscience ICU;
  • thrombolytic risk, intracranial hemorrhage


Stroke is one of the most common acute brain diseases and much has been learned in how best to prevent and treat this problem. Regularly, more advances are studied and found, and there is more agreement on treatment choices. After a stroke occurs, perhaps the most important decisions are made in the first few hours and this chapter reviews the current treatment options.