Induced hypertensive therapy in an acute ischemic stroke patient with early neurological deterioration.
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.
Kim
Hye-Jin
HJ
Department of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Korea.
Kang
Dong-Wha
DW