StrokeSigns.com

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Stroke And Brain Aneurysm - WebHealth

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Stroke, as well as brain aneurism are common medical emergencies. A patient with a stroke may have a sudden headache, a change in level of consciousness, dizziness, or confusion, and this may progress to unconsciousness, coma and to a point where one body half lacks muscle movements. This person likely had a stroke and there is a high incident of hip fractures as well as wrist fractures as the patients are suddenly off balance. An onlooker should call 9 1 1, as an ambulance needs to bring the patient to the nearest hospital. An MRI or CAT scan can rule out a brain tumor and confirm a middle cerebral artery occlusion. When a blood clot from heart valve disease dislodges and causes an embolic stroke, this would clinically look identical to an ischemic stroke on the basis of arteriosclerosis. Imaging studies help though to distinguish among these possibilities. Premature hardening of the arteries such as with diabetes mellitus leads often to an ischemic stroke. When the blood pressure is very high, this can burst one of the brain vessels and cause a hemorrhagic stroke. When congenital pouches of brain vessels exist, this can lead to a subarachnoid bleed. Another cause of stroke can be a primary brain tumor. Other possibilities are brain metastasis from a lung cancer, melanoma, breast cancer or prostate cancer. A brain metastasis can have the signs of a stroke, actually very similar to an ischemic stroke, but imaging studies will differentiate between the two. When clots from a narrowed carotid artery cause mini strokes, anticoagulation with heparin initially followed by coumadin may be required to thin the blood. This often achieves stroke prevention. It is generally understood that tooth decay as well as tooth loss can be prevented by brushing and flossing teeth and by reducing the consumption of sugar. Dr. Teal from the Vancouver General Hospital/BC showed that a life style change, treating hyperlipidemia, high blood pressure and quitting smoking has an enormous effect on reduciong the risk of strokes. 80% of strokes are preventable, 40% from treating medical problems (hypertension, diabetes, etc.) and another 40% by changing food intake and by overcoming inactivity. The data from Vital Statistics BC are identical to similar stroke statistics in the US and other parts of the world. However, instead of changing the life style at home, some people prefer a YMCA program. In the case of transient ischemic attacks due to narrowing of the arteries a carotid endarterectomy may be required. Secondary prevention is used in a person who had a stroke. This consists of taking a blood thinning agent such as ASA, clopidrogel or dipyridamole. One of the potentially deadly complications of this is stomach bleeding and the physician must explain to the patient the risk versus harm of such preventatative therapy.

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