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Complications and Prognosis
Screening and Prevention
Acute stroke symptoms in a young patient with neck pain and headache suggest carotid or vertebral dissection as the cause c22c23
Note comorbid conditions and medications that may affect decision to administer thrombolytic therapy, including: r1
Symptoms that suggest alternative diagnoses include:
Less common causes
Admit all patients to a specialized stroke unit, if available r21
Patients with onset of stroke symptoms more than 24 hours before admission may be admitted to a general hospital ward, unless they meet criteria for ICU or neurologic ICU admission
Initial emergency department/hospital management
Begin reperfusion therapy for eligible patients (those who meet all general eligibility criteria and do not have contraindications) as soon as possible
Other initial treatment considerations
Secondary prevention of stroke
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