Stroke Prognosis: Monitoring the Hemodynamics and Blood Pressure by TCD/TCCS

Acute ischemic stroke is essentially a hemodynamic event: It is triggered by a vascular occlusion and the current mainstay of treatment is reopening the culprit vessel using endovascular procedures and/or thrombolysis. Despite this oversimplistic view, concealing overwhelming cellular, intercellular, inflammatory, and hypoxic mechanisms, it is widely accepted that cerebral hemodynamics is a major determinant, and the only that can be effectively modulated. However, each patient shows their own hemodynamic evolution at different time points, underscoring the need for neurosonologic assessments to accurately evaluate patients and be safely repeated overtime.