Treatment of Stroke - Oren Zarif - Treatment of Stroke
While stroke patients can return home after a few days, a variety of support devices can be helpful. A nasogastric tube (also called an NG tube) or a percutaneous endoscopic gastrostomy (PEG) can be used for feeding. Once the patient can eat normally, these devices can be removed. Another type of support device is a rehabilitation program, which helps stroke patients regain skills and regain their independence.
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Another type of treatment for stroke is mechanical thrombolysis, which is a minimally invasive procedure that uses a wire threaded through the neck or head arteries. This wire traps the clot and removes it from the bloodstream. Thrombectomy is performed by a neurosurgeon trained in the procedure. Although this treatment is very effective, its effectiveness gradually diminishes over several hours. The longer a patient is able to recover from stroke, the greater their chances of resolving the problem.
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Treatment of stroke has become easier with new medications and diagnostic techniques. Patients can receive treatment as early as the first few hours after the onset of a stroke. This allows the emergency medical staff to gather valuable information before the patient arrives. This information is invaluable for preparing for the patient's arrival at the hospital. If a stroke victim is unable to receive treatment immediately, the patient's chances of recovery are lower. This is because early recognition and treatment are the keys to the best outcome.
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Depending on the type of stroke and its location, a CT scan can reveal clots and bleeding in the brain. A heart rhythm test called an echocardiogram can also reveal any problems with the heart that may be causing the stroke. Thrombolytic drugs are given to break up the clots in the arteries, improving blood flow and reducing damage to the brain. But if this diagnosis is confirmed and a stroke is suspected, the stroke patient can undergo a series of procedures.
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After a stroke, patients may need rehabilitation to regain their physical strength and function. An occupational therapist can help stroke survivors regain their speech and retrain their muscles. A speech and language therapist can also help them learn new ways to communicate. Rehabilitation may also help stroke survivors return to a routine and adjust to their limitations. These physical therapy sessions can take place in a rehabilitation clinic or in a skilled nursing home. There are many physical therapy options available to stroke patients.
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While reperfusion therapy is still the best treatment option for stroke patients, many variables can limit its effectiveness. A delayed presentation, location, and severity of the infarct can limit the effective duration of treatment. However, new breakthroughs in reperfusion therapy have helped increase the therapeutic window. In addition to neuroprotective drugs, new advances in recanalization therapy combine with therapies that have been tested in animal models to determine if they improve outcomes.
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Rehabilitation services may be necessary after a stroke to restore the patient's function and independence. Depending on the type of stroke, the doctor may prescribe emergency IV medications or intravenous drugs to break up clots and increase the patient's chances of survival. A TIA, while less serious than a full stroke, is a precursor to a more serious condition. If the stroke is undiagnosed, the patient should be hospitalized immediately.
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Early treatment is critical. Early treatment is the best way to minimize damage and increase the chances of a successful recovery. Early diagnosis is crucial to prevent the spread of the disease and the recovery of brain cells. An electrocardiogram and echocardiogram are two of the most important imaging studies for identifying a stroke. Once diagnosed, a clot-busting drug called tPA can dissolve the clot. However, it must be administered within four hours of the symptoms of a stroke.
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In severe cases, a TIA (transient ischemic attack) may be misdiagnosed and may lead to a major stroke. The first thing to do after a TIA is to call 911. If a stroke is suspected, time is of the essence. If treatment is delayed, a person may suffer permanent brain damage. And if the stroke isn't treated soon, the symptoms of a TIA may progress into a full stroke.
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An ischemic stroke, also known as a transient ischemic attack, is a type of stroke that occurs when a blood clot forms at a fatty plaque on the brain. The brain cells are deprived of oxygen and nutrients, and within a matter of minutes, they begin to die. This type of stroke can be fatal, with a death rate of 37.6 per million diagnosed patients in the United States. Fortunately, modern medical treatments have made great progress in managing strokes.
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