Treatment of Stroke - Oren Zarif - Treatment of Stroke

While the short-term outcome of stroke depends on many factors, the long-term prognosis is not as predictable. These include the patient's age, the location and severity of the stroke, and the presence of comorbidities. Most stroke survivors recover largely within three to six months after their stroke. Progress continues at that point, though physical and mental functions tend to slow down over time. A health care team can help the patient reduce the risk of certain complications, while ensuring that rehabilitation and therapy are effective. Thrombolytic therapy involves the use of a drug called alteplase to dissolve clots in the brain.

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This drug is injected into the patient's vein. A few days later, the patient can eat and drink normally. However, the thrombolytic effect slowly fades over time. It is best to get it sooner rather than later after a stroke. This drug is also used to treat hydrocephalus, which causes excess cerebrospinal fluid to collect in the brain cavities. Patients who experience hydrocephalus may lose balance and suffer from headaches. The treatment of hydrocephalus may include the use of shunts to allow the fluid to drain.

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Clot-dissolving drugs can be given immediately after a stroke to reduce the risk of recurrence. If the stroke is caused by a large blood clot, a mechanical thrombectomy may be necessary. A medical thrombectomy may be necessary, in which a catheter is threaded through an artery in the groin to remove the clot. The medication can be given only if the patient can receive treatment within three hours.

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The most important aspect of the patient's history is when the symptoms first started. Most ischemic strokes are painless and patients do not wake up to find that they have a stroke. An ischemic stroke can also be characterized by sudden, untimely death. The patient may be unaware of the stroke, so it is important to record the time when they first began symptoms. If symptoms persist, the doctor may refer the patient to a specialist who can give them a medication that will alleviate the condition.

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There are various treatments for acute stroke, but all of these must be given by a doctor within a very short time after the symptoms appear. For immediate relief, the patient should go to an emergency department or a hospital designated for stroke patients. Diagnosing a stroke is essential for the best possible outcome. Even if symptoms persist, the initial treatment of stroke is supportive. Once the brain receives the necessary blood flow, medications can begin to restore normal functioning.

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If a patient does not have any symptoms of a stroke, he or she will be assessed for complications related to breathing and will likely receive fluids through an IV. Fluids and oxygen are vital to a stroke patient, and if they need assistance breathing, a respiratory specialist may provide them with a ventilator. The patient is asked not to eat or drink anything until swallowing ability is assessed. There are also many different medications for stroke, and it is important to be informed about what you'll receive and when.

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If your doctor suspects a stroke, he or she will give you a blood test to determine if it is an ischemic stroke or a traumatic brain injury. This test will help doctors determine the exact type of stroke your patient has and what treatments may be appropriate for that type of stroke. A medical professional may give you several treatments, but the decision is ultimately yours. The first treatment is to stabilize your symptoms and decide on the appropriate course of treatment.

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Following a stroke, you will need to undergo rehabilitation. Your physician will determine the best therapy for your specific situation, taking into account your lifestyle and availability of caregivers. If your doctor does not offer therapy, you should consider a different option. A rehabilitation program can help you regain a full range of movement and function. However, it is important to remember that stroke can affect both sides of your brain. Your doctor will consider all of these factors before recommending a rehabilitation program for you.

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In the case of acute ischemic stroke, early treatment may improve the functional outcome. A tissue-type plasminogen activator, or TPA, must be administered within three hours after a stroke symptom began. However, prourokinase, a newly developed neuroprotective drug, has shown positive results in a single trial. Moreover, it has improved recovery rates at one year following a stroke.