Alteplase (t-PA) is an effective medication for acute<unk>  stroke. When given within 3 hours, treatment with tpa significantly improves the probability of a favourable outcome versus treatment with placebo. The outcome of<unk>  is influenced by the quality of subsequent supportive care. Systemic blood pressure (or slightly above) should be maintained so that cerebral blood flow is restored. Also, hypoxaemia and hypercapnia should be avoided. Seizures can induce more damage; accordingly, anticonvulsants should be prescribed and should a seizure occur, aggressive treatment should be undertaken. Hyperglycaemia should also be avoided during<unk> . Management When someone presents with an<unk>  event, treatment of the underlying cause is critical for prevention of further episodes. Anticoagulation with warfarin or heparin may be used if the patient has atrial fibrillation. Operative procedures such as carotid endarterectomy and carotid stenting may be performed if the patient has a significant amount of plaque in the carotid arteries associated with the local<unk>  events.
Brain ischemia
Cerebral infarction
Cerebral edema
Stroke
Brain herniation
Intracranial hemorrhage
Heat stroke
Intracerebral hemorrhage