Treatment of acute ischaemic stroke

In the United Kingdom few treatments aimed specifically at the ischaemic brain lesion are routinely used. However, many treatments are used routinely in other countries and evidence is accruing that certain treatments may improve outcome in selected patients. We will therefore consider some of these further and review the available evidence to support their use. Before doing so, it may be helpful to consider briefly the main pathophysiological features of an ischaemic stroke; for a more detailed review, we refer readers elsewhere.84,85

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