Heparin In stroke

Heparin is being used for treatment for stroke by several Neurologist.But there is no convincing evidence at present it helps.More over there is asignificant increase in hemorragic complictions using conventional heparin.A non significant reduction in mortality was noted when low molecular heparin was used for stroke.But it reduced complications of venous thrombosis in stroke patients.Full dose heparin may be used in cardiac source of embolli and arterial dissection,but there is no data to suggest heparin reduce early recurrent stroke and neurological worsening in cardio embolic stroke,vertebro basilar stroke or arterial dissection.