Læknablaðið - 01.07.2014, Síða 33

LÆKNAblaðið 2014/100 401
ENGLISH SUMMARY
Four hundred individuals suffer from ischemic stroke every year in Ice-
land, more than one daily. Cerebral ischemia is an emergency. Around
two million brain cells die every minute after an occlusion of a cerebral
artery. Therefore, it is of utmost importance that the patient is transpor-
ted quickly to hospital, not least to receive thrombolytic treatment. Even
though thrombolytic treatment can be given up to four and a half hours
after the ictal event, time is brain and the effect of thombolysis reduces
dramatically as times passes. For every two patients who are treated
inside one hour, one recovers fully. When the treatment is administred
between three and four and a half hours only one in 14 recovers fully. All
patients with an acute stroke should be admitted to a stroke unit where
a multidisciplinary focus on stroke causation and treatment is present,
with emphasis on early rehabilitation. Secondary preventive treatment
focusing on anti-thrombotic, hypertensive, diabetic, cholesterol lowering
treatment, carotic endarterectomy and life style changes should be
initiated as soon as possible.
Cerebral ischemia/infarction - diagnosis and treatment
Olafur Arni Sveinsson1, Olafur Kjartansson2, Einar Mar Valdimarsson3
key words: cerebral ischemia, cerebral infarction, transient ischemic attack, Tissue plasminogen activator.
Correspondence: Olafur Sveinsson olafur.sveinsson@karolinska.se
1Department of Neurology Karolinska Hospital, Stockholm, Sweden, 2Department of Radiology, University Hospital of Iceland,3Department of neurology, University Hospital of Iceland,
Reykjavík, Iceland.
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