Is there any benefit of inj Mannitol 20% in ischemic Brain strokes beyond three days of continuous treatments.

Question

MANNITOL used for Cerebral Edema Control
but Significant cerebral edema after ischemic stroke is thought to be somewhat rare (10-20%).
Maximum severity of edema is typically reached 72-96 hours after the onset of stroke.
Early indicators of ischemia on presentation and on noncontrast CT (NCCT) scans are independent indicators of potential swelling and deterioration Mannitol and other therapies to reduce intracranial pressure (ICP) may be used in emergency situations, although their usefulness in swelling secondary to ischemic stroke is unknown.
PATEINT NEED CT SCAN WITH FOLLOW MRI AFTER 24 HOUR TO KNOW effect of ischameia like edema hydrocephalus or more increase in size of ischemia only ctscan and MRI help to guide treatment and further managment by neurosurgeon.

Pranali · Accepted Answer

MANNITOL used for Cerebral Edema Control
but Significant cerebral edema after ischemic stroke is thought to be somewhat rare (10-20%).
Maximum severity of edema is typically reached 72-96 hours after the onset of stroke.
Early indicators of ischemia on presentation and on noncontrast CT (NCCT) scans are independent indicators of potential swelling and deterioration Mannitol and other therapies to reduce intracranial pressure (ICP) may be used in emergency situations, although their usefulness in swelling secondary to ischemic stroke is unknown.
PATEINT NEED CT SCAN WITH FOLLOW MRI AFTER 24 HOUR TO KNOW effect of ischameia like edema hydrocephalus or more increase in size of ischemia only ctscan and MRI help to guide treatment and further managment by neurosurgeon.

Rishu Saxena · Answer

No mannitol is meant to subside brain swelling and edema initially.after 3 months i dont think it has any role