Conditions InDepth: Stroke
Main Page | ]]>Risk Factors]]> | ]]>Symptoms]]> | ]]>Diagnosis]]> | ]]>Treatment]]> | ]]>Screening]]> | ]]>Reducing Your Risk]]> | ]]>Talking to Your Doctor]]> | ]]>Living With Stroke]]> | ]]>Resource Guide]]>
]]>Stroke]]> is a brain injury that occurs when the brain's blood supply is interrupted. Without oxygen and nutrients from blood, brain tissue starts to die within minutes, resulting in a sudden loss of function. Another term for stroke is cerebrovascular accident (CVA).
Blood Supply to the Brain
In order to change people’s perception of stroke as untreatable, there has been a national effort over the past decade or so to call it a "brain attack," acquiring some of the urgency popularly associated with ]]>heart attacks]]>. The acute treatment of "brain attacks" has not reached the level of success now achieved with heart attacks. Nevertheless, acute treatment is beginning to show results if done within three hours of onset.
The types of stroke include:
An ischemic stroke most often occurs when blood flow to the brain becomes blocked.
One of the following events may cause this blockage:
- The most common cause is a build-up of fatty substances along an artery's inner lining that causes it to narrow, reduces its elasticity, and decreases its blood flow.
- A clot forms in an artery supplying the brain, usually one affected by ]]>atherosclerosis]]>. This clot is called a thrombus.
- Blockage can also be caused by a blood clot from another part of the body (often the heart) that breaks free. The clot travels to and becomes lodged in an artery supplying the brain. This clot is called an embolus, and the process is called embolism.
A stroke may also occur if a blood vessel breaks and bleeds into or around the brain. This is called hemorrhagic stroke. ]]>Trauma]]>, ]]>cocaine abuse]]>, and ]]>high blood pressure]]> are the leading causes of hemorrhagic strokes, which occur more commonly in younger people. Aneurysms predispose you to hemorrhagic stroke. An aneurysm is a weak spot in an artery that balloons out under pressure and can rupture, causing bleeding into the brain.
According the the Centers for Disease Control and Prevention, stroke has affected 6.5 million Americans. Along with heart disease and cancer, stroke is one of the leading causes of death. Ischemic type occurs more often—in about 87% of the cases—compared to hemorrhagic.
]]>What are the risk factors for stroke?]]>
]]>What are the symptoms of stroke?]]>
]]>How is stroke diagnosed?]]>
]]>What are the treatments for stroke?]]>
]]>Are there screening tests for stroke?]]>
]]>How can I reduce my risk of stroke?]]>
]]>What questions should I ask my doctor?]]>
]]>What is it like to live with stroke?]]>
]]>Where can I get more information about stroke?]]>
Cerebrovascular disease or stroke. Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/nchs/FASTATS/stroke.htm. Updated March 2009. Accessed February 11, 2010.
Impact of stroke. American Stroke Association website. Available at: http://www.strokeassociation.org/presenter.jhtml?identifier=1033. Updated February 2009. Accessed April 3, 2009.
Kasper DL, Braunwald E, Fauci A, Hauser S, Longo D, Jameson JL. Harrison's Principles of Internal Medicine. 16th ed. New York, NY: McGraw-Hill; 2004.
Stroke. Mayo Clinic website. Available at: http://www.mayoclinic.com/health/stroke/DS00150. Updated July 2008. Accessed February 4, 2010.
Types of stroke. American Stroke Association website. Available at: http://www.strokeassociation.org/presenter.jhtml?identifier=1014. Updated December 2009. Accessed February 11, 2010.
What is stroke? American Stroke Association website. Available at: http://www.strokeassociation.org/presenter.jhtml?identifier=3030066. Updated June 2009. Accessed February 11, 2010.
Last reviewed February 2010 by ]]> J. Thomas Megerian, MD, PhD, FAAP]]>
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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