The Diagnosis and Treatment of Cerebrovascular Disease

Cerebral Vascular Insufficiency

“…However, anti coagulant drugs are not free from complications and are not con venient to the patient, relatives or medical staff. Their mode of action is not yet fully understood (Shaw, 1962). The usual scheme is to give intramuscular Heparin, 10,000 units intramuscularly six hourly, together with an initial dose of an antiprothrombin drugdicoumarol, coumarin, Tromexan, Dindevan or Warfarin -accord ing to personal preference and experience.…”

“…I think it should be given a fair trial again where the diagnosis of ischaemia (as opposed to haemorrhage) seems assured. Fibrinolytic drugs would seem to offer high hopes for the future but at present the incidence of severe reactions from them are too high (Shaw, 1961).…”

“…the state of his bowels, the time and nature of his last meal and at what time previously he had taken his anti coagulant drug. Control of dosage by the thrombotest technique is recommended by Shaw (1962).…”