Ischaemic stroke
Recognising stroke and its mimics, reperfusion with tenecteplase and thrombectomy, stroke unit care, and secondary prevention by mechanism.
Tier 1Condition
Written with AI assistance and fact-checked against the sources below. For exam study, not clinical decisions. How notes are made
At a glance
- Time is brain. About 1.9 million neurons die each minute of untreated large vessel occlusion.
- Every suspected stroke gets a glucose and a non-contrast CT with CT angiography (arch to vertex), and CT perfusion where the window or onset is uncertain.
- Reperfusion: IV thrombolysis (tenecteplase) within 4.5 hours, longer with perfusion selection, and endovascular thrombectomy (EVT) for large vessel occlusion up to 24 hours.
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Sources
- Australian and New Zealand Living Clinical Guidelines for Stroke ManagementAU/NZStroke Foundation, Living guideline, acute updates September 2025 and April 2026
- Stroke Clinical Care StandardAU/NZAustralian Commission on Safety and Quality in Health Care, 2026
- Assessing Fitness to Drive (AP-G56), Neurological conditionsAU/NZAustroads and National Transport Commission, 2022
- 2026 Guideline for the Early Management of Patients With Acute Ischemic StrokeAmerican Heart Association/American Stroke Association (Stroke), 2026
- Last updated
- 14 November 2026
What changed
- 14 November 2026 Personal emails, About story and Australian-style copy