apoplexia or ictus cerebri
Stroke is the third
leading cause of death in Western countries. The major risk factors are:
hypertension, diabetes, heart rhythm irregularities (i.e. atrial
fibrillation), cigarette smoking, left
ventricular hypertrophy and high blood cholesterol. Other risk factors
are: obesity, high hematocrit
and fibrinogen, race (Japanese, Chinese,
and American blacks have high rates than
Caucasians), family history, alchol consumption.
The basic clinical feature
of stroke is its abrupt and unheralded onset. The Greek term "apoplexia"
Latin term "ictus cerebri" mean to be suddly struck with violence or
The comtuted tomography
(CT) help to distinguish two major causes of stroke: hemorrhage and cerebral infarction.
Cerebral infarction can be divided into three categories by vascular mechanism:
large vessel atherothrombosis,
lacunar infarction, and embolism from the heart.
Distinguishing subarachnoid hemorrhage from ruptured berry aneurism (or
arteriovenous malformation) and from intraparenchymatous hemorrhage can also be
done by Ct scan. Transient ischemic attacks (TIAs) are reversibol focal
neurologicaldeficits, lasting minutes to 24 hours.
warning signs of stroke
Numbness or drooping of the face
Weakness of the arm or leg expecially on the same
side of the body
Loss of speech, or trouble talking or understating
Sudden severe, unexplained headache
Sudden blurred vison
q unexplained dizzness or falls expecially in conjuction with the other symptoms
If any of these symptoms occur even though for a
short time (minutes) they may indicate stroke.Than get medical help right away!!!
Moderns stroke care and rehabilitation can
prevent long term disability. The sooner
rehabilitation begins, the better.
steps of stroke
q Find out wich hospital in your area have a 24-hour emergency medicaḷ care
q Find out wich hospital or medical facility is nearest your home or office
q Keep a list of emergency rescue services numbers next to your telephone or in your
pcket, wallet or purse. emergency rescue service numbers to your telephone.
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