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discuss stroke: the different types, treatment, how to recognize

by Thora Williamson Published 2 years ago Updated 2 years ago
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There are three different types of stroke – ischaemic, haemorrhagic, and transient ischaemic attacks. The symptoms of a stroke depend less on the type of stroke and more on where the stroke takes place in the brain and how big the damaged area is. Although the effect of each stroke is different, the main symptoms are:

Full Answer

What are the different types of stroke?

Strokes can be classified into 2 main categories: Ischemic strokes. These are strokes caused by blockage of an artery (or, in rare instances, a vein). About 87% of all strokes are ischemic. Hemorrhagic stroke. These are strokes caused by bleeding. About 13% of all strokes are hemorrhagic.

How does a doctor determine the most appropriate treatment for stroke?

Doctors will try to find the cause of your stroke to determine the most appropriate treatment. If you're seeking your doctor's advice during a scheduled appointment, your doctor will evaluate your risk factors for stroke and heart disease.

What are the treatment options for a stroke?

Stroke Treatment 1 On the Way to the Hospital. If someone you know shows signs of stroke, call 9-1-1 right away. 2 What Happens Next. The risk of stroke within 90 days of a TIA may be as high as 17%,... 3 Stroke Rehabilitation. After a stroke, you may need rehabilitation (rehab) to help you recover. 4 More Information. Learn about CDC programs...

How does the type of stroke affect the treatment and recovery?

The type of stroke you have affects your treatment and recovery process. During an ischemic stroke, the arteries supplying blood to the brain narrow or become blocked. Blood clots or severely reduced blow flow to the brain causes these blockages. Pieces of plaque breaking off and blocking a blood vessel can also cause them.

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What are the different types of stroke?

There are two types of stroke:Ischemic stroke.Hemorrhagic stroke.

How do you recognize and care for a stroke?

Three Things to Do When Someone Is Having a StrokeCall 911 immediately. ... Note the time you first see symptoms. ... Perform CPR, if necessary. ... Do not let that person go to sleep or talk you out of calling 911. ... Do not give them medication, food, or drinks. ... Do not drive yourself or someone else to the emergency room.More items...•

What are the main treatments for stroke?

Ischaemic strokes can often be treated using injections of a medicine called alteplase, which dissolves blood clots and restores blood flow to the brain. This use of "clot-busting" medicine is known as thrombolysis.

What are 3 treatments for stroke?

Emergency treatment of hemorrhagic stroke focuses on controlling the bleeding and reducing pressure in the brain caused by the excess fluid....Treatment options include:Emergency measures. ... Surgery. ... Surgical clipping. ... Coiling (endovascular embolization). ... Surgical AVM removal. ... Stereotactic radiosurgery.

What are the four simple ways to recognize a stroke?

The 4 ways to recognize symptoms of a stroke are:F - Face drooping. Ask your loved one to smile. ... A - Arm weakness. Have the person raise both arms. ... S - Speech difficulty. Can your loved one repeat their name or repeat a sentence? ... T - Time to call 911.

What are the 4 types of strokes?

What Are the Types of Strokes?Ischemic Stroke.Hemorrhagic Stroke.Transient Ischemic Attack (Mini-Stroke)Brain Stem Stroke.Cryptogenic Stroke (stroke of unknown cause)

What is new in stroke treatment?

The U.S. Food and Drug Administration today approved the MicroTransponder Vivistim Paired VNS System (Vivistim System), a first-of-its-kind, drug-free rehabilitation system intended to treat moderate to severe upper extremity motor deficits associated with chronic ischemic stroke—a stroke caused by a blockage of blood ...

Which of the following could be used as a treatment for a stroke if given early in the disease progression?

The main very early treatments for ischemic stroke are: Thrombolytic therapy – This involves giving a medication called alteplase (also known as tPA, for "tissue plasminogen activator"), or a similar medication called tenecteplase, by IV (through a vein).

What are 2 types of therapy often needed after a stroke?

Stroke survivors may require:Speech therapy.Physical therapy and strength training.Occupational therapy (relearning skills required for daily living)Psychological counseling.

What happens when a stroke occurs in the brain stem?

When stroke occurs in the brain stem, it can affect both sides of the body and may leave someone in a ‘locked-in’ state. When a locked-in state occurs, the patient is generally unable to speak or move below the neck.

What is a cryptogenic stroke?

Cryptogenic Stroke. In most cases, a stroke is caused by a blood clot that blocks the flow of blood to the brain. In some instances, despite testing, the cause of a stroke can’t be determined. This is called a cryptogenic stroke. Learn more about cryptogenic stroke.

What causes a hemorrhagic stroke?

Occurs when a weakened blood vessel ruptures. The two types of weakened blood vessels that usually cause hemorrhagic stroke are aneurysms and arteriovenous malformations (AVMs ). The most common cause of hemorrhagic stroke is uncontrolled high blood pressure.

What are the two main categories of strokes?

Strokes can be classified into 2 main categories: Ischemic strokes. These are strokes caused by blockage of an artery (or, in rare instances, a vein). About 87% of all strokes are ischemic. Hemorrhagic stroke. These are strokes caused by bleeding. About 13% of all strokes are hemorrhagic.

How long does a stroke last?

Thrombotic strokes may be preceded by one or more "mini-strokes," called transient ischemic attacks, or TIAs. TIAs may last for a few minutes or up to 24 hours, and are often a warning sign that a stroke may occur.

What happens when a blood vessel bleeds into the brain?

Hemorrhagic strokes occur when a blood vessel that supplies the brain ruptures and bleeds. When an artery bleeds into the brain, brain cells and tissues do not get oxygen and nutrients. In addition, pressure builds up in surrounding tissues and irritation and swelling occur, which can lead to further brain damage.

What is an embolic stroke?

Embolic stroke. Embolic strokes are usually caused by a blood clot that forms elsewhere in the body (embolus) and travels through the bloodstream to the brain. Embolic strokes often result from heart disease or heart surgery and occur rapidly and without any warning signs.

What is a stroke caused by?

Thrombotic strokes. These are caused by a blood clot that develops in the blood vessels inside the brain. Embolic strokes. These are caused by a blood clot or plaque debris that develops elsewhere in the body and then travels to one of the blood vessels in the brain through the bloodstream.

What is a thrombus stroke?

Thrombotic strokes are strokes caused by a thrombus (blood clot) that develops in the arteries supplying blood to the brain. This type of stroke is usually seen in older persons, especially those with high cholesterol and atherosclerosis (a buildup of fat and lipids inside the walls of blood vessels) or diabetes.

What happens when the brain is blocked?

An ischemic stroke occurs when a blood vessel that supplies the brain becomes blocked or "clogged" and impairs blood flow to part of the brain. The brain cells and tissues begin to die within minutes from lack of oxygen and nutrients.

What is a stroke?

Ischemic stroke. Transient ischemic attack . Hemorrhagic stroke. Other types. Summary. A stroke occurs when there is a sudden disruption to the blood and oxygen supply to a part of the brain. There are three main types of stroke, which doctors treat in different ways.

How do you know if you have an ischemic stroke?

Symptoms of an ischemic stroke include: sudden numbness in any area of the body. weakness on one side of the body. drooping on one side of the face. vision changes, especially in just one eye. dizziness or a loss of coordination. difficulty walking. confusion. a sudden, very intense headache with no known cause.

What is a TIA?

Transient ischemic attack. A transient ischemic attack (TIA), sometimes called a ministroke, is similar to an ischemic stroke in that it temporarily blocks blood flow to the brain. However, unlike an ischemic stroke, health professionals do not believe that TIAs cause lasting brain damage.

What is the term for a sudden disruption of the blood supply to the brain?

Ischemic stroke. A person may have a stroke when there is a sudden disruption to the blood and oxygen supply to the brain. type of stroke. It occurs when a clot in a blood vessel interferes with adequate blood flow to the brain. This can happen when a person has atherosclerosis, for example.

What is a trusted source?

Trusted Source. are ischemic strokes, which occur when something prevents adequate blood flow through a brain artery. Stroke kills brain tissue. This can be fatal. In fact, according to the Centers for Disease Control and Prevention (CDC), strokes are responsible for around 1 in 19 deaths. Trusted Source. .

What are the symptoms of a brain stem stroke?

Brain stem strokes often cause complex symptoms and can be difficult to diagnose. Some symptoms of a brain stem stroke include: dizziness.

How long does a TIA last?

drooping on one side of the face. tingling or numbness. However, the symptoms tend to be less severe and last just a few minutes. Unlike an ischemic stroke, a TIA resolves on its own, when the clot either moves or dissolves.

What are the two most common types of ischemic strokes?

The two most common types of ischemic strokes are thrombotic and embolic. A thrombotic stroke happens when a blood clot forms in one of the arteries supplying blood to the brain. The clot passes through the bloodstream and becomes lodged, which blocks blood flow.

How to recover from a stroke?

Proper medical evaluation and prompt treatment are vital to recovering from a stroke. According to the American Heart Association, “Time lost is brain lost.” Call 911 as soon as you realize you may be having a stroke, or if you suspect a loved one is having a stroke.

What causes a blockage in the brain?

During an ischemic stroke, the arteries supplying blood to the brain narrow or become blocked. These blockages are caused by blood clots or blood flow that’s severely reduced. They can also be caused by pieces of plaque due to atherosclerosis breaking off and blocking a blood vessel.

How long does it take for a stroke to disappear?

Symptoms, which are similar to those of a full stroke, are typically temporary and disappear after a few minutes or hours. A TIA is usually caused by a blood clot. It serves as a warning of a future stroke, so don’t ignore a TIA. Seek the same treatment you would for a major stroke and call 911.

What happens when a blood vessel in the brain ruptures and bleeds?

A stroke occurs when a blood vessel in the brain ruptures and bleeds, or when there’s a blockage in the blood supply to the brain. The rupture or blockage prevents blood and oxygen from reaching the brain’s tissues. According to the Centers for Disease Control and Prevention (CDC), stroke is the fifth-leading. Trusted Source.

Where does embolic stroke occur?

It occurs when a blood clot forms in another part of the body — often the heart or arteries in the upper chest and neck — and moves through the bloodstream to the brain. The clot gets stuck in the brain’s arteries, where it stops the flow of blood and causes a stroke.

How does a stroke affect the brain?

The loss of blood flow to the brain damages tissues within the brain. Symptoms of a stroke show up in the body parts controlled by the damaged areas of the brain. The sooner a person having a stroke gets care, the better their outcome is likely to be.

What tests are done to check for stroke?

You may have several blood tests, including tests to check how fast your blood clots, whether your blood sugar is too high or low, and whether you have an infection. Computerized tomography (CT) scan.

What is the most common type of stroke?

The most common type of stroke – ischemic – is when a blood vessel is blocked and not enough blood flows to the brain. "Stroke can happen to anyone, anywhere, anytime.".

What is the procedure to remove plaque from the carotid artery?

Carotid endarterectomy. Carotid arteries are the blood vessels that run along each side of your neck, supplying your brain (carotid arteries) with blood. This surgery removes the plaque blocking a carotid artery, and may reduce your risk of ischemic stroke.

What is a cerebral angiogram?

Cerebral angiogram. Cerebral angiogram. A cerebral angiogram showing a carotid aneurysm associated with stroke. A physical exam. Your doctor will do a number of tests you're familiar with, such as listening to your heart and checking your blood pressure. You'll also have a neurological exam to see how a potential stroke is affecting your nervous ...

How to deliver tpa to brain?

Medications delivered directly to the brain. Doctors insert a long, thin tube (catheter) through an artery in your groin and thread it to your brain to deliver tPA directly where the stroke is happening. The time window for this treatment is somewhat longer than for injected tPA, but is still limited.

What side of the brain does a stroke affect?

If your stroke affected the right side of your brain, your movement and sensation on the left side of your body may be affected. If your stroke damaged the brain tissue on the left side of your brain, your movement and sensation on the right side of your body may be affected.

What is the best treatment for ischemic stroke?

Quick treatment not only improves your chances of survival but also may reduce complications. An IV injection of recombinant tissue plasminogen activator (tPA) — also called alteplase (Activase) — is the gold standard treatment for ischemic stroke.

What is a stroke called?

Stroke: What it is and the different types. You probably know what a heart attack is, but did you know there also is a medical emergency that could be called a "brain attack?". It's called a stroke, and it's a serious medical emergency. A heart attack occurs when the blood supply to your heart is blocked. A stroke occurs when the blood supply ...

What is the most common type of stroke?

Ischemic stroke. Ischemic strokes are the most common type, occurring in about 87% of strokes. This type occurs when a blood clot blocks blood flow to an area of your brain.

How to treat ischemic stroke?

Treatments for ischemic stroke include clot-busting medications and using a guided wire to retrieve blood clots in the blood vessels. These treatments can immediately restore blood flow to brain tissues in some patients.

What causes a brain stroke?

These strokes occur when a blood vessel leaks or ruptures in the brain. Brain hemorrhages can result from many conditions that affect your blood vessels, including uncontrolled high blood pressure; bulges at weak spots in the blood vessel walls; trauma, such as a car accident; or overtreatment of blood thinners.

What happens when the blood supply to the brain is interrupted or cut off?

A stroke occurs when the blood supply to your brain is interrupted or cut off. This disrupts the flow of oxygen to your brain and causes brain cells to die in minutes.

What is a mini stroke?

A transient ischemic attack — sometimes known as a ministroke or a TIA — is a temporary period of symptoms similar to those you'd have in a stroke. They're caused by a temporary decrease in blood supply to part of your brain, which may last as little as five minutes.

Is a stroke a medical emergency?

A stroke is a medical emergency, and prompt treatment is crucial. Early action can reduce brain damage and other complications. Always call 911 at the first signs of stroke. Angela Oldenberg is a Neurology nurse practitioner in Eau Claire, Wisconsin. For the safety of our patients, staff and visitors, Mayo Clinic has strict masking policies in ...

What is a watershed stroke?

Watershed Stroke. A watershed stroke is caused by low blood pressure or low blood flow that compromises blood supply to susceptible areas of the brain. A watershed stroke may occur in regions of the brain that are supplied by tiny arteries .

Which part of the brain is affected by stroke?

Occipital Cortex. The occipital cortex integrates vision. A stroke in this region may cause complete or partial loss of vision on the opposite side of the occipital region affected.

What is a stroke caused by a blood clot?

A stroke caused by a blood clot is called an ischemic stroke due to the lack of blood supply, and thus oxygen and vital nutrients, to a region of brain tissue. An ischemic stroke may be caused by an embolus, which is a blood clot traveling from another part of the body. It may be caused by a thrombus, usually as a result of cerebrovascular disease.

How does a brainstem stroke affect the brain?

It may cause weakness, sensory changes, or trouble speaking. A brainstem stroke can affect the movement of the opposite side or the same side of the face or mouth. People who experience a brainstem stroke may have trouble with eye movements, which often manifests as double vision or blurred vision. Additionally, the brainstem controls breathing and regulates the heart rate. A brainstem stroke may affect vital functions, even when a relatively small area is affected.

What is the name of the blood vessel that is blocked?

Blood Vessel. Some strokes are named after the blood vessel that was blocked or bleeding. The most commonly identified blood vessel in a stroke is the middle cerebral artery, which often causes a large cortical stroke affecting the temporal and parietal lobes.

What happens when you have a stroke in the frontal lobe?

A frontal lobe stroke often causes muscle weakness on the opposite side of the body and trouble with decision-making. People with a stroke involving the frontal cortex may display socially inappropriate behavior, paranoia or may regress in maturity. Occasionally, loss of bladder or bowel control may result.

Can a brain aneurysm cause bleeding?

Sometimes the rupture of a brain aneurysm causes bleeding. Extreme changes in blood pressure may trigger the rupture of a brain aneurysm. Sometimes a region of the brain that has been damaged by ischemia can bleed within the first few days after a stroke, causing a secondary hemorrhage.

What is the best medicine for a stroke?

If you get to the hospital within 3 hours of the first symptoms of an ischemic stroke, you may get a type of medicine called a thrombolytic (a “clot-busting” drug) to break up blood clots. Tissue plasminogen activator (tPA) is a thrombolytic. tPA improves the chances of recovering from a stroke.

What do you need to do after a stroke?

After a stroke, you may need rehabilitation ( rehab) to help you recover. Before you are discharged from the hospital, social workers can help you find care services and caregiver support to continue your long-term recovery.

What is the best way to get to the hospital for a stroke?

Stroke Treatment. Calling 9-1-1 at the first symptom of stroke can help you get to the hospital in time for lifesaving stroke care. Your stroke treatment begins the moment emergency medical services (EMS) arrives to take you to the hospital. Once at the hospital, you may receive emergency care, treatment to prevent another stroke, ...

Why do people go to the hospital for stroke?

Stroke patients who are taken to the hospital in an ambulance may get diagnosed and treated more quickly than people who do not arrive in an ambulance. 1 This is because emergency treatment starts on the way to the hospital. The emergency workers may take you to a specialized stroke center to ensure that you receive the quickest possible diagnosis ...

What type of doctor treats strokes?

Brain scans will show what type of stroke you had. You may also work with a neurologist who treats brain disorders, a neurosurgeon that performs surgery on the brain, or a specialist in another area of medicine.

How many days after TIA can you get a stroke?

The risk of stroke within 90 days of a TIA may be as high as 17%, with the greatest risk during the first week. 6. That’s why it’s important to treat the underlying causes of stroke, including heart disease, high blood pressure, atrial fibrillation (fast, irregular heartbeat), high cholesterol, and diabetes.

Do not drive to the hospital for a stroke?

Do not drive to the hospital or let someone else drive you. The key to stroke treatment and recovery is getting to the hospital quickly. Yet 1 in 3 stroke patients never calls 9-1-1. 1 Calling an ambulance means that medical staff can begin life-saving treatment on the way to the emergency room.

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