IndexMedical treatmentAntiplatelet drugsSurgicalEnodvascular interventionsTransient attacks (TIA)Hemorrhagic (HS)EpidemiologySubclassification of hemorrhagic (HS)Causes of ICHIHad a non-invasive method to define the vascular system, can establish the presence of large vessels ischemic occlusion ( Tomanek et al., 2006). Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get an original essayMedical treatmentThrombolytic drugs dissolve the clot by activating plasminogen which forms plasmin. The main purpose of thrombolysis was the recanalization of an occluded intracranial art, the restoration of regional perfusion (Gudlavalleti, Moonis, 2015). Currently, intravenous tissue plasminogen activator (IV-TPA), i.e. streptokinase, ALTeplase, reteplase remains the only one approved by the FDA for the treatment of (Parihar et al., 2014). Antiplatelet drugs Early antiplatelet treatment had been recommended because few cases can be treated with thrombolysis due to the limitation of strict indications such as a time window. Two reviews of clinical trials, The Chinese Trial (CA.ST) and The International Trial (IST), showed a critical benefit of aspirin in reducing morbidity and mortality rates. Therapy must be started within 48 hours of the onset of symptoms (Zhou, Chen, 2013). In cases allergic, unresponsive or intolerant to aspirin, other antiplatelet agents can be used as an alternative. Another study, The Clopidogrel in High Risk Cases with Non-disabling Vascular Events Trial (CHANCE), which I.CH compared clopidogrel plus aspirin with aspirin monotherapy, conducted in cases with , the rate of the primary endpoint of a relapse within 90 days was critically lower for dual therapy than for aspirin monotherapy (Hong Keun-Sik, 2014). Routine anticoagulation with unfractionated or low molecular weight heparin was not recommended particularly in cases with moderate to extensive infraction due to the increased risk of severe intracranial hemorrhage. However, anticoagulants were often prescribed to recent cases, in an attempt to prevent early recurrence, to improve neurological outcomes (Wong et al., 2007). Enodvascular surgeriesSelected cases with middle art (MCA) less than six hours who had not had IV- Candidates for TPA may be considered for intra-arterial fibrinolysis. Mechanical embolectomy involved a procedure in which the clot was mechanically removed from the art. It may be useful to restore perfusion in an occluded art (Stetka, Lutsep, 2013). Transient Attacks (TIA) The definition of TIA has changed. Previously, TIA was defined as a focal event with lA.S.Ting symptoms < 24 hours. Like CT, MRI has become more widely used: up to one-third of TIA cases had radiological evidence of faction. Therefore, the definition of TIA has changed from time-based to tissue-based as “a transient episode of neurological disaction caused by the actionless central nervous system.” The important distinction between TIAs had resolution of symptoms. By definition, the symptoms of a TIA must resolve completely, while this most often occurs within the first few minutes after the onset of symptoms, it takes up to 24 hours for a complete return to normal (EA.S.Ton et al., 2009). Unilateral weakness (face, arm or leg), speech disorders (aphasia or dysarthria) were the most common manifestations of TIA. Risk of short-term increase after TIA. TIAs require urgent treatment, guidelines recommend neurovascular imaging with CT, carotid ultrasound, or MRI/MRA to guide diagnosis and treatment. THE., 2008).