Ischemic Stroke - Oren Zarif - Ischemic Stroke
If you suspect that you may have suffered an ischemic stroke, you should seek medical attention immediately. Treatments can include drugs that can break up blood clots, surgical procedures to open blocked arteries, rehabilitation, and risk factors management. In some cases, prevention is also important, and you should address risk factors early. For example, you should not smoke or drink alcohol, and try to avoid drinking alcohol and using tobacco. These factors can increase your risk of having a stroke.
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Early diagnosis of ischemic stroke is critical, so an organized protocol is helpful in facilitating evaluation. The goal of stroke treatment is a 60-minute door-to-needle time. If the stroke is acute and the patient qualifies for thrombolytic treatment, the treatment should be focused on the cause, rather than the location and extent of infarction. However, the onset of symptoms is an important determinant of the treatment options.
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Depending on the type of ischemic stroke, a doctor will order a CT scan or other brain imaging to determine the extent of bleeding. Depending on the type of stroke and its complication, the doctor may recommend various treatment plans. In ischemic stroke, the goal of treatment is to remove the clot, regain blood flow, and prevent another stroke. But the treatment options are limited. Therefore, the treatment plan must be tailored to your specific needs.
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Most people who suffer from an ischemic stroke will have some level of recovery, including the ability to walk on one side. About 50% of people with one-sided paralysis will recover some of their function after leaving the hospital. Patients with less severe symptoms may require medication to reduce blood pressure. Rehabilitation is also important for stroke survivors, because it can help regain motor skills, speech, and coordination. Physical, occupational, and speech therapy can help you recover from the damage caused by the stroke.
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A transient ischemic attack, or TIA, is an attack that blocks blood flow to the brain for a short period of time. These attacks are often the first warning signs of a full-blown ischemic stroke. A TIA may also cause facial drooping and difficulty raising an arm. If you are experiencing these symptoms, it is important to contact a physician right away. It's also crucial to get the proper medical attention to prevent the onset of a full-blown stroke.
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Another form of ischemic stroke is called global ischemia, which occurs when oxygen flow to the brain is greatly reduced. Carbon monoxide poisoning, a heart attack, or a stroke-causing illness can cause global ischemia. People with a history of stroke are at an increased risk of developing global ischemia. Ischemic stroke affects men and women differently, with men suffering greater rates than women. People of African descent and Hispanics are at higher risk than whites or other races. And as you age, your risk of developing a stroke increases.
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Other risk factors include irregular heartbeat, infection of the heart muscle, and blood clotting disorders. If you have a family history of stroke, you may also be more likely to suffer an ischemic stroke. In addition, you may have high cholesterol levels or atherosclerosis. It is also important to check your blood pressure because a low blood pressure can reduce the flow of blood to the brain. If your blood pressure is low, you may be more likely to have a clot than normal.
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There are pre-determined syndromes of ischemic stroke. The signs and symptoms of the disease are consistent with a lack of blood flow to specific areas of the brain. Knowing where the affected vasculature is located can help clinicians determine which area of the brain is being damaged. The most commonly affected area is the middle cerebral artery. The M1 segment supplies the basal ganglia. The M2 segment supplies the insula, parietal lobe, and inferolateral frontal lobe.
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If you have small collateral arteries, your doctor may recommend medication to prevent the formation of blood clots. This may help prevent future strokes. However, you should also consider your other risk factors when considering treatment options. For example, blood pressure medication may prevent a stroke by reducing the risk of heart disease and stroke. Medications that are used to control high blood pressure and cholesterol may also prevent or treat other medical conditions.