Neurol. praxi. 2009;10(4):246-249

General therapy for acute cerebral infarction

MUDr. Petr Aulický¹, MUDr. Robert Mikulík²

¹ Neurologická klinika LF MU a FN u sv. Anny, Brno

² I. neurologická klinika LF MU a FN u sv. Anny Brno

The goal of the general therapy for acute cerebral infarction is to prevent the progression of cerebral ischemia as well as to prevent and

treat complications. It is of utmost importance to ensure adequate oxygenation and cerebral perfusion pressure. It is essential to maintain

normothermia, to maintain optimum hydration and internal environment conditions, to initiate enteral nutrition early, and to provide

prophylaxis against thromboembolic disease. In the acute phase of cerebral infarction, hypertension, tachycardia, and psychomotor

agitation are commonly encountered and epileptic seizures may occur. Decompressive craniectomy can be a life-saving procedure in

patients with a large cerebral infarction.

Keywords: cerebral infarction, aspiration, arterial hypertension, epileptic seizure, decompressive craniectomy.

Published: September 1, 2009  Show citation