Stroke

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Stroke

When one of the blood vessels in the brain ruptures and bleeds and the blood supply to the parts of your brain is interpreted, this prevents the brain from receiving essential nutrients and oxygen. This can cause damage as well as the death of brain cells within a few minutes.

A stroke is considered a medical emergency and it is extremely important that prompt treatment is provided to reduce brain damage or other complications.

Fewer people die of stroke today as compared to the past due to advanced treatment.

Symptoms of Stroke

If you or anybody is having a stroke, it is important to pay attention to the symptoms as they begin, as treatment is more effective if it is provided sooner. Some of the signs of a stroke can include:

  • Paralysis
  • Confusion
  • Trouble speaking or understanding
  • A feeling or numbness or weakness in the arm, face, and leg on one particular side of the body
  • Trouble walking and/or loss of balance
  • Slurring speech
  • Vision problem
  • Severe and sudden headache
  • Dizziness

 

If you see someone with signs of strokes, don’t wait to see if the symptoms stop. Call a local emergency immediately, as the sooner a stroke is treated, the more the chances are that brain damage and disability can be prevented.

Types and causes of Stroke

There are two different causes of stroke: a blocked artery, which is called ischemic stroke; or the leaking and/or bursting or a blood vessel, which is called a hemorrhagic stroke.

Ischemic stroke: This kind of stroke is more common and it occurs when the brain’s blood vessels get narrowed or blocked. This causes the blood flow to get reduced severely. Blocked and narrowed blood vessels are a result of fatty deposits that build up in the blood vessels. It can also be caused by blood clots or other debris that can travel through the bloodstream and lodge in the brain’s blood vessels.

Hemorrhagic Stroke: Hemorrhagic stroke is caused when a blood vessel in the brain leaks and ruptures. Brain hemorrhages can happen due to many conditions that affect the blood vessels. Some of these factors can relate to hemorrhagic stroke:

  • Uncontrolled high blood pressure
  • Bulges at weak spots in your blood vessel walls
  • Overtreatment using blood thinners
  • Trauma (such as an accident)
  • Protein deposits in the walls of the blood vessel leading to weakness in the vessel wall
  • Ischemic stroke leading to hemorrhage

 

Transient ischemic attack (TIA)-
A transient ischemic attack also referred to as a ministroke, is a temporary period of symptoms that are similar to those that one has in a stroke. It doesn’t cause permanent damage. It can be caused by a temporary decrease in blood supply to the brain, which can last for as little as five minutes.

It is important to seek emergency care, as it is not possible to know whether you had a stroke or TIA by looking at the symptoms alone. If you had a TIA, it could mean you have a partially blocked or narrowed artery that leads to your brain. Having a TIA can increase your risk of having a full-blown stroke.

Diagnosis of Stroke

While assessing a stroke patient, it is important to determine whether the patient is suffering an ischemic or hemorrhagic stroke. Once this is determined, the proper treatment can begin. Uuslaly the first test that is performed is a CT scan or an MRI.

CT scan

CT scanning is the combining of special x-ray equipment with multiple computers to produce images of the inside parts of the body. The CT of the head is used to detect a stroke from a blood clot or bleeding within the train. CT autography might also need to be performed to improve the detection and characterization of stroke.

MRI

MRI is another method, where a powerful magnetic field, radio frequency pulses as well as a computer is used to produce detailed pictures of organs, bones, soft tissues and other internal body structures. It can also be used to image the cerebral vessels which is called MR angiography. Using MRI of the head, brain damage from a stroke can be assessed.

Your doctors might also use other methods to help in determining the type, location and cause of a stroke. These can include blood tests, Electrocardiogram, carotid ultrasound and cerebral angiography.

Treatment options for Stroke

Treatment for ischemic stroke

Your doctor might put a clot-busting drug within 3 hours of the stroke, while you are in the ER. They might also give you an aspiring or any medicine that might keep your clots from getting bigger. There is also the option of removing the clot once you arrive at the hospital.

Treatment for Hemorrhagic Stroke

This kind of stroke requires you to find and control the bleeding. The most common reason for this kind of stroke is uncontrolled high blood pressure. If this was your reason, you will need medicine to lower it.

If the stroke was caused by an aneurysm, your doctor can clamp the broken vessel closed or thread a tiny coil through it in order to prevent the blood vessel from bursting again.

The doctor may perform surgery to remove the blood if the area of bleeding is large. Surgery is also used to repair problems related to blood vessels, which are associated with hemorrhagic strokes.

Once the cause of your stroke is treated, your doctor will work with you to lower your chances of experiencing another one. They might help you in keeping your blood pressure in a healthy range.

Risks of Stroke

The following factors can increase the risk of having a stroke

  • Being overweight or obese
  • Physical inactivity
  • Heavy drinking
  • Use of illegal drugs like cocaine
  • High blood pressure
  • Cigarette smoking or exposure to secondhand smoke
  • High cholesterol
  • Diabetes
  • Obstructive sleep apnea
  • Cardiovascular diseases, which can include heart failure, heart defects, heart infection or abnormal heart rhythm
  • Having a personal or family history of stroke, heart attack or transient ischemic attack

Complications of Stroke

A stroke can lead to temporary or permanent disabilities which depend on how long the brain attacks the blood flow and which part was effective.

Some of the complications include:

  • Paralysis or loss of muscle movement- You might become paralyzed on one side of your body as a result of stroke or even lose control of certain muscles such as the ones on one side of your face.
  • Memory loss or difficulty in thinking- Many people who have experienced strokes have had some difficulty in thinking, reasoning and understanding and have also shown signs of memory loss.
  • Difficulty in talking or swallowing- A stroke can affect control of the muscles in the mouth and throat, which makes it difficult for one to talk properly, eat or swallow. One might also have difficulty with language, including understanding speech or reading.
  • Emotional Problems- People who have suffered from strokes can also experience difficulty in controlling their emotions and they might develop depression as well.
  • Pain- Pain, numbness and such sensations can also occur in parts of the body, which is affected by stroke.
  • Changes in behavior and self-care ability- People who have suffered strokes can also become more withdrawn. They might need help with grooming or daily chores.

Rehabilitation

Most stroke survivors go through rehabilitation programs. It is generally recommended by your doctors, which is the most suitable program for you that you can handle. Sometimes, rehabilitation can begin before you leave your hospital. After you are discharged, you might need to continue your program in a rehabilitation unit of the same hospital, or at a rehabilitation home.

Prevention of Stroke

It is important to follow the following steps and strategies if you are looking to prevent stroke:

  • Controlling high blood pressure or hypertension- This is one of the most important things that one can do to reduce the risk of stroke. If you’ve suffered a stroke, lowering your blood pressure can prevent a further TIA or a stroke. Along with medications, you will need to make changes to your lifestyle to treat high blood pressure.
  • Managing Diabetes- Proper diet, exercise and maintaining a healthy weight can help in keeping the blood sugar in a healthy range. This can decrease the risk of stroke.
  • Quitting Tobacco Use- Smoking raises the risk of stroke not just for smokers and non-smokers who are exposed to second hand smokers.
  • Lowering the amount of cholesterol and saturated fat in your diet- Eating less cholesterol and fat, especially saturated fat and trans fats can help in reducing the buildup in the arteries. If your cholesterol can’t be controlled through dietary changes, then your doctor might prescribe you a medication for lowering cholesterol.
  • Eating a diet rich in fruits and vegetables- A diet that contains five or more daily servings of fruits and vegetables can also help in reducing the risk of stroke.
  • Regular exercise- If you exercise regularly, it will significantly reduce the risk of stroke as well. Exercise can also help in losing weight, controlling diabetes as well as reducing stress. Try to provide your body with at least 30 minutes of moderate physical activity daily.
  • Reducing alcohol consumption and avoiding illegal drugs- If you consume too much alcohol, it can also lead to a high risk of blood pressure, ischemic strokes and hemorrhagic strokes. However, moderate drinking will help in preventing ischemic stroke as well as decreasing the clotting tendency of the blood. Street drugs such as cocaine and methamphetamine can also increase the risk of a TIA or stroke.

 

There are also preventive medications that can be recommended by your doctor, to help reduce your risk of stroke. Antiplatelet drugs can make the platelets in your cells less sticky and less likely to clot. Aspirin is the most commonly used antiplatelet medication. It is also important that your doctor recommends the correct dosage of aspirin for you.

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