Stroke syndromes and clinical management

The knowledge of brain syndromes is essential for stroke physicians and neurologists, particularly those that can be extremely difficult and challenging to diagnose due to the great variability of symptom presentation and yet of clinical significance in terms of potential devastating effect with poo...

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Bibliographic Details
Published in:QJM : An International Journal of Medicine 2013-07, Vol.106 (7), p.607-615
Main Authors: Balami, J S, Chen, R L, Buchan, A M
Format: Article
Language:English
Subjects:
Alien Hand Syndrome - complications
Alien Hand Syndrome - diagnosis
Alien Hand Syndrome - therapy
Brain Stem Infarctions - complications
Brain Stem Infarctions - diagnosis
Brain Stem Infarctions - therapy
Horner Syndrome - complications
Horner Syndrome - diagnosis
Horner Syndrome - therapy
Humans
Lateral Medullary Syndrome - complications
Lateral Medullary Syndrome - diagnosis
Lateral Medullary Syndrome - therapy
Quadriplegia - complications
Quadriplegia - diagnosis
Quadriplegia - therapy
Stroke - complications
Stroke - diagnosis
Stroke - therapy
Thalamic Diseases - complications
Thalamic Diseases - diagnosis
Thalamic Diseases - therapy
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Summary:The knowledge of brain syndromes is essential for stroke physicians and neurologists, particularly those that can be extremely difficult and challenging to diagnose due to the great variability of symptom presentation and yet of clinical significance in terms of potential devastating effect with poor outcome. The diagnosis and understanding of stroke syndromes has improved dramatically over the years with the advent of modern imaging, while the management is similar to general care as recommended by various guidelines in addition to care of such patients on specialized units with facilities for continuous monitoring of vital signs and dedicated stroke therapy. Such critical care can be provided either in the acute stroke unit, the medical intensive care unit or the neurological intensive care unit. There may be no definitive treatment at reversing stroke syndromes, but it is important to identify the signs and symptoms for an early diagnosis to prompt quick treatment, which can prevent further devastating complications following stroke. The aim of this article is to discuss some of the important clinical stroke syndromes encountered in clinical practice and discuss their management.
ISSN:1460-2725
1460-2393
DOI:10.1093/qjmed/hct057