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Doctor insights on: Eschemic Stroke

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Cerebral stroke, tia, mini stroke--which are preventable?

Cerebral stroke, tia, mini stroke--which are preventable?

All preventable: All of the above are preventable by routine measures such as good blood pressure control, proper diet, exercise and blood sugar control. ...Read more

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Is transient ischemic attack a ischemic heart disease?

Is transient ischemic attack a ischemic heart disease?

No: It is an ischemic cerebrovascular disease. However, someone who has one is at much higher risk of having both than someone who has neither. ...Read more

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Is ischemic microvascular brain disease related to stroke?

Is ischemic microvascular brain disease related to stroke?

See comments: Are you referring to radiology reading of an MRI of brain? In elderly, often thought that white matter lesions are associated with "microvascular angiopathy", sign of potential atherosclerosis. Maybe potential stroke risk, especially lacunar infarct, but not straightforwards. Your physician needs to assess stroke risk. Spots more likely from migraine or prior injury. ...Read more

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What's the difference between ischemic stroke, hemorrhagic stroke, and embolic stroke?

What's the difference between ischemic stroke, hemorrhagic stroke, and embolic stroke?

Pathophysiology: Ischemic stroke occurs when an artery to the brain is blocked.A thrombotic stroke occurs when diseased or damaged cerebral arteries become blocked by the formation of a blood clot within the brain. An embolic stroke is also caused by a clot within an artery, but in this case the clot (or emboli) forms somewhere other than in the brain itself. Hemorrhagic stroke is sudden bleed into the brain. ...Read more

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What % of ischemic MCA stroke patients benefit from tpa (alteplase)?

What % of ischemic MCA stroke patients benefit from tpa (alteplase)?

Depends: This is a complex question. It depends on what percent of is already showing signs of infarction (dead brain) rather than just ischemia (brain at risk).... When we see > 1/3 of territory abnormal on initial ct scan, it is a contraindication for tpa (alteplase). It also depends on how long the symptoms have been occurring. But to answer your question, theoretically all could potentially benefit. ...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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Microvascular chronic ischemic in brain can affect memory?

Microvascular chronic ischemic in brain can affect memory?

Sure can: We term multiple small strokes, lacunar infarcts, and these can mount up and produce "etat lacunaire", or full blown vascular dementia. Here, the job involves prevention with an appropriate stroke anti platelet, or anti-coagulant approach. ...Read more

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What causes a TIA (transient ischemic attack) in young people?

Complex issue: Transients events can be due to heart defects, arrhythmia, blood pressure, blood sugar, drug effects, seizure, migraine, or blood vessel disorders. It would be important to have a thorough medical and neurological evaluation. Their may be genetic factors involved, especially defects in cholesterol and lipid metabolism. May be a high risk for completed stroke or even death. ...Read more

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Define?accute anteroseptal myocardial infarction, atherosclerotic obstructive coronary artery disease, pulmonary edema, cardiogenic shock, hypokalemia

Define?accute anteroseptal myocardial infarction, atherosclerotic obstructive coronary artery disease, pulmonary edema, cardiogenic shock, hypokalemia

Here are some...: A 400-letter space is impossible to address many indicated subjects as questioned here. Why not type in the terms as keywords to search online? Thereby you surely gain a lot of pertinent information to feed your appetite of knowledge. Or you may just ask your doc who should be able to answer your questions to the point much easier. ...Read more

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What's the difference between a cerebral vascular accident (stroke) & a transient ischaemic attack (tia)?

Definitive damage: A TIA describes stroke like symptoms that resolve without other intervention within a short timespan, usually less than 1 hour although the classic definition uses 24 hours. A stroke describes irreversible brain tissue damage caused by a lack of blood flow (technically a bleed is also a form of stroke). This damage can be diagnosed definitively on a MRI scan, no such damage can be seen in the tia. ...Read more

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Could an ischemic stroke be fatal?

Could an ischemic stroke be fatal?

Potentially yes: Most ischemic strokes such as thrombosis or embolism cause significant damage but not immediate fatality. However, intracranial hemorrhage has a 60% mortality within one year, and a ruptured aneurysm causes death in 50% prior to reaching a hospital. The garden variety stroke in certain parts of brain have potential for death depending upon extent. ...Read more

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66yr/ m congestive heart failure, stroke, pulmonary embolism, then 2nd massive hemorrhagic stroke, surgery to repair, fell into coma. prognosis?

66yr/ m congestive heart failure, stroke, pulmonary embolism, then 2nd massive hemorrhagic stroke, surgery to repair, fell into coma. prognosis?

Guarded: I am sorry for this situation. No one can say for sure what will happen, but from your description, I think the prognosis would be guarded. ...Read more

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Does "ICA Dissection" mean a TIA or stroke occurred?

Not necessarily...: A dissection means that the artery has begun to tear. This can lead to complete rupture or can occur slowly. In either case, there is an increased risk of stroke or death. Prompt follow up and treatment is a must. ...Read more

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Elderly lady had stroke due to blood clot. Has brain swelling. In a coma. Stroke induced. Chances of survival?

Elderly lady had stroke due to blood clot. Has brain swelling. In a coma.  Stroke induced. Chances of survival?

Hard to say: The pre-illness health, speed of recognition and early care all play into this status.The physicians at the bedside have a better access to the information needed to answer this question. ...Read more

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What is unspecified transient cerebral ischemia?

What is unspecified transient cerebral ischemia?

See below: Am not familiar with "unspecified", but transient cerebral ischemia means diminished blood flow to a part of the brain causing clinical symptoms. Since this can be the first sign of an impending stroke, this needs to be fully evaluated and medication started for prevention. See a neurologist and get this fully addressed. ...Read more

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What is a "cardiogenic embolic stroke"?

Cardiac Stroke: A blood clot that starts in the heart (usually a bad valve, irregular heart beat causing pooling in the heart, or heart attack with damaged heart tissue) and travels to the brain causing a stroke (cerebral vascular accident). Treatment is based on thinning the blood to prevent another event and if caught soon enough (usually within 3-6 hours), blood clot dissolving therapy. ...Read more

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What is transient cerebral ischemia?

What is transient cerebral ischemia?

You mean a TIA: Transient ischemic attack (TIA) is often called a "mini-stroke, " and is considered a harbinger for a full-blown stroke. It can occur as a result of a narrowing in the carotid arteries. Unlike a stroke, TIA symptoms last anywhere from 15 minutes to 24 hours. Typically can present with blindness to one eye, paralysis, or slurred speech. You should see a vascular surgeon immediately. ...Read more

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What is lacunar infarct in brain artery?

What is lacunar infarct in brain artery?

Infarct of the brain: Lacunar infarct is a small stroke - death of a small number of brain cells that is caused by closing of a small artery that is supplying them with oxygen. ...Read more