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How do you decide when to resume aspirin after stroke due to septic emboli with hemorrhagic conversion?

Assuming there is an indication for aspirin (i.e., cardiac).
2 Answers
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Neurology · University of Virginia, School of Medicine
Answered on · Updated on

I look at multiple factors, including the size and type of the hemorrhagic conversion, septic emboli elsewhere in the brain with associated blood products, MRI, mycotic aneurysms with subarachnoid blood products, and the indication for aspirin. If the patient is at high heart risk because they had a...

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Mednet Member
Mednet MemberInvited Expert
Neurology · Vanderbilt University Medical Center
Answered on

First, I assume that the source of septic emboli has been identified and treated. Often, treatment of an infected heart valve requires surgery, as well as antibiotics. Second, if this is hemorrhagic conversion, meaning hematoma and not just blood stippling in the area of infarction, I would wait a w...

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