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stroke

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by

Sama Hasan

on 3 May 2015

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Transcript of stroke

Diagnosis
what is stroke?
what cause stroke?
can stroke be treated?
Definition:
sudden
neurologic deficit, occurring without warning
Types
ischaemic
thrombus
Hemorrhagic
15%
85%
Risk Factors
non-modifiable
increasing age
race
Gender
Males > females
except
35-44 & >85 y/o
More females die
Family history of stroke/TIA
Modifiable
hypertension
heart disease
Atrial fibrillation
Diabetes
High cholesterol
Carotid stenosis
Cigarette smoking
Are u ok?
Do you have any
brain damage?
Patient presentation
Management
123
Stroke is a Medical Emergency
" TIME IS BRAIN"
1.9 million neurons are lost each minute after stroke
Protect ischemic penumbra
tPa
fast facts
contraindications
Tissue plasminogen activator
"clot buster"
IV tPa window 3 hours
IA tPa winw 4-5 hours
disability risk 30% despite 5%
symptomatic ICH risk
~
Hemorrhage
SBP > 185 or DBP >110
Recent surgery,trauma or stroke
Coagulopathy
Seizure at onset of symptoms
NIHSS >21
AGE?
Glucose < 50
Mechanical Thromboembolectomy
Supportive Therapy
Glucose management
Anti-epileptic Drugs
Hemorrhagic stroke ttt
no effective targeted therapy for hemorrhagic stroke exists yet
studies of recombinant factor VII a(rFVIIa) have yielded disappointion results.


Doaa Mohamed Hasan
Sama Hasan Abd El Maqsoud
Rehab Hesham Ali
6th year
3rd year
3rd year
"An ounce of prevention is worth a pound of cure"
Benjamin Franklin;1736
Finally
we can prevent stroke by 80% with urgent treatment
stroke prevention is multidisciplinary
Take home message: Stroke...
Is a neurologic Emergency
Has many risk factors
Effective treatment of high BP to prevent stroke is possible
is best assessed and managed by trained neuroscience personnel
can and should be treated
Lifestyle modification
Intra-cerebral
sub-arachnoid
Prevention
Medical
to treat a condition will you have to investigate right
Imaging
CT
Blood pressure management
symptomatic treatment
Golden hour
123
Full transcript