The Treatment of Stroke - Oren Zarif - Treatment of Stroke
The most important aspect of the treatment of stroke is recognizing the symptoms. When someone begins to experience sudden weakness or numbness of the face, arms, or legs, or suddenly loses consciousness, immediate medical attention is needed. Additional symptoms include confusion, difficulty speaking or understanding, trouble seeing in one or both eyes, dizziness, and loss of balance. The treatment of stroke depends on the type of stroke a person has, and the initial stages of treatment are supportive.
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Rehabilitation is an important part of the treatment of stroke. A stroke can leave individuals with both short-term and long-term disabilities. It can impair daily activities, such as walking or toileting. It can also affect visual and sensorimotor functions. Rehabilitation focuses on reinforcing functional independence and can involve physical therapy, cognitive therapy, and other therapies. Ultimately, it can help a person get back to living on their own and return to daily life.
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Other types of treatment of stroke include surgery. In some cases, a stroke patient can undergo surgery to remove the blood clot. In other instances, doctors may use mechanical thrombectomy to remove blood clots from arteries in the brain. This treatment is often less invasive than surgery, but may reduce the severity of long-term disabilities caused by a stroke. The treatments of stroke vary depending on the cause of the stroke.
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Acute ischemic stroke is caused by a thrombotic or embolic occlusion of the intracranial artery. Mechanical thrombectomy (MTD) is a specialized procedure that reduces stroke disability. It requires a highly experienced medical team and is only performed at hospitals that specialize in the use of stent retrievers. Sometimes, antiplatelets and anticoagulants are administered to reduce disability after thrombolytic treatment.
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The prognosis of a stroke is highly dependent on several factors, including the patient's age, location, and severity of the stroke. Early treatment is critical to the best outcomes, although a stroke patient can miss the window and still recover fully. However, a stroke patient will always be at a higher risk of complications and a full recovery will take longer than a person with a normal blood pressure. A stroke patient who is unable to walk unaided can benefit from balance retraining exercises, Tai Chi, or another form of exercise.
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A patient may also be undergoing physical therapy for a variety of reasons. They may not be able to feel pain or temperature. An occupational therapist can help a stroke survivor regain his or her ability to speak. In addition, they may have changes in their moods and behaviors, making it difficult for them to regulate their feelings. Rehabilitation may be offered in a skilled nursing home or a clinic. This may involve physical therapy as well as occupational therapy.
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Patients who suffer from haemorrhagic strokes are usually offered an anticoagulant medication. Anticoagulant drugs reduce the chances of bleeding. Emergency surgery may also be required to drain excess blood from the brain or repair burst blood vessels. Emergency surgery, known as a craniotomy, may also be required to correct the condition. The goal is to prevent the patient from having another stroke in the future.
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There is one drug that is approved for stroke, and it works by dissolving a blood clot. This drug reduces disability by about 30%, but it has a few serious side effects. In rare cases, a patient may develop bleeding in the brain. The side effects of this drug make it unsuitable for use in all patients. This medicine is only available in severe cases and should be given only after determining if the patient is likely to recover from the stroke.
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The earliest possible treatment for acute ischemic strokes is to administer a clot-buster called tissue plasminogen activator. It is administered to the patient through a catheter or a mechanical shunt. TPA is the only FDA-approved drug for acute ischemic stroke, and it improves recovery rates when administered within three hours of the onset of symptoms. The medication is only available in certain countries, and the longer it takes to administer it, the more neurons die in the brain.
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When stroke occurs, a blood vessel in the brain bursts, blocking the blood supply to the brain. Without adequate oxygen, brain cells begin to die. As a result, stroke is one of the leading causes of death in the United States. In fact, approximately 795,000 people have a stroke each year. Stroke symptoms are often a sign of depression or dementia. Once the symptoms have occurred, treatment of stroke is necessary to avoid the risk of recurrence.
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