Stroke and Neurodegenerative Disorders: 1. Stroke Management in the Acute Care Setting

Reddy, Cara Camiolo; Moroz, Alex; Edgley, Steven R.; Lew, Henry L.; Chae, John; Lombard, Lisa A.

doi:10.1016/j.pmrj.2009.01.015

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Volume 1, Issue 3, Supplement , Pages S4-S12, March 2009

Stroke and Neurodegenerative Disorders: 1. Stroke Management in the Acute Care Setting

Cara Camiolo Reddy, MD
- Department of Physical Medicine and Rehabilitation, University of Pittsburgh Medical Center, 3471 Fifth Ave, LKB Ste 201, Pittsburgh, PA 15213^†
- Address correspondence to: C.C.R.
Alex Moroz, MD
- NYU School of Medicine, Rusk Institute of Rehabilitation Medicine, New York, NY^‡
Steven R. Edgley, MD
- University of Utah, Salt Lake City, UT^§
Henry L. Lew, MD, PhD
- Harvard Medical School, VA Boston Healthcare System, Physical Medicine and Rehabilitation Service, Boston, MA^¶
John Chae, MD
- Case Western Reserve University, MetroHealth Medical Center, Department of Physical Medicine and Rehabilitation, Cleveland, OH^∥
Lisa A. Lombard, MD
- Santa Clara Valley Medical Center, Department of Physical Medicine and Rehabilitation, San Jose, CA^#

Objective

This self-directed learning module highlights management of stroke in the acute care setting. It is part of the study guide on stroke and neurodegenerative disorders in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. Using a case vignette format, this article specifically focuses on initial assessment and management of acute ischemic and hemorrhagic stroke, descriptions of posterior circulation and lacunar stroke, and criteria for admission to acute inpatient rehabilitation after stroke and secondary stroke prevention. The goal of this article is to improve the learner's ability to identify, treat and manage a patient with a stroke in the acute care setting.