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Sudan
A 32-year-old male asked:

What is best treatment for recurrent ischaemic stroke?

2 doctor answers3 doctors weighed in
Dr. Bennett Machanic
Neurology 52 years experience
Preventative meds: If this were an embolic event, an anti-coagulant would work best, but if localized thrombotic process, would choose antiplatelet drug such as aggrenox, and add lovastatin. Due to your age, if you were the patient, might check for unusual causes, such as anti-phospholipid syndrome or hyperhomocysteinemia. Also, was there any trauma which might have caused a dissection?
Dr. Khamid Bakhadirov
Neurology 18 years experience
Diagnostic testing: Best way to define treatment is to find what caused the stroke. It could be combination of risk factors (diabetes, high blood pressure, high choletserol), clots coming from the heart other arteries or uknown cause. Clots are best treated with blood thinners. Regardless of type of stroke, control of risk factors is very important (blood pressure control, normalization of cholesterol, healthy diet).

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A 48-year-old member asked:

What is the best early treatment for a stroke?

1 doctor answer1 doctor weighed in
Dr. Steven Giannotta
Neurosurgery 49 years experience
TPA (alteplase): The best early treatment is tissue plasminogen activator. This drug is given in the vein or artery and can break up the clot plugging the vessel allowing blood flow back to the brain. The sooner it is given, the less damage the patient may suffer.

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Last updated May 2, 2014

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