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Doctor insights on: Acute Subacute Stroke

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What is the definition of subacute stroke?

What is the definition of subacute stroke?

Stoke : 1 week to 1 month after onset is subacute. 1 day to one week is acute. After 1 month the stroke is chronic. ...Read more

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What are the treatments for acute stroke?

What are the treatments for acute stroke?

Acute stroke Rx: There are many treatments for acute stroke, including:
1. blood pressure management, when needed
2. blood sugar mgmt when needed
3. IV TPA- tissue plasminogen activator, for many cases
4. aspirin
5. arterial TPA, (alteplase) in select cases
6. thrombosis retrieval, in very select cases
7. later on, cholesterol treatment, anticoagulation for atrial fib, and artery repair may be options ...Read more

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Would experiencing an acute stress lead to something as serious as a stroke?

Would experiencing an acute stress lead to something as serious as a stroke?

Very unlikely : It has been reported that acute stress can cause severely elevated blood pressure and thus brain hemorrhage. It is however, very rare. Probably more likely to happen in older patients when the blood vessels are already somewhat damaged. It is another reason to live our lives with less stresses. ...Read more

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What are some developments in the treatment of acute stroke?

What are some developments in the treatment of acute stroke?

Time is essential: It is most important to seek treatment for sudden changes in the ability to move, sense, or think. If a stroke is treated in first few hours, a great improvement in outcome may be possible. If you wait even a few hours to see if if gets better, the chances of improved recovery are greatly lessened. ...Read more

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What is the difference between acute ischemic stroke and ischemic stroke?

What is the difference between acute ischemic stroke and ischemic stroke?

Acute - Sudden Onset: Acute stroke refers to a stroke that has just occurred. Ischemic stroke may be hyperacute (based on sudden onset neurological symptoms and imaging findings, MRI and perfusion study) and potentially treatable, acute (1-7 d), subacute (7-21 d), and chronic (>21 d). ...Read more

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If pat. With acute stroke and BP 160/100 , if we give normal saline is BP increase?

If pat. With acute stroke and BP 160/100 , if we give normal saline is BP increase?

Depends: Depends on how much you give. If you give 30-40 ml/hr not so much but if its more it might again fuida should be determined by other status as well like renal failure, eating status and many more factors. ...Read more

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Could someone regain speech and mobility after a acute stroke with having uncontrollable movements?

Possible : After a stroke the areas around the stroke that are not affected start taking over for the lost function. This leads to different levels of recovery depending on the size and location of the stroke. A good rehabilitation program can expedite and maximize recovery. ...Read more

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Please tell me, could some regain speech and mobility after a acute stroke with having uncontrollable movements?

Rehabilitation: Although stroke recovery may be variable from patient to patient, speech and physical therapies offer great promise of recovery, and it is possible to witness dramatic improvements. ...Read more

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Can dysarthria due to acute stroke be cured?

Can dysarthria due to  acute stroke be cured?

Can be improved: Speech therapists help immensely, and are very successful with dysarthria. Occupational therapists may provide additional support. Some medications, such as Ritalin (methylphenidate) may improve dysphasia, and occasionally help dysarthria. So, lots of support out there. Get involved in a rehab program. ...Read more

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What therapy is used in patients with acute ischemic stroke?

What therapy is used in patients with acute ischemic stroke?

Time critical: Within 3 hours of symptoms ( up to 4.4 hours in some cases ) intravenous tpa (alteplase). After that up to 6 hours, intraarterial tpa (alteplase) through a catheter in the artery to the brain. Up to 8 hours can use special devices to pull clot out of vessel to brain. These procedures usually done at stroke centers. ...Read more

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What exactly is an inflammatory stroke? Neuro said LP can tell us if that's the cause of sudden onset dementia

What exactly is an inflammatory stroke? Neuro said LP can tell us if that's the cause of sudden onset dementia

Stroke: Encephalitis or brain inflammation causes various neurological signs and symptoms and abnormal lp fluid including dementia, but I'm not familiar with the term inflammatory stroke. Strictly speaking there are 3 types of stroke-hemorrhagic, embolic and ischemic. ...Read more

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Can antithrombotic and hypofibrinogenetic therapy be used for acute ischemic stroke?

Yes: If ct of brain reveal no bleeding and if the pt. Is in the window period ( less than 4.5 hours from symptoms )to receive fibrinolytics ( tpa (alteplase) or others) this is going to break the clot and restore the circulation avoiding serious neurological damage.Aspirin is started 24. Hrs later after tombolytics. For DVT prevent. Anticoagulants should be used except when hemorrhagic transformation is present. ...Read more

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What to do if brain findings are most consistent with a sub acute stroke within the left pica distribution." and what follows this revelation?

What to do if brain findings are most consistent with a sub acute stroke within the left pica distribution." and what follows this revelation?

Uncover cause: All strokes are caused by vascular compromise, and often due to hypertension or diabetic affects on brain circulation. If you have had a stroke, get it treated, but biggest issue involves preventing future events. Multiple meds are very helpful. See a neurologist who focuses in area of stroke and get stabilized/. ...Read more

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Is a transient ischemic attack considered the same thing as an acute stroke?

Is a transient ischemic attack considered the same thing as an acute stroke?

Possibly: A transient ischemic attack (TIA) is caused by the transient blockage of a blood vessel in the brain, which causes symptoms (weakness, numbness, changes in vision, difficulty speaking, etc.) because the nerve cells aren't working when the blood vessel is blocked. If the blockage is brief (< 1 hour) there may be no damage. If the blockage lasts longer, damage (a stroke) may occur. ...Read more

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Hoping you can tell me, is transient ischemic attack considered an acute stroke?

Hoping you can tell me, is transient ischemic attack considered an acute stroke?

Yes: Yes indeed. When neurologic symptoms start suddenly we always considered it an acute stroke. If they pass within few minutes or hours completely, they get labeled tia. If they stay and there are changes on mri, then we call it a stroke. But for all practical purposes, TIA is considered an acute stroke at the onset. ...Read more

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Doc I had a acute stroke on 9/29/2017 my neurology said we was going to treat it as a warning. I am a truck driver.Is it to soon 4 work?

Doc I had a acute stroke on 9/29/2017 my neurology said we was going to treat it as a warning. I am a truck driver.Is it to soon 4 work?

Depends: question; was it determined what the cause was? Have all symptoms and signs resolved? Is there residual left that would interfere with work??
Certainly , if the stroke is treated correctly and risk factors for recurrence are reduced and your are able it seems reasonable to return to work after 7 weeks. ...Read more

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What is included in an assessment of a geriatric patient who has possibly experienced an acute ischemic stroke?

What is included in an assessment of a geriatric patient who has possibly experienced an acute ischemic stroke?

Stroke: A thorough stroke assessment will include medical imaging to include brain, carotid and heart in trying to understand the mechanism of the stroke, chronic conditions assessment and risk factors modification. Physical and occupational therapy, speech and swallow evaluation are also completed and a possible recommendation for short term rehab may be made. Treatment is mostly supportive otherwise. ...Read more

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If an MRI shows infarcts as well as periventricular ischemic changes does this mean a person has had an actual stroke rather than just a tia?

If an MRI shows infarcts as well as periventricular ischemic changes does this mean a person has had an actual stroke rather than just a tia?

Yes: Tias do not show up on mris because the decreased blood flow (ischemia) is not severe enough and doesn't last long enough to cause a stroke (infarct). ...Read more

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MRI showed damage consistent with stroke but only symptoms is sudden onset delirium not UTI docs unsure if it is stroke4 day delay doing MRI opinions?

MRI showed damage consistent with stroke but only symptoms is sudden onset delirium not UTI docs unsure if it is stroke4 day delay doing MRI opinions?

Cause of delirium: Certainly a UTI can cause delirium -as the infection throws off the body's balance. A stroke too could cause altered mental status, depending on what part of the brain was affected and whatever other metabolic effects might be going on in that dramatic disease presentation. MRIs are extremely sensitive for stroke. Urine tests are good but have to be interpreted correctly. Try a second opinion here ...Read more

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My mother had a surgery for acute subdural hematoma. She suffered stroke years ago. How do I care for her now after this surgery?

Additive effects: An acute subdural hematoma is a form of a stroke and for the purpose of recovery you might want to think of it as one. Did the previous stroke and the hematoma now affect different areas of the brain or roughly the same. Depending on that and on which areas were affected (speech/language/motor) the recovery may depend on this and also the severity of the stroke and the hematoma. ...Read more

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28y man. Hi stress job. Hx mini stroke >4y ago. anxiety episodes Recent onset-sharp pins/needles feeling in heart, wkness, s/b. lasted >30s. Thoughts?

28y man. Hi stress job. Hx mini stroke >4y ago. anxiety episodes Recent onset-sharp pins/needles feeling in heart, wkness, s/b. lasted >30s. Thoughts?

Generalized anxiety: or panic disorder, but these symptoms and clinical correlation with the setting certainly sound like that may be the case. If you continue having palpitations and sweats, the best way is to see a healthcare provider to rule out organic disease. Once you are determined not to have actual heart or lung disease, or infection, then you will need a psychiatrist to help manage stress/anxiety. ...Read more

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My mother is suffering from acute ischemic stroke, she is diabetic, her late arrival to the hospital made situation bad since none of the initial tissue activator were given to her.how can I manage her health situation ?

You can't on ur own: First, I am sorry for what happened to your mother, and wish her recovery and health. Second, this a complex health situation, a team approach of physicians, nurses, physical therapist, rehab specialists, helpers, social workers would all act together, your part would be to coordinate her care being a loving and caring son, hope all or part of those facilities are available for your mother, ...Read more

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What is stroke?

What is stroke?

Damage to brain: A stroke is generally term referred to impairment or loss of function of part of the brain. This happens when blood supply to that part of the brain is interrupted due to a blockage resulting from plaque build up and/ or blood clot. Also rupture of blood vessel causing bleeding in the brain can result in stroke. ...Read more

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What is stroke?

Stroke: Two type of stroke:
hemorrhagic (bleeding) stroke
ischemic (non-bleeding) stroke

common symptoms:
speech difficulty
loss of speech
double vision
focal weakness
focal numbness
imbalance
memory loss
facial weakness (abnormal face). ...Read more

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What is dry stroke?

What is dry stroke?

No bleeding: A dry or "ischemic" stroke is similar to a heart attack. A clot lodges in an artery to the brain which cuts of the blood supply causing damage to the brain. This is a stroke or a "brain attack". A "wet" stroke is a hemorrhage in the brain usually caused by either a malformation called and avm or an aneurysm or can also be called by uncontrolled hypertension. ...Read more