Stroke
Stroke
Stroke
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O
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Stroke
• A stroke is a medical emergency in
which the blood supply to any portion
of the brain is interrupted or reduced.
• Alternative names: Cerebrovascular
accident/ disease (CVA), Cerebral
infarction, Cerebral hemorrhage.
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The symptoms of a stroke are dependant
on what portion of the brain is damage.
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S A sudden development of one or more of the
following symptoms usually indicates a stroke.
Y
M • Sudden numbness or weakness in
the face, arms and/or legs.
P • Confusion.
T • Personality changes.
• Sudden change in eyesight.
O • Decreased motor skills.
M • Severe headaches
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Types of stroke:
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Tests
• Computed Tomography (CT)
• Magnetic Resonance Imaging (MRI)
• Cerebral Angiography: identify responsible
blood vessel
• Electrocardiogram (ECG): underlying heart
conditions
• Echocardiogram: blood clot from heart
• Carotid Duplex: carotid artery stenosis
• Heart monitors, blood work and many more
tests!!
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Ischemic Stroke:
• A blood vessel
becomes blocked
and the blood supply
to that part of your
brain is blocked.
• Types of Ischemic
strokes:
Embolic Stroke: occurs
– Thrombotic
when a clot forms in a vessel
Stroke:occurs when a
away from the brain, but
clot forms in an artery
travels through the
that supplies blood to
bloodstream and becomes
the brain (i.e. carotid
lodged in narrower brain
arteries). 7
arteries.
Treatments
• Tissue plasminogen activator (tPA) can be
given within three hours from the onset of
symptoms.
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Ischemic Stroke
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Hemorrhagic Stroke:
• A small blood vessel
in the brain becomes
weak and ruptures.
• Types of hemorrhagic
stroke:
– Intracerebral hemorrhage
(ICH):bleeding directly into
brain tissue forming a pool of
blood.
– Subarachnoid
hemorrhage:bleeding into the
cerebral spinal fluid of the
subarachnoid space
surrounding the brain.
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Treatment
• Surgery is often required to remove
pooled blood from the brain and to
repair damaged blood vessels.
Prevention:
• An obstruction is introduced to prevent
rupture and bleeding of aneurysms and
arteriovenous malformations (AVM).
– Surgical Intervention
– Endovascular Procedures
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Hemorrhagic Stroke
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Transient Ischemic Attack (TIA)
• Blood supply to the brain is only briefly
interrupted
• Symptoms do not last long
• Warning Stroke- steps should be taken
to prevent future stroke.
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RISKS
• TIA • Excessive alcohol
• High Blood consumption
Pressure • Family History
• High Cholesterol • Age
• Smoking • Sex
• Heart Disease • Race
• Diabetes • Obesity
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Prevention
• Control high Blood Pressure
• Lower cholesterol
• Quit smoking
• Control diabetes
• Maintain healthy weight
• Exercise
• Manage stress
• Eat a healthy diet
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Prognosis
• The results of a stroke vary depending
on the size and location, the presence
of any associated medical problems,
and the likelihood of recurring strokes.
• Dysfunctions correspond to the area in
the brain that had been damaged.
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References
Acute and Preventative Treatments. (2007). American Stroke
Association. Retrieved March 4,2007 from
http://www.strokeassociation.org/presenter.jhtml?identifier=2532
Diagnosis. (2007). American Stroke Association. Retrieved March
4,2007 from
http://www.strokeassociation.org/presenter.jhtml?identifier=2552
Diagnosis (2007) Society Of Interventional Radiology. Retrieved March
4, 2007 from http://www.sirweb.org/patpub/strokediagnosis.shtml
Impact of Stroke. (2007). American Stroke Association. Retrieved
March 4,2007 from
http://www.strokeassociation.org/presenter.jhtml?identifier=1033
Neurological Diagnostic Tests and Procedures. (2006) National
Institute of Neurological Disorders and Stroke. Retrieved March
4,2007 from
http://www.ninds.nih.gov/disorders/misc/diagnostic_tests.html
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