Overview
Name: Stroke
Description: NINDS
Creator: Prajkta
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The author of this casebook has identified the following medical topics as being highly relevant to this casebook.
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Cerebrovascular accident -- sudden neurologic impairment due to a cerebrovascular disorder, either an arterial occlusion or an intracranial hemorrhage.
Notes
What is Stroke?
A
stroke occurs when the blood supply to part of the brain is suddenly
interrupted or when a blood vessel in the brain bursts, spilling blood
into the spaces surrounding brain cells. Brain cells die when they no
longer receive oxygen and nutrients from the blood or there is sudden
bleeding into or around the brain. The symptoms of a stroke include
sudden numbness or weakness, especially on one side of the body; sudden
confusion or trouble speaking or understanding speech; sudden trouble
seeing in one or both eyes; sudden trouble with walking, dizziness, or
loss of balance or coordination; or sudden severe headache with no
known cause. There are two forms of stroke: ischemic - blockage of a blood vessel supplying the brain, and hemorrhagic - bleeding into or around the brain.
Is there any treatment?
Generally
there are three treatment stages for stroke: prevention, therapy
immediately after the stroke, and post-stroke rehabilitation. Therapies
to prevent a first or recurrent stroke are based on treating an
individual's underlying risk factors for stroke, such as hypertension,
atrial fibrillation, and diabetes. Acute stroke therapies try to stop a
stroke while it is happening by quickly dissolving the blood clot
causing an ischemic stroke or by stopping the bleeding of a hemorrhagic
stroke. Post-stroke rehabilitation helps individuals overcome
disabilities that result from stroke damage. Medication or drug therapy
is the most common treatment for stroke. The most popular classes of
drugs used to prevent or treat stroke are antithrombotics (antiplatelet
agents and anticoagulants) and thrombolytics.
What is the prognosis?
Although stroke is a disease of the brain, it can affect the entire body. A common disability that results from stroke is
complete paralysis on one side of the body, called hemiplegia. A related disability that is not as debilitating as paralysis is one-sided weakness or hemiparesis.
Stroke may cause problems with thinking, awareness, attention,
learning, judgment, and memory. Stroke survivors often have problems
understanding or forming speech. A stroke can lead to emotional
problems. Stroke patients may have difficulty controlling their
emotions or may express inappropriate emotions. Many stroke patients
experience depression. Stroke survivors may also have numbness or
strange sensations. The pain is often worse in the hands and feet and
is made worse by movement and temperature changes, especially cold
temperatures.
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