Treatment of Stroke - Oren Zarif - Treatment of Stroke

While there is no one cure for stroke, there are several treatment options. Surgical procedures such as craniotomies may be necessary to relieve pressure on the brain after a large stroke. Depending on the severity of stroke and its location, various medications may be prescribed to prevent further damage to the brain and tissues. Patients are closely monitored for a day or two after the event. In addition to surgery, stroke patients will often receive medications that will help them recover as much function as possible.

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Initial diagnostic evaluation of the patient is necessary to confirm the diagnosis and rule out other illnesses. The initial diagnostic evaluation will help determine the adequacy of acute treatment with thrombolytic agents. Other diagnostic studies will reveal any neurological and medical complications that may be present. Further, these studies provide historical information on the stroke and give clues as to its etiology. This historical data is needed for rational decisions regarding prevention of recurrence.

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The medical profession recognizes two types of stroke: ischemic and hemorrhagic. Ischemic stroke occurs when the arteries supplying the brain are clogged or obstructed, blocking blood flow to brain tissues. The blockage can also be caused by a blood clot in another part of the body. These clots can cause bleeding and cause stroke. It is imperative to get prompt medical attention to prevent further damage to the brain.

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Thrombolytic drugs were originally developed for coronary thrombolysis, but have since been approved for use in acute stroke patients. Their efficacy is dependent on several factors, including the age of the clot, presence of neutralizing antibodies to fibrin, and age. The aims of thrombolytic agents are to promote the formation of fibrinolysin, which catalyzes the dissolution of the clot in the cerebral artery.

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Rehabilitation is a major aspect of treatment for people after a stroke. After the stroke, they may have difficulty walking because of muscle weakness, paralysis, or poor coordination. They may experience pain and depression, and may even lose their sexual desire. Cognitive behavioural therapy, which focuses on changing thoughts, can help these patients recover. If they can walk without assistance, Tai Chi may be helpful. The Mayo Clinic has free newsletters that provide advice on how to manage their health and the emotional side effects of stroke.

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Anticoagulants are often administered during a stroke. However, they are not very effective in treating acute ischemic stroke. In addition to this, they increase the risk of bleeding inside the brain. Hence, urgent anticoagulation is not recommended in most cases. However, it can be administered within the first 48 hours of stroke. Its safety and benefit is reasonable. A comprehensive stroke care unit can offer treatment for a broad spectrum of stroke patients.

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Several clinical trials and experimental studies may influence the treatment of stroke. A few of them may even impact the way that people deal with ischemic stroke. Those trials are described below. They should aim to characterize the treatment and recovery process. The study should include a multicenter platform and global scale criteria for data analysis. Secondary measurements should include day-to-day progress of recovery, duration of rehabilitation, and compounding factors.

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The incidence of stroke varies around the world. A study in North-eastern China showed that air pollution and particulate matter are significant contributors to stroke mortality. Moreover, the study described geographical differences in the symptoms of stroke sufferers. These results suggest that treatment strategies should focus on improving the quality of life for stroke patients. The goal of stroke care should be to reduce the risk of recurrence of the disease.

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Antiplatelet medications are the cornerstone of the treatment of stroke. The most widely prescribed antiplatelet medications include aspirin, clopidogrel, and dipyridamole. These drugs inhibit the growth of clots and are widely used to prevent ischemic and noncardioembolic stroke. These medications are effective in reducing the symptoms and severity of the stroke, but aspirin is also associated with gastrointestinal problems.