TY - JOUR T1 - An update on hyper-acute management of ischaemic stroke JF - Clinical Medicine JO - Clin Med SP - 215 LP - 221 DO - 10.7861/clinmed.2020-0998 VL - 21 IS - 3 AU - Ajay Bhalla AU - Mehool Patel AU - Jonathan Birns Y1 - 2021/05/01 UR - http://www.rcpjournals.org/content/21/3/215.abstract N2 - This article aims to provide a comprehensive overview of key advances on various aspects of hyper-acute management of acute ischaemic stroke. These include neuroimaging, acute stroke unit care, management of blood pressure, reperfusion therapy including intravenous thrombolysis, mechanical thrombectomy and decompressive hemicraniectomy for malignant stroke syndrome. The challenge ahead is to ensure these evidence-based treatments are now being delivered and implemented to maximise the benefits across the population. ER -