Treatments for MELAS
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Stroke:
Treatment (Tx)
(Professional Guide to Diseases (Eighth Edition))
tissue plasminogen activator, anticoagulants, antiplatelet aggregate therapy, anticonvulsants, stool softeners, analgesics, surgery
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Stroke:
Treatment
(Handbook of Diseases)
Treatment options vary, depending on the type of stroke the patient experiences. Early medical diagnosis of the type of stroke coupled with new drug treatments can greatly reduce the long-term disability secondary to ischemia.
Surgery performed to improve cerebral circulation for patients with thrombotic or embolic stroke includes an endarterectomy (the removal of atherosclerotic plaque from the inner arterial wall) or a microvascular bypass (the surgical anastomosis of an extracranial vessel to an intracranial vessel).
Medications useful in treating stroke include:
❑ alteplase (recombinant tissue plasminogen activator), effective in emergency treatment of embolic stroke (See Restoring ischemic brain tissue with alteplase.) (Patients with embolic or thrombotic stroke who aren’t candidates for alteplase [3 to 6 hours poststroke] should receive aspirin or heparin.)
❑ long-term use of aspirin or ticlopidine, used as antiplatelet agents to prevent recurrent stroke
❑ anticoagulants (heparin, warfarin), which may be required to treat crescendo TIAs not responsive to antiplatelet drugs
❑ antihypertensives, antiarrhythmics, and antidiabetics, which may be used to treat risk factors associated with recurrent stroke.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
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