Ischemic Stroke Rehabilitation - Oren Zarif - Ischemic Stroke
After an ischemic stroke, recovery from the condition is often quite rapid. While 80% of people with a one-sided paralysis will eventually return to their previous level of function, up to 10% will never return to full function. In these cases, rehabilitation is key to regain lost motor skills, speech, and other functions. The hospital stays associated with ischemic stroke can be short, but often include intensive rehabilitation to help the sufferer regain function.
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First, treatment for ischemic stroke includes restoring breathing and heart rate, and reducing blood pressure. Sometimes, doctors will try to remove the clot by surgery or mechanically, even up to 24 hours after the stroke. Medications such as aspirin and anticoagulants are also important long-term treatments. Depending on the location of the clot, a patient may need several treatments to restore their condition.
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The most important thing to do immediately after the onset of the symptoms is to administer an antiplatelet agent. If this is the case, antiplatelet therapy is a good idea, as it reduces the risk of a thrombotic event and vascular disease. Early physical therapy after a CVA should also be given. An interprofessional team composed of the emergency department provider, neurologist, and radiologist should decide if ischemia is the cause of the symptoms. In most cases, thrombolytics should be administered intravenously within 4.5 hours of the symptoms of a stroke.
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Other treatments, such as mechanical thrombectomy and thrombolytic therapy, are also available. Choosing a hospital with expertise in these treatments is critical as it can coordinate emergency care, intensive care, and vascular imaging. Thrombolytic treatment, such as alteplase, is an injection of an agent called tPA, which breaks up clots in the brain. While this treatment is effective and can help the patient regain consciousness, it gradually decreases over several hours.
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Despite all of these benefits, the risks associated with these treatments remain. Hyperglycemia, for example, reduces brain repair, causes acidosis, and affects nitric oxide-dependent mechanisms. Hyperglycemia, on the other hand, increases the risk of hemorrhagic stroke conversion. Although many people who have a stroke are at risk for complications, if these problems are diagnosed early enough, the risk of an adverse outcome is reduced.
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The symptoms of ischemic stroke are similar to those of a transient ischemic attack. The difference is that in a transient ischemic attack, the symptoms may disappear and return. However, if you experience any of these symptoms, you should contact your doctor immediately. Your doctor will ask about your medical history and perform a neurological check. In many cases, a blood clot or narrowed artery will cut off blood flow to a part of the brain.
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Treatment for ischemic stroke varies depending on the type of cause. Some may focus on prevention of blood clots through anticoagulants and antiplatelet medications. Other treatments may involve maintaining normal blood glucose levels and reducing fever. As well as the cause of stroke, treatment is tailored to the individual. It may be a mild problem or severe disability. Some children will continue to experience seizures. A doctor will decide on the most appropriate course of treatment.
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Symptoms of ischemic stroke include difficulty speaking, vision, and balance, and numbness on one side of the body. If caught early, ischemic stroke can be treated with a medication known as tPA (tissue plasminogen activator), which helps dissolve the clot in the brain. Patients should contact their doctors immediately in the event of any symptoms. However, if symptoms of ischemic stroke occur after a heart attack, you should seek medical help.
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There are other causes of ischemic stroke besides heart disease. In younger people, migraine, drug abuse, and herbal supplements are also common causes. People with severe infection or other conditions often have a decreased blood pressure, which reduces blood flow to the brain. The low pressure can also affect the flow of blood through the heart and reduce the amount of oxygen in the brain. If you experience low blood pressure, you should seek medical attention as soon as possible.
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The most common type of stroke is ischemic. It occurs when the artery supplying blood to the brain is obstructed. More than 85% of all strokes occur because of ischemic conditions. Cerebral thrombosis is caused by fatty plaques in the artery. Another type of stroke, cerebral embolism, is caused by a blood clot that forms somewhere else in the circulatory system. The clot can travel from one place to another in the brain and obstruct the blood flow to the brain.