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Doctor insights on: Hemorrhagic Transformation Of Ischemic Stroke

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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 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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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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Is an ischemic stroke in the basal ganglia always considered a lacunar stroke?

Is an ischemic stroke in the basal ganglia always considered a lacunar stroke?

Matter of size: A lacunar stroke is due to a block in a smaller end artery, as contrasted to a carotid or middle cerebral artery obstruction, which would cause damage to a larger area of brain. Many strokes in the basal ganglia are small and often not noticed clinically, but the larger ones are very evident. ...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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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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Age 23. Coma patient. Diffused axonal injury. Intraventricular hemmorhage. Bleeding in frontal lobe. Chances of survival? Any possible impairment?

Age 23. Coma patient. Diffused axonal injury. Intraventricular hemmorhage. Bleeding in frontal lobe. Chances of survival?  Any possible impairment?

Not good : Sorry about this one, but there will be a suboptimal outcome at best. Survival may be issue, talk to your doctors, and perhaps an eeg can guide decisions, but hard to predict outcome of comas. Sounds like a profound traumatic event, and since young and severe, have a family conference with the treatment team, and get all your questions answered. ...Read more

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Is aphasia a symptom of hemorrhagic stroke?

Is aphasia a symptom of hemorrhagic stroke?

It's possible: Aphasia (inability to speak or understand speech) is caused by damage (ischemia or hemorrhage- bleeding) to certain parts of the brain (usually on the left brain for right handed patients) that control speaking and understanding speech. Tumors in those areas can also affect speech. ...Read more

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What are the complications of transient ischemic attack?

Stroke: Most feared complication of a TIA is a stroke. Stroke can potentially be large and very debilitating. Tia necessitates careful evaluation and treatment. ...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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Is dementia post stroke due to damage from the stoke or later vascular events/?

Is dementia post stroke due to damage from the stoke or later vascular events/?

A progressive: Vascular dementia is based on ongoing damage to the brain which may not be as dramatic as a stroke. Likely there has been some asymptomatc damage even before the stroke. ...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

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What causes acute memory loss, PBA, confusion 166/121 BP high rbc/ platlet/ wbc& a 1 CM foci of demyl. In the splendum of the corpus callosum?

What causes acute memory loss, PBA, confusion 166/121 BP high rbc/ platlet/ wbc& a 1 CM foci of demyl. In the splendum of the corpus callosum?

CIS vs MS vs stroke: You have a demyelinating lesion in the back part of your corpus callosum . This can be due to MS , clinically isolated syndrome or something else. Your ability to process vision may be affected. I do not have enough information to comment on the abnormal blood count. Based on what has been ordered it appears that you are in good hands. ...Read more

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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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What is longevity expectancy after severe frontal lobe hemorrhagic stroke?

What is longevity expectancy after severe frontal lobe hemorrhagic stroke?

Not positive: Unfortunately, 60% of all intracranial hemorrhage patients die within one year after the bleed, but 40% do survive. In this latter group, the main thrust to maintain stability involves very meticulous preventative care. ...Read more

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What are the stroke survival rates for moderate stroke with brain occlusion?

Variable: It is hard to answer your question as survival rates or life expectancy after a "moderate stroke" would depend on the underlying cause, the type of stroke, ie embolic, lacunar, hemorrhagic, and the location of the injury. Adjusting your underlying risk factors for stroke and optimizing your medical care are key to lowering your risk for future stroke. ...Read more

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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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I had a hemorrhagic stroke about 1 year ago and what can I take to prevent ischemic stroke?

I had a hemorrhagic stroke about 1 year ago and what can I take to prevent ischemic stroke?

Complicated: If your stroke was secondary to embolism, consider anti-coagulant, such as warfarin or pradaxa. If this was thrombotic, with secondary bleeding, a good choice might be aggrenox. You are best advised to see a hospital based neurologist who focuses on stroke treatment and prevention. ...Read more

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What are the differences between a hemorragic and ischemic stroke?

What are the differences between a hemorragic and ischemic stroke?

Blood: Ischemic stroke happens when blood supply to the brain gets cut off. Hemorrhagic stroke happens when a blood vessel ruptures and bleed spills into the brain matter. Both cause damage to the brain tissue. ...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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What happens during an inflammatory response to an ischemic stroke?

What happens during an inflammatory response to an ischemic stroke?

Usually there is not: Much of an inflammatory response to a stroke. Ask your neurologist. They will help you. ...Read more

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Can you do mixed martial arts if you have had a trans ischemic stroke?

Can you do mixed martial arts if you have had a trans ischemic stroke?

Yes & no: Sometimes injury to the arteries of the neck causes stroke symptoms. If this is the cause of the TIA, I think it is best to avoid fighting. Can't say that any fighting sports are good for the brain, whether there has been a TIA or not. The conditioning used for MMA is good for the brain though. Is there a way to do this sport without contact? Just a thought. ...Read more

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I had an ischemic stroke November 23. Affecting left side.Lately my entire left side is extremely weak. Is this normal?

I had an ischemic stroke November 23. Affecting left side.Lately my entire left side is extremely weak. Is this normal?

Be seen: Please be seen promptly. While after a stroke, strength can wax and wane, if it is persistent and/or new, you need to be evaluated. ...Read more

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27yrs old and an elite athlete who suffered a mild ischemic stroke 24hrs ago. Any key decisions my docs are likely to be facing?

What's mild CVA @ 27: Stroke at age 27, athlete or not, is unusual. All strokes should be thoroughly worked up, preferably by neurologists. Since there are so many variables, such as location, causation, associated health issues, that your question cannot be answered with the limited information you are able to present. ...Read more

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27yrs old and an elite athlete who suffered a mild ischemic stroke 24hrs ago. Any key decisions my docs are likely to be facing?

27yrs old and an elite athlete who suffered a mild ischemic stroke 24hrs ago. Any key decisions my docs are likely to be facing?

Stroke: A young person getting a stroke is unusual. You really need to look for preventable or correctable causes. Cocaine abuse, sickle cell disease, hereditary aneurysms, moyamoya disease etc. ...Read more

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Small ischemic stroke 2006 to left cordite. Dizziness really bad now. Turning over when in bed or bending down . Is it related to the stroke? Thanks

Small ischemic stroke 2006 to left cordite. Dizziness really bad now. Turning over when in bed or bending down . Is it related to the stroke? Thanks

Vertigo: It may not be ralated to stroke. It could be benign positional vertigo. Epley's meneuver could help you. I recommend to see a neurologist to get confirmatory diagnosis. If not neurologic origin then see a cardiologist to rule out pre-syncope. ...Read more

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Is it possible to fully recover from an ischemic stroke?

Perhaps: The brain possesses amazing coping and plasticity skills and recovery may seem full and miraculous. Folks do best with small lacunar events, in non-critical areas. Best to prevent future events. ...Read more

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Is Ischemic stroke is easy to recover for a 58 years old?

Stoke recovery: Is Ischemic stroke is easy to recover for a 58 years old? ANS: Yes and No. It depends on how dense the stroke is. That is how much of the body it affected. The more the slower the recovery usually. The Dsr caring for your stroke is an expert in YOU. Please discuss with them. ...Read more

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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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Is full recovery possible in ischemic stroke? To what extend recovery can be done in this case? ( answer in %)

Possible: If it is a small ischemic stroke then full recovery is possible. Unless your are left handed, it would be unusual to have aphasia from a right brain stroke. If you mean right sided weakness that would be more typical. I would need to see the MRI to give you a % of possible recovery that would be possible but certainly improvement from your current condition is a possibility. ...Read more

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42m ischemic stroke 5 years ago and recovered well. He just had a second stroke a few weeks ago. No cause ID'd. Is life expect. decreased? Im scared.

42m ischemic stroke 5 years ago and recovered well. He just had a second stroke a few weeks ago. No cause ID'd. Is life expect. decreased? Im scared.

Stroke: you are young, stay healthy, limit risk factors if possible. life expectancy doesn't change. you are young. take your medicine for prevention and listen to you doctors. ...Read more

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How to prevent ischemic stroke?

How to prevent ischemic stroke?

Many things: Optimally address this with your doctor who can best assess your risks. But make sure you are physically active, maintain a reasonable weight, have blood pressure and cholesterol numbers is a reasonable range and possible even aspirin may help prevent this ... ...Read more

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What could cause a re-bleed in an ischemic stroke?

What could cause a re-bleed in an ischemic stroke?

Stroke: Stroke is a disruption of blood supply to an area of the brain, resulting in injury to a portion of the brain. This affects the blood vessels as well, as the surrounding supporting tissue is injured and becomes fragile. The increased fragility of these vessels can cause spontaneous bleeding. ...Read more