Embolic Stroke - Oren Zarif - Embolic Stroke
Embolic stroke is a type of ischemic stroke that occurs when a clot blocks the distal cerebral arteries and causes cessation of blood flow to the brain. This condition can be caused by an aortic, cardiac, or venous embolism in the pelvis. Treatment requires urgent intervention to restore blood flow to the brain. A workup will likely include vascular imaging to confirm the cause and suggest the best course of treatment.
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Symptoms of embolic stroke include an inability to move limbs and difficulty with simple manipulation. Symptoms depend on the area of the brain affected and should prompt you to call 911 for medical attention. The good news is that this condition is treatable, and treatment is greatly improved when it is detected early. Here are some tips to make an accurate diagnosis. If you suspect you may have experienced an embolic stroke, call 911 immediately to be on the safe side.
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A common risk factor for embolic stroke is advanced age. Despite the fact that people over the age of 60 years and those with significant vascular dysfunction are at higher risk, prevention of stroke remains a priority. Symptomatic stroke is rare, but when it does occur, it is crucial to seek emergency medical care and to ensure proper diagnosis and treatment. It is possible to prevent stroke by improving cardiovascular health, taking a heart failure medication, and getting regular physical activity.
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The exact mechanism of how an embolic stroke is caused can be studied using animal models. In animals, the development of a treatment strategy can be studied by targeting specific cells in the brain. Researchers have also identified a possible therapeutic strategy for perinatal embolic stroke. This research is a first step in understanding this devastating disease. The goal is to make a breakthrough in embolic stroke research by developing novel treatments. If successful, SIMPLeR will revolutionize the way doctors and patients treat the disease.
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Several types of embolic sources may contribute to stroke in the brain. Listed below are 6 types of potential embolic sources. Each type of embolism may be caused by multiple factors, including atrial fibrillation, pulmonary hypertension, and cancer. Some researchers have even proposed criteria to determine the origin of an embolic stroke. The authors of the Lancet Neurology article have compiled a list of the sources of embolic stroke.
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Depending on the type of embolic stroke, emergency procedures may be performed to restore normal blood flow to the brain. Emergency procedures may include carotid endarterectomy, in which plaque is removed from the carotid artery. Mechanical clot removal involves inserting a catheter directly into the brain to break up the clot. Dedicated team members from Tampa General Hospital provide 24/7 care for patients. A team of neurologists, surgeons, and neuroradiologists work around the clock to treat patients suffering from embolic stroke.
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Patients with a history of cardiac disease or atrial fibrillation are at risk for embolic stroke. Certain heart conditions increase the risk of embolic stroke, including atrial fibrillation, mechanical prosthetic valve, and dilated myocardiopathy. Minor sources include atrial septal aneurysm and patent foramen ovale. While there are many factors associated with embolic stroke, a medical expert should consider these as potential risk factors.
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Efficacy and safety of antithrombotic agents have been tested in several trials. One of the most recent randomized trials, Apixaban for Treatment of Embolic Stroke of Unknown Source, is ongoing. Another trial, NAVIGATE ESUS, is looking at rivaroxaban and acetylsalicylic acid for patients who have experienced an embolic stroke.
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However, the risk of stroke is still poorly defined. In many cases, treatment for embolic stroke requires medication. Prolonged monitoring of patients with atrial fibrillation and risk factors is an effective and cost-effective way to monitor the risk of stroke. However, the results are mixed. This randomized trial will provide important information to help guide future research.
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The authors suggest an algorithm for stroke prevention based on the results of this study.
ESUS is a condition in which the thrombus is in the brain and causes a stroke. The authors of this study analyzed the patient outcomes after two or three days following an ESUS. Patients who had ESUS had fewer ischemic events than those who were not diagnosed with it. These patients also did not have higher rates of poststroke stroke or recurrence than patients with ESUS.
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