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stroke

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by

reyes gomez

on 12 December 2014

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Transcript of stroke

stroke
discussion and conclusion
References:
FUTURE
LIMITATIONS
Conclusion
INDEX:
1. Introduction
2. Stating the objective
3. Procedures and methods:
Definition
Types
Causes
Signs and symptoms
Diagnosis
Prevention
Treatment
Statistical analysis
4. Results
5. Dscussion
6. Conclusion
7. References
DEFINITION
stroke->brain attack
signs and symptoms
FAST


TYPES AND CAUSES
why?
Hemorrhagic Stroke
Ischemic stroke
87% of the cases
atherosclerosis
2 types of obstruction:
Cerebral thrombosis
Cerebral embolism
numbness or weakness of face, arm or leg, especially on one side of the body

confusion
trouble seeing in one or both eyes

loss of balance or coordination

severe headache
Sequels
Rehabilitation
KINDS OF REHABILITATION
speech language therapy
physical therapy
occupational therapy
support groups
STEMS3 trial

EuroHYP-1 trial
Diagnosis
treatment
statistical analysis
http://www.stroke.org/
http://www.nhlbi.nih.gov/health/health-topics/topics/stroke/diagnosis
http://www.stroke.org/stroke-resources/resource-library/explaining-stroke-flash
http://www.uptodate.com/contents/ischemic-stroke-treatment-beyond-the-basics
http://www.stroke.org.uk/sites/default/files/Stroke%20statistics.p
http://en.wikipedia.org/wiki/Stroke
http://www.stroke.org/
brain attack
http://watchlearnlive.heart.org/CVML_Player.php
http://www.stroke.org/stroke-resources/resource-library/explaining-stroke-flash → power que esta genial para poder seguir su estructura e imagenes
1 person dyes from stroke every 4 minutes
800.000 people have a stroke each year
1 stroke every 4 seconds.
Prevention
13% of the cases
Rupture of a weakned vessel
aneurysm
Two types of hemorragic stroke
arteriovenous malformation (AVM)
Two types of vessels
Subarachnoid hemorrhage (SAH)
Intracerebral hemorrhage (ICH)
RISK FACTORS
Controllable
medical
lifestyle
Uncontrollable
interesting
relatives that had suffered it
it is very common
awareness
Controllable:
know your blood pressure
know your colesterol number
find out if you have Afib
diabetes
Uncontrollable
being physically active
following a healthy diet
quitting smoking
if you drink, do it in moderation
MEDICAL
LIFESTYLE
age
gender
race
family history
previous stroke or TIA
fibromuscular displasia
PFO
How long does stroke rehabilitation last?
successful stroke rehabilitation depends on:
Physical factors

Emotional factors

Social factors

Therapeutic factors

1. Clinical evaluation
when did your symptoms start?
What were you doing when they began?
Have you experienced any head injuries before?
Are you taking any medication?
Are you married? Do you currently work?
2. Physical examination
NIH Stroke Scale - NIHSS
3. Imaging tests
Brain CT scan
cerebral angiogram
Magnetic Resonance Imaging MRI
Carotid ultrasound
Echocardiogram
EKG electrocardiogram
Echocardiography

TIA
“warning stroke”
"Time lost is brain lost"
stem cells
cooling the body for 24h
Ischemic stroke treatment
Early treatment
tPA or alteplase
Aspirine
Anticoagulants
Secondary prevention
Clopidogrel
Warfarin
Surgery
Hemorrhagic stroke treatment
Medical treatment
Surgical treatment
Endovascular procedures
Arteriovenous maformation treatment
Descompressive craniotomy
Occidental world:
Physical discapacity


Dementia

Death
in the incidence of stroke
15 millions suffer a stroke
10 millions permanent
discapacity
5 millions die
4. Blood tests
afib
fibromuscular dysplasia
PFO
Full transcript