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

Authors
Journal
Journal of Clinical Neurology
1738-6586
Publisher
Korean Neurological Association (KAMJE)
Publication Date
Volume
3
Issue
4
Identifiers
DOI: 10.3988/jcn.2007.3.4.187
Keywords
  • Case Report
Disciplines
  • Medicine

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.

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