title: [Can you recognize a candidate for thrombolytic treatment of ischemic stroke?].
abstract: Intravenous thrombolytic treatment of ischemic stroke is the central treatment option in patients presenting with acute stroke symptoms. The thrombolytic treatment chain is initiated in the emergency services call center immediately after stroke is suspected. Even one point on the FAST scale mandates urgent transport for assessment of thrombolytic treatment. The FAST test identifies eight out of ten strokes, and the stroke diagnosis is confirmed in the emergency department with immediate imaging. The most significant groups of differential diagnosis include epileptic seizures, migraine, incoherence associated with infection, syncope and psychiatric states. There is every reason to hasten the confirmation of diagnosis and implementation of treatment at all stages of the treatment chain.
authors.forename: Perttu J
authors.initials: PJ
authors.lastname: Lindsberg
authors.forename: Atte
authors.initials: A
authors.lastname: Meretoja
authors.forename: Olli S
authors.initials: OS
authors.lastname: Mattila
authors.forename: Markku
authors.initials: M
authors.lastname: Kuisma
mesh_terms: D002545:Brain Ischemia / Q000175:diagnosis / Q000188:drug therapy*; D003937:Diagnosis, Differential; D004632:Emergency Medical Services; D006801:Humans; D018579:Patient Selection; D020521:Stroke / Q000175:diagnosis / Q000188:drug therapy*; D015912:Thrombolytic Therapy; D014187:Transportation of Patients