Management of severe strokes: a coordinated multidisciplinary trio?

Stroke is a major public health concern due to the significant disabilities it can cause and the high mortality rate associated with it. Ischemic stroke, when uncomplicated and treated promptly with intravenous thrombolysis, is generally associated with a favorable functional prognosis. In the case of intracerebral hemorrhage, management primarily focuses on two critical actions to be implemented within the first six hours: controlling hypertension and reversing the effects of anticoagulants or antiplatelet agents. These measures are essential to limit complications and improve outcomes. For severe forms of stroke, particularly in patients with impaired consciousness, management requires close multidisciplinary collaboration among neurologists, neurosurgeons, and intensivists, necessitating effective coordination within this specialized team. Admission to intensive care for patients with severe stroke is often linked to a poor prognosis. In this review, we explore the treatments to be implemented to prevent such an outcome and enhance chances of recovery