Learn about stroke diagnosis and treatment and stay safe


We all need to know about stroke diagnosis and treatment. Knowing about stroke diagnosis and treatment can save us from harm and because knowing about stroke diagnosis and treatment will make our life easier. Then let’s find out about stroke diagnosis and treatment

1. Physical examination

Your doctor will do some tests you know, such as listening to your heart and checking your blood pressure. You will also have a neurological examination to see how a possible stroke is affecting your nervous system.

2. Blood test

You may need to have several blood tests, including tests to see how fast your blood is clotting, whether your blood sugar is high or low, and if you have an infection.

3. Computerized tomography (CT) scan

A CT scan uses a series of X-rays to create a detailed image of your brain. A CT scan can show bleeding in the brain, an ischemic stroke, a tumor or other condition. Doctors can inject a pigment into your bloodstream to see the blood vessels in your neck and brain in more detail (computerized tomography angiography).

4. Magnetic Resonance Imaging (MRI)

An MRI uses powerful radio waves and magnets to create a detailed view of your brain. An MRI can detect brain tissue damaged by ischemic stroke and cerebral hemorrhage. Your doctor may inject a pigment into a blood vessel to see the arteries and veins and to highlight the blood flow (magnetic resonance angiography or magnetic resonance venography).

5. Carotid ultrasound

In this test, sound waves create a detailed image of the inside of the carotid artery in your neck. This test shows fatty deposits (blade) and blood flow in your carotid arteries.

7. Cerebral angiogram

In this abnormally used test, your doctor inserts a thin, flexible tube (catheter) into your groin, usually through a small incision, and directs it into your main artery and into your carotid or spinal artery. Your doctor then injects a pigment into your bloodstream to make it visible under X-ray imaging. This procedure gives a detailed view of the arteries in your brain and neck.

8. Echocardiogram

An echocardiogram uses sound waves to create detailed images of your heart. An echocardiogram can find the source of the clot in your heart that travels from your heart to your brain and can cause your stroke.

Some treatments for stroke

Emergency treatment for stroke depends on your ischemic stroke or stroke in which the brain is bleeding (hemorrhagic).

1. Ischemic stroke

To treat an ischemic stroke, doctors need to quickly restore blood flow to your brain. This can be done with emergency IV medication. Therapy with a drug that can break a clot should be given within 4.5 hours when the symptoms first start when given intravenously. The sooner these drugs are given, the better. Rapid treatment not only improves your chances of survival but can also reduce complications.

Recombinant tissue plasminogen activator (tPA). This is an IV injection of (TPA) – also called Altplace (Activas) – gold standard treatment for ischemic stroke. An injection of TPA is usually given through a vein in the arm for the first three hours. Sometimes, TPA can be given up to 4.5 hours after the onset of stroke symptoms.

This drug restores blood flow by dissolving blood clots caused by your stroke. Quickly eliminating the cause of the stroke, it can help people to recover more completely from the stroke. Your doctor will consider some risks to determine if TPA is right for you, such as possible bleeding into the brain.

2. Emergency endovascular procedures

Doctors sometimes treat ischemic stroke directly inside a blocked blood vessel. Endovascular therapy has been shown to significantly improve outcomes and reduce long-term disability after ischemic stroke. These procedures should be performed as soon as possible.
A. The drug is delivered directly to the brain. Physicians insert a long, thin tube (catheter) through an artery into your groin and thread it into your brain to deliver TPA directly to where the stroke is occurring. The time window for this treatment is slightly longer than the injection TPA, but still limited.
B. Clot removal with stent retriever. Doctors can use a device attached to a catheter to remove clots directly from blocked blood vessels in your brain. This method is especially useful for people who have large clots that cannot be completely dissolved with TPA. This procedure is often performed in conjunction with the injection TPA.

The window is expanding while considering these methods due to new imaging technology. Doctors may order a perfusion imaging test (performed with CT or MRI) to determine how likely someone is to benefit from endovascular therapy.

stroke diagnosis and treatment

Hemorrhagic stroke

Emergency treatment for hemorrhagic stroke focuses on controlling bleeding and reducing stress on your brain due to excess fluid. Treatment options include:

1. Emergency measures.

If you are taking blood thinners to prevent blood clots, you may be given drugs or blood products to counteract the effects of blood thinners. You may also be given medication to lower your brain pressure (intracranial pressure), lower your blood pressure, prevent your blood vessels from constricting, and prevent seizures.

2 surgeries.

If the bleeding area is large, your doctor may perform surgery to remove the blood and reduce the pressure on your brain. Surgery can also be used to repair vascular problems associated with hemorrhagic stroke. Your doctor may recommend one of these procedures after a stroke or if aneurysms, arteriovenous malformations (AVM) or other blood vessel problems cause your hemorrhagic stroke:

3 surgical clippings.

A surgeon places a small clamp at the base of the aneurysm to stop blood flow. This clamp can protect the aneurysm from rupture, or it can keep an aneurysm that has been bleeding from bleeding again.

4. coiling (endovascular embolization).

Using a catheter inserted into an artery in your groin and directed toward your brain, your surgeon will place tiny isolated coils into the aneurysm to fill it. It obstructs the blood flow to the aneurysm and causes blood to clot.

5. Surgical AVM removal.

Surgeons can remove a small AVM if it is located in an accessible area of ​​your brain. This eliminates the risk of rupture and reduces the risk of hemorrhagic stroke. However, it is not always possible to remove an AVM if it is located deep in the brain, enlarged, or if its removal will have a significant effect on brain function.

6. Stereotactic radiosurgery.

Using multiple rays of highly focused radiation, stereotactic radiosurgery is an advanced minimally invasive treatment used to repair vascular defects.

Stroke recovery and rehabilitation

After emergency treatment, you will be closely monitored for at least one day. Next, stroke care focuses on helping you regain as much functionality as possible and return to an independent lifestyle. The effect of your stroke depends on the area of ​​the brain involved and the amount of tissue damage.

If your stroke affects the right side of your brain, your movement and sensation on the left side of your body may be affected. If the brain tissue on the left side of your brain is damaged due to your stroke, your movement and sensation on the right side of your body may be affected. Damage to the left side of your brain can cause speech and language disorders.

Most stroke survivors go to rehabilitation programs. Based on your age, overall health, and the level of disability from your stroke, your doctor will recommend the most rigorous therapy program you can administer. Your doctor will consider your lifestyle, interests and priorities and the availability of family members or other carers.

Rehabilitation may begin before you leave the hospital. After discharge, you can continue your program as a rehabilitation unit, another rehabilitation unit or skilled nursing facility in the same hospital, as an outpatient or at home.

Every person’s stroke recovery method is different. Depending on your condition, the medical team may include your stroke

1. Brain-trained doctors (neurologists)
2. Rehabilitation Physician (Physical)
3. Rehabilitation Nurse
4. Dietitian
5. Physical therapist
. Occupational Therapist
. Recreational Therapist
. Speech pathologist
9. Social worker or case manager
10. Psychologist or psychiatrist

Treatment results

One way to evaluate the care of stroke patients is to look at the percentage of patients receiving appropriate timely and effective care. The goal is one hundred percent.

The graphs below show the percentage of Mayo Clinic eligible patients who have been diagnosed with a stroke and have taken all appropriate care.

Dealing and support

A stroke is a life-changing event that can affect your mental health as well as your physical activity. You can sometimes feel helpless, frustrated, depressed and indifferent. You may have mood swings and less sex drive.

Maintaining your self-esteem, connecting with others and being interested in the world is an essential part of your recovery. There are several strategies that can help you and your caregivers, including

Don’t be harsh on yourself. Acknowledge that physical and mental recovery will involve hard work and it will take time. Aim for a “new normal” and celebrate your progress. Make time for rest.
Join a support group. Dealing with Stroke Meeting with others allows you to come out and share experiences, exchange information and build new friendships.
Let friends and family know what you need. People may want to help, but they don’t know what to do. Let them know how they can help, such as bringing a meal to eat and talk with you or join you in a social event or religious activity.

Dealing with communication challenges

Your speech and language problems can be particularly frustrating. Here are some tips to help you and your caregivers tackle the communication challenge:

1. Practice.

Try to have conversations at least once a day. This will help you learn which works best for you. It will help you feel connected and rebuild your confidence.

2. Relax and take your time.

Talking in a relaxed situation can be the easiest and most enjoyable when you are not in a hurry. Some stroke survivors find that a good time after dinner.

3. Say it like you.

When you are recovering from a stroke, you need to use fewer words, rely on gestures, or use your voice for communication.

4. Use props and communication assistants.

You may find it helpful to use frequently used words or pictures of close friends and family members, a favorite television show, a bathroom or other regular cue card to show your needs.

Preparing for your appointment

A progressive stroke is usually diagnosed in a hospital. If you have a stroke, your immediate care will focus on reducing brain damage. If you have not yet had a stroke but are worried about your future risks, you can discuss your concerns with your doctor at your next scheduled appointment.

You can see an emergency medicine specialist or a doctor (neurologist) trained in brain conditions, as well as nurses and medical technicians.

The first priority of your emergency team will be to stabilize your symptoms and overall medical condition. The team will then determine if you are having a stroke. Doctors will try to determine the cause of your stroke to determine the most appropriate treatment.

If you seek your doctor’s advice during a scheduled appointment, your doctor will evaluate your risk factors for stroke and heart disease. Your discussion will focus on avoiding these risk factors, such as not smoking or not using illegal drugs. Your doctor will also discuss lifestyle strategies or medications to control the risk factors for high blood pressure, cholesterol and other strokes.

Learn more about stroke diagnosis and treatment

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