A cerebrovascular accident (CVA) or stroke is a serious
medical condition that arises when blood supply to part of the brain is
interrupted or is completely cut off. Common signs of a stroke consist of
severe headache, weakness, numbness, blurred vision, lightheadedness and indistinct
speech, among others.
Stroke is a condition that can cause permanent disability or
even death and must be treated urgently. The sooner the patient gets treatment,
the less damage is likely to happen to their brain.
TYPES OF STROKE
Strokes are classified as
·
Ischemic stroke
·
Hemorrhagic stroke
·
Transient ischemic stroke (TIA)
Strokes are distinguished by what mechanism causes loss of
blood supply.
Ischemic strokes
Ischemic stroke is the most common type of stroke. This is
caused by an artery in the brain being narrowed or blocked, resulting in
ischemia (inadequate blood flow) thus preventing blood supply from being
distributed to brain cells.
The blockage of artery can be caused in different of ways.
In a thrombic stroke, the artery supplying blood to part of the brain gets
narrowed over time because of cholesterol deposition (called plaque). A clot is
thus formed at the site of breakage of this plaque that prevents blood flow.
In an embolic stroke, a blockage takes place because of a
clot that travels from another vessel. An embolus is a piece of blood clot or
fatty plaque that travels down bloodstreams and causes an obstruction. Embolic
clots usually come up from the heart vessels.
Hemorrhagic stroke
Hemorrhagic strokes are caused by bursting or leaking of
arteries in the brain. The hemorrhaged blood pressurizes the brain cells and
damages them. Blood vessels can rupture near the plane of the brain or even the
middle of the brain, causing blood spillage in the space between the brain and
skull. These ruptures can be caused by badly controlled blood pressure, congenital
weakness or ballooning of artery (aneurysms), blood thinners or trauma. It can
also be caused due to a medical condition called arteriovenous malformation
(AVM) in which an artery and vein connect improperly.
Transient ischemic
attack (TIA)
TIA is a form of stoke in which blood flow is disrupted
temporarily for a short duration. They are also referred to as
“mini-strokes”. TIAs are similar to
ischemic strokes such that they are caused by clotting. They can last for as
long as 30 minutes to several hours at a stretch. TIAs should be taken just as
seriously as the other two types of strokes. They serve as a warning that a
major stroke can occur in near future.
WHAT ARE THE SYMPTOMS
OF A STROKE?
·
Sudden weakness
·
Numbness in the face, arm or leg on either side
of the body
·
Dimmed vision or abrupt vision loss
·
Uncoordinated speech
·
Loss of sensation
·
Dizziness, sudden falls
·
Loss of balance
·
Nausea and vomiting
·
Severe headache
·
Temporary loss of consciousness
If these symptoms pass quickly, then it indicates TIA, which
should be taken as a warning of a full stroke.
There seems to be an increased chance of stroke in people
with migraine headaches. This is because the mechanism of a migraine includes
narrowing of blood vessels. Some episodes of a migraine can mimic symptoms of a
stroke.
Men are more at risk than women. Older people are more prone
of having stroke, although it can happen to anyone regardless of age, including
children. Smoking, obesity, lack of exercise and poor diet control resulting in
high cholesterol levels, diabetes can lead to stroke.
DIAGNOSIS AND
TREATMENT
After a stroke, the first test is a CT scan which shows
whether there is bleeding in the brain. This test also determines whether it is
an ischemic or hemorrhagic stroke. An MRI can also be prescribed to some
patients. Other tests recommended are an ECG to check for heart problems,
followed by blood tests.
Treatment for a stroke depends on the type of stroke the
patient suffered and which part of the brain was affected. Strokes are
generally treated with medication which includes medicines for dissolving
clotting, regulate blood pressure and cholesterol. In severe cases surgery is
required to reduce swelling of brain and stop further blood spillage if it is a
hemorrhagic stroke.
Aspirin is an immediate treatment to lower chances of
another stroke. It prevents blood clots from forming. Some people might benefit
from an intravenous injection of plasminogen activator. This restores blood
flow by dissolving the clot.
Recovery from a stroke focuses on regaining strength and
complete body functions. If the stroke affected the right side of a patient’s
brain, then the entire left side of the body may be affected. If the stroke
damages the cells of the left side of the brain then the right side of the body
is affected. Brain damage on the left side also affects speech. Depending on
the condition, a patient’s treatment plan may include a neurologist, a physical
therapist and speech therapist.
Walking aids like a cane or a walker should be used to
prevent falls.
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