Stroke (apoplexy, cerebral stroke, cerebral infarction, stroke)

21 October 2017

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A stroke (stroke, stroke, cerebral infarction or stroke) is a medical emergency that should be treated immediately. Strokes affect mainly the elderly. The most important risk factor for cerebral infarction is a longtime 
High blood pressure.

What is a stroke?
A stroke is suddenly no longer supplied with blood, a circumscribed part of the brain and thereby obtains no oxygen. As a result, nerve cells die in the affected area.

Older people in particular suffer a stroke: About eight out of ten sufferers are over 60 years old. The stroke and its consequences are a major cause of disability and care in old age. Generally one of the stroke the most common diseases and is in Germany - along with cardiovascular and cancer - responsible for most deaths.

Already knew?
A stroke is often referred to as stroke, Hirninsult or stroke. The term stroke is now considered obsolete.

The symptoms of a stroke (stroke, stroke, cerebral infarction or stroke) arise because a part of the brain is no longer supplied with sufficient oxygen. As a result, the affected die Nerve cells. The interconnected neurons of the brain control important functions of the body - such as consciousness, speech, movement (motor) and seeing. Relates to a stroke one area of ​​the brain which controls one of these functions, which can therefore have serious consequences. The symptoms that occur during a stroke call physicians as "neurological deficits".

Signs of a stroke may include:

Which symptoms at a stroke just occur depends on which region of the brain receives too little oxygen. For example, a stroke of the right brain can result, for example, to a paralysis of the left side of the body. How pronounced the symptoms of a stroke are also depends on how much brain tissue has been drawn by the lack of oxygen damaged.

If you suspect that this is a stroke, do not hesitate to call an ambulance (112)! A stroke is a medical emergency.

In a TIA, symptoms may already after a few minutes to hours disappear. the symptoms are formed only after 24 hours back, there is a stroke. About one in five stroke heralded by a TIA. And about every fifth person who has suffered a transient ischemic attack gets within one year of stroke; about every eighth person within a month. Take these harbingers serious in any case.

More on the subject: First aid for stroke

Of the direct detection a stroke takes place via a computer tomography (CT) or magnetic resonance imaging (MRI) of the head. With this investigation procedure, the doctor can detect not only the stroke, they also show which brain region is exactly affected. A special ultrasound (Doppler sonography) of the blood vessels is the doctor also if the vessels are constricted in the neck or in the brain.

Further investigations in a stroke diagnosis are:

In stroke (stroke, cerebral stroke, cerebral infarction or stroke), it is important that the treatment as quickly as possible starts. The goal of therapy is to restore blood flow and oxygen supply to the brain region affected quickly as possible so as brain tissue is damaged. The English motto "Time is brain", so "Time is brain" - because the faster the treatment begins, the more brain tissue can be saved. Therefore, each stroke patient as medical emergency considered, even if the symptoms are pronounced only mild.

The following applies: Each stroke is immediate medical attention and proper treatment is required. The stroke therapy carried out in specialized stroke units of some hospitals, the so-called Stroke units (Stroke = eng for stroke;. = Eng unit for single unit.).

More on the subject: First aid for stroke

On acute stroke is when a certain region of the brain suddenly no longer be supplied with sufficient oxygen and is damaged thereby. The goal of therapy is here to keep the damage to a minimum and heavy consequences to prevent. Depending on Stroke Cause (Vascular occlusion or hemorrhage), the treatment is different.

At one stroke by a vascular occlusion - that an ischemic stroke - the treatment usually involves one of the following measures:

long-term to stroke therapy eventually help that neurological symptoms such as paralysis and speech disorders reform (rehabilitation). As with other emanating from the brain movement disorders is often excreted in stroke after the so-called Bobath concept in front. The Bobath concept is based on the assumption that healthy brain regions can learn to take over the tasks of the damaged areas.

Once permits the physical condition of the person concerned, so should start after a stroke rehabilitation (rehab). What follows after the initial treatment in the hospital, has great significance for the future life of the person concerned.

Approximately one-quarter of those affected suffering a stroke from physical consequences and is limited in its capabilities. You benefit from a early onset rehabilitation particularly and can therefore often regain at least some of their physical skills. The rehabilitation also serves to prevent complications such as a recurrent stroke.

There are within the scope of rehabilitation various therapy options. Which ones are suitable in the individual case depends on the nature and extent of symptoms. Paralytic are physiotherapy and muscle training in the foreground. Patients with speech disorders can learn with the help of a speech therapist to speak again.

The rehabilitation exercises after a stroke already begin in the hospital as a so-called neurological early rehabilitation. Usually doctors or social workers apply then to the patient's rehabilitation, which adjoins the hospital stay. Most already done during the first days in the hospital.

After a stroke (stroke, stroke, cerebral infarction or stroke) the consequences and the further course of the disease depend on which region of the brain was damaged and what is the extent of this damage. A Therapy began early can influence the course affordable and avoid complications. It is therefore crucial to make it better soon the person concerned after a stroke.

Like a stroke later in the impact, is very different. For some sufferers, the symptoms are barely noticeable, while others are bedridden and in need of care. Varying degrees of stroke consequences such as paralysis, vision or speech problems can accompany life patients. Stroke is therefore also the most common cause of acquired disability in adults. A early rehabilitation but can prevent sequelae such as permanent paralysis often. Therefore, it makes sense to start already during hospitalization with the early rehabilitation and resume it later in a rehabilitation clinic.

In general: A stroke is a life-threatening disease - But good medical care, preventive measures and health-conscious lifestyle improve the prognosis significantly. In Germany survive about 80 percent a first stroke, of which around a third with no serious permanent damage.

Stroke (stroke, stroke, cerebral infarction or stroke) you can prevent by the risk factors reduce for arteriosclerosis (hardening of the arteries):

Is already a stroke occurred, a early rehabilitation Preventing often sequelae such as permanent paralysis. Therefore, it makes sense to start already during hospitalization with the early rehabilitation and resume it later in a rehabilitation clinic.


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