Neurocritical Care Review Course-Ischemic Stroke II

Video Transcription

Video Summary

The video is a lecture by Dr. Hannah Noblesa, the medical director of the Neurocritical Care Service, discussing the assessment and therapy of acute stroke. Dr. Noblesa outlines the general principles of acute stroke care, including the time points for key interventions. She emphasizes the importance of quickly assessing the patient's history, performing a physical examination, and obtaining neuroimaging. She explains the concept of the infarct core and penumbra regions in stroke, as well as the use of perfusion imaging to determine eligibility for different stroke therapies. Dr. Noblesa also discusses the management of blood pressure before and after thrombolytic therapy, possible complications such as post-althiplase angioedema and symptomatic intracranial hemorrhage, and considerations for mechanical thrombectomy and decompressive craniectomy. Finally, she highlights the importance of a multidisciplinary approach and the management of other clinical issues commonly seen in stroke patients.

Asset Caption

Christa O’Hana S. Nobleza, MD, MSCI

Keywords

acute stroke

assessment

therapy

neurocritical care

infarct core

penumbra regions

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