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Stroke is the term doctors use when a part of the brain dies because it goes without blood for too long. (See \\"Patient education: Stroke symptoms and diagnosis (Beyond the Basics)\\".)
There are two main types of stroke: ischemic stroke, which is caused by a blockage in a blood vessel in the brain, and hemorrhagic stroke, which is caused by bleeding in the brain or surrounding area. This topic discusses the treatment of ischemic strokes. Information about hemorrhagic strokes is available separately. (See \\"Patient education: Hemo...
VERY EARLY TREATMENTS After an ischemic stroke, the goal of treatment is to restore blood flow to the affected area of the brain as quickly as possible, ie, within the first hours after the onset of stroke symptoms. The main very early treatments for ischemic stroke are: Both thrombolytic therapy and mechanical thrombectomy require care in a hospit...
Mechanical thrombectomy is beneficial if it is performed within six hours from the start of a person's stroke symptoms. It can even be beneficial for up to 24 hours from the start of symptoms in certain situations (depending on the results of brain imaging tests). It may be done in addition to alteplase therapy (see 'Thrombolytic therapy' above). T...
Aspirin Aspirin is an antiplatelet medication. Platelets are tiny cell fragments circulating in the blood that normally clump together to stop bleeding. This clumping leads to the formation of a blood clot. When a person has a stroke, platelets clump together and form clots inside of narrowed arteries, blocking blood flow in the brain. Clopidogrel...
LONG TERM PREVENTION OF ISCHEMIC STROKE Antiplatelet therapy The antiplatelet medicines aspirin, clopidogrel, and the combination of aspirin plus extended-release dipyridamole and cilostazol are all acceptable options for preventing recurrent ischemic stroke for people whose stroke was not caused by embolism from the heart. Aspirin Aspirin (even ...
Compared with aspirin, clopidogrel causes a slightly higher frequency of rash and diarrhea, and a slightly lower frequency of stomach upset and gastrointestinal bleeding.
Dipyridamole Dipyridamole is a medication that may be given after a stroke to reduce the risk of another stroke. It is often given in an extended-release form, which combines dipyridamole with aspirin (brand name: Aggrenox). It is taken two times per day.
To decide whether a person is a candidate for one of these procedures, a doctor can look at the carotid artery using an imaging test such as an ultrasound, CT angiogram, MR angiogram, or conventional arteriogram. (See \\"Patient education: Stroke symptoms and diagnosis (Beyond the Basics)\\".)
A number of problems can develop in people who have had a stroke. In fact, approximately half of deaths after stroke are due to medical complications. In the days and weeks after a stroke, there are some things you can do to decrease the risk of some of these complications. Common complications include the following: Dysphagia can be a problem beca...
Blood clots occur most often between the second and seventh day after the stroke. The risk is especially high in people who have difficulty with moving or walking around while they are recovering from stroke. Difficulty walking may be related to paralysis caused by the stroke or to other medical conditions. Lack of movement increases the risk of a ...
Difficulty swallowing The act of swallowing requires coordination of the nerves and muscles of the tongue, mouth, and throat. The brain damage that occurs as a result of a stroke can cause muscle weakness and difficulty swallowing. \\"Dysphagia\\" is the medical term for difficulty swallowing.
For these reasons, a person's nutritional status should be evaluated before discharge from the hospital. This includes a review of past and current body weight, a basic history of eating habits, blood tests, and a physical examination that focuses on the condition of the eyes, hair, skin, mouth, and muscles.
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Directed by: Jason Mills. In the final days of the war, two Allied soldiers find themselves trapped behind enemy lines and struggle to survive as the Nazis begin closing in.
