Drug and Therapeutics Bulletin 1998;36:51-54; doi:10.1136/dtb.1998.36751
Copyright © 1998 by the BMJ Publishing Group Ltd.

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Management soon after a stroke

In this article, we consider the management of patients in the first few hours and days following a stroke. In the UK, around 80% of first strokes are caused by cerebral infarction (ischaemic stroke), 10% by primary intracerebral haemorrhage (haemorrhagic stroke) and 5% by subarachnoid haemorrhage;¹ in 5% of cases, the pathological type of the stroke is not clear.¹ Among patients who have an ischaemic stroke, around 3-4% have a recurrence of stroke^2–4 and 10% die,⁵ within the first 2-4 weeks; about 10% have a recurrence of stroke within 1 year.⁶ Among patients who have an intracerebral haemorrhage around 50% die within 30 days⁵ and around 60% within 1 year.¹ Here we concentrate on the early management of adults with ischaemic or haemorrhagic stroke.

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