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J Clin Neurol.  2007 Dec;3(4):187-191. 10.3988/jcn.2007.3.4.187.

Induced Hypertensive Therapy in an Acute Ischemic Stroke Patient with Early Neurological Deterioration

Affiliations
  • 1Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Korea. dwkang@amc.seoul.kr

Abstract

Poststroke hypotension may be related to early neurological deterioration and infarct progression by decrease of cerebral perfusion, particularly in patients with ischemic penumbra. However, optimal management guideline of blood pressure in the setting of acute stroke is absent, and remains a matter of debate. We report here a patient who had early neurological deterioration accompanied by systemic hypotension. Phenylephrine-induced hypertensive therapy by imaging-based decision making successfully restored neurologic dysfunction in this patient.

Keyword

Acute ischemic stroke; Early neurological deterioration; Induced hypertensive therapy

MeSH Terms

Blood Pressure
Decision Making
Humans
Hypotension
Neurologic Manifestations
Perfusion
Stroke*
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