Induced Hypertensive Therapy in an Acute Ischemic Stroke Patient with Early Neurological Deterioration.
- Author:
Hye Jin KIM
1
;
Dong Wha KANG
Author Information
- Publication Type:Case Report
- Keywords: Acute ischemic stroke; Early neurological deterioration; Induced hypertensive therapy
- MeSH: Blood Pressure; Decision Making; Humans; Hypotension; Neurologic Manifestations; Perfusion; Stroke*
- From:Journal of Clinical Neurology 2007;3(4):187-191
- CountryRepublic of Korea
- Language:English
- 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.