Table 1.
Acute Phase of Stroke | Subacute Phase of Stroke | Chronic Phase of Stroke | |
---|---|---|---|
Time course | Minutes to days | Days to weeks | Weeks to mouths |
Pathophysiological mechanisms | Infiltration of peripheral immune cells; activation of resident glial cells; disturbance of ionic homeostasis; oxidative stress; BBB destruction; mitochondrial dysfunction; DNA damage |
Amplification of immune responses; increased ROS production; cell edema and ion imbalances |
Decrease in excitotoxicity; protective inflammatory response |
Axonal sprouting, dendrite remodeling; neurogenesis, angiogenesis; increased levels of growth factors | |||
Consequences | Cell injury or death | Onset of neuroplasticity | Tissue repair |
Therapeutic targets | Neuroprotection; reducing reperfusion injury |
Functional rehabilitation |