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Medical Treatment of Ischemic CVA
- 1. Blood pressure management
- 2. Anticoagulation therapy
- 3. Thrombolytic agents
- 4. Nimodipine: Ca2+ channel antagonist
- 5. Corticosteriods (Dexamethasone)
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Surgical Management of Ischemic CVA
- 1. Carotid endarterectomy
- 2. Posterior fossa decompression
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Medical Intervention for Ruptured Aneurysm
- 1. Decrease arterial blood pressure
- 2. Bed rest
- 3. If patient comatose:
- - treatment of shock
- - maintain airway and oxygen flow
- - monitor blood gases, blood, CT, and spinal fluid
- - tube feeding
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Surgical Intervention for Ruptured Aneurysm
- 1. Surgery is the treatment of choice
- 2. Preoperative management of recurrent hemorrhage and vasospasm
- 3. Surgery can be
- - embolization with glue or coils
- - radiosurgery
- - clipping of the neck of the aneurysm
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