In Ireland there is a very high incidence of stroke with around 10,000 people a year having a stroke. Approximately 2,000 people die each year as a result and approximately 30,000 people within the Irish community are suffering with a disability as a result of stroke. (Irish Heart Foundation, 2011) This essay will discuss the topic of stroke, outlining the pathology of the disorder and discussing the recovery process. There are two major categories which stroke is divided into: Ischemic, which is the cause of 85% of strokes and Haemorrhagic, which causes 15%. In ischemic stroke, vascular occlusion and hypoperfusion occur, while in haemorrhagic stroke there is extravasation of blood into the brain or subarachnoid space. (Hinkle and Guanci, 2007). There are some similarities between the two, however differences exist in aetiology, pathophysiology and medical and surgical management. The causes and effects of each of the categories of stroke will be discussed and compared and the treatment and process of recovery will be described. An ischemic stroke is caused by the disruption of the supply of blood to part of the brain. Blood travels to the brain through arteries from the heart. In the case where an artery which supplies blood to the brain becomes narrowed or obstructed due to disease or other causes, blood flow to areas of the brain can become reduced. This reduces the supply of oxygen and glucose to the cells of the brain. According to Hickey (2003), 45% of ischemic
Strokes are caused by pathophysiological changes. The two major mechanisms of stroke consist of ischemia and haemorrhage. Ischemia is when there is no oxygen or not, merely enough oxygen to fuel the tissue level in the body. Haemorrhage in the brain, causing strokes can be due to non-traumatic intracerebral haemorrhage (Shah, MD, n.d.) (see appendix 1). This essay will further discuss the implications of strokes on a cellular, organ and system level. Explain the clinical presentation of the signs and symptoms of strokes and how the condition will be managed by a paramedic.
Right side hemisphere strokes effects likely to be seen are paralysis on left side of the body, weak vision, and problems distinguishing basics e.g. tying shoes, buttoning shirts, up, down, left or right and also you can have short term memory. Brain Stem Strokes which are the most uncommon strokes that can happen are at the base of the brain and right above our spinal cord. Some effects after this stroke can give you problems in breathing or heart functions, unbalanced body temperature and body coordination, weakness or paralysis of both arms and legs, difficulty in chewing, swallowing, speaking and poor vision. Any type of stroke whether it is a Brain Stem Stroke or a Ischemic Stroke can be life changing but, after it depends on the progress at the recovery stage which can truly identify the damage and how serious it is. Some risk factors of stroke that you CANNOT change are the increase in your age, gender, family history, ethnicity and the Transient Ischemic Attack (chances of another stroke after a previous stroke). Some treatments that are available to patients with strokes are stroke medications, surgeries and few non surgical procedures. Stroke medications are drugs prescribed to be taken by a administrator some of them are Tissue Plasmogen Activator TPA (given within 3 hours of a stroke caused by a blood clot), clot busters, blood thinners
There are a number of things that produce cerebral ischemia, as was mentioned above. The first category includes those diseases that cause a change in blood pressure. First, an interruption of cerebral circulation. The brain is irreversibly damaged quickly following occlusion of the blood flow. "It has been estimated that neuronal function ceases
Ischemic stroke is the blockage of blood vessels in the brain as a result of blood clots (thrombi), causing the portions of the brain nourished by the vessel and its tributaries to be starved of nutrients, poisoned, and to eventually die (“Symptoms
An ischemic stroke is typically caused by a thrombosis, which is a blood clot or an embolism, when the blood clot detaches and infiltrates the blood stream.
Strokes are caused by a block in the blood supply to the brain which causes a decrease in oxygen and delivery of other important supplies which facilitate proper functioning. Fifteen million cases are reported worldwide annually, although not all of these cases are mortalities, the large prevalence of strokes ranks it as the fourth leading cause of death in the United States. (Figueroa) Because of the time sensitivity associated with the lack of resources to the brain, strokes are considered a medical emergency and early recognition of symptoms can help decrease the amount of damage caused . Although strokes do not always cause death, strokes most often leave the individual with some physical and cognitive impairment.
Often times, doctors will typically call a stroke a “brain attack” because the events that transpire resemble those that occur during a heart attack (Wang and Aamodt, 2010). Blood supplies a constant source of oxygen to the brain. However, a stroke occurs when that blood supply to any given part of the brain is suddenly ceased. If the blood supply to the brain is suddenly interrupted this leads to the deprivation of oxygen and glucose to that area. The brain cells that are prevented from acquiring these substances, especially oxygen, will be quickly killed off. Strokes can be categorized into two classes: Ischemic and hemorrhagic strokes (Lindley, 2008).
A cerebrovascular accident more commonly known as a stroke or brain attack is the term used to describe the sudden death of brain cells in a localized area due to inadequate blood flow. In order to woke the brain needs a constant supply of oxygen and nutrients. This supply is carried to the brain
Stroke can be categorized into ischemic and hemorrhagic subtypes as each has a different mechanism and long term outcome. Ischemic stroke makes up 87% of all strokes and is caused by an occluded cerebral blood vessel causing hypoperfusion to areas upstream of the occlusion that result in tissue damage and dysfunction. Of all
An ischemic stroke is caused by a blood vessel that has been blocked (for example, by a clot), whereas a hemorrhagic stroke is caused by a vessel bursting and bleeding into the brain (Kolb & Whishaw, 2012, p. 45). Although both types of strokes result in the same ending - the brain not getting the fluids that it needs- they are caused by extremely different events. In addition, ischemic strokes are more common and typically less fatal. An estimated eighty to ninety percent of stroke suffering patients seen in hospitals have endured an ischemic stroke. For this reason, the primary treatment for all strokes is to give the individual a blood thinner. However, if an individual is suffering from a hemorrhagic stroke, this type of treatment will only make the situation worse, and likely lead to
A stroke is a type of cardiovascular disease that affects the cerebral arteries, those blood vessels that carry blood to the brain. A stroke occurs when one of those blood vessels in the brain is obstructed or ruptures flooding the brain with blood. Depriving blood and oxygen to the brain results in those immediate cells death, causing the brain not to function properly. Once parts of the brain stop functioning, it can directly affect the areas of the body controlled (1).
A stroke caused by a blocked artery by a blood clot or bursting of a blood vessel because of uncontrolled high blood pressure. There are main three types of the stroke. An ischemic stroke occurs when a blood clot blocks one of the arteries which supply blood to brain. A clot may be caused by fatty deposits (plaque) that build up in arteries and cause reduced blood flow (atherosclerosis) or other artery conditions. (mayo clinic). About 89%, strokes are ischemic strokes. Ischemic stroke includes thrombotic stroke. A thrombotic stroke occurs when a thrombus stuck in one of the arteries that supply blood to the brain. A clot build-up of fatty deposits in arteries. Another type of stroke is called the hemorrhagic stroke. This stroke occurs when a blood vessel leaks or ruptures in the brain. A bold vessel leaks or ruptures from many conditions like uncontrolled high blood pressure or overtreatment with anticoagulants and the weak spot in blood vessel walls. (mayo). Some people experience a mini-stroke it is known as a transient ischemic attack (TIA). A temporary decrease or clot stuck in a vessel in our brain causes TIA. It happens less than five minutes. This stroke does not have any symptom, because the blockage is
The most common causes of strokes are thrombosis. This is when a clot forms in one of the arteries, mostly in the carotid in the neck and the vertebral artery. The blood is thick and moves very slowly through the artery. The thrombus will form on the damaged area of the artery wall and will cut off the flow of blood to the brain. The area of the artery that is damaged is cause by arteriosclerosis. This form of
Brain is highly susceptible to complicated consequences of blood flow reductions leading to its altered function which is termed as ischaemia. Focal ischaemia and global ischaemia are the main forms of stroke. Middle cerebral artery occlusion is the main cause of focal ischaemia. Cardiac arrests, shock which creates hypoxia, hypoglycemia of increased metabolic rate of brain cells lowered cerebral perfusion pressure are the causes for global ischaemia. Focal ischemia leads to irreversible cellular damage in brain. Specific thresholds of ischaemia for particular areas in brain are figured. White matter region of the brain is more susceptible to ischaemic insults than the grey matter of the brain. Haematoxylin and eosine stained brain slice in
When you have an ischemic stroke, the oxygen-rich bloodsupply to part of your brain is reduced. With a hemorrhagic stroke, there is bleeding in the brain.