Doctor insights on:
Thalamic Stroke Emedicine
I had a stroke in 2008 (I was 23). Are there any natural remedies that can assist my meds with spasticity and thalamic pain syndrome due to a stroke?
Dear doctor, I had right thalamic lacunar infarction in 1996 & take clopidrogel 75 daily. What else can I do to prevent stroke.
See below: Reduce salt, control blood pressure to <130/80 mm hg, control cholesterol (or better vegetarian diet), reduce weight, stay active daily (walking is good enough), reduce stress, do something enjoyable each day (to reduce stress), no smoking, keep on top of your health with your doctor (be your own advocate, especially in india). ...Read more
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
Stroke: Mca stands for the middle cerebral artery which is one of the major arteries that provides vascular supply to the brain. If this artery should become block then it can cause a stroke in the brain. A stroke is loss of function n the form of speech, motor control of the body among other functions. ...Read more
Any age: A stroke can occur at any age when the blood supply to the brain is interrupted. Although more common with advancing age, diabetes, drug abuse, and penetrating neck injuries are examples of reasons for stroke in a younger age group. ...Read more
Stroke symptoms.: Strokes can cause symptoms ranging from almost undetectable problems to complete loss of function on one side of the body. Usually strokes cause changes in movement or weakness on one side versus the other. Speech and vision can also be affected as well as sensation. Often times strokes are preceded by warning signs in which the after mentioned problems could be transient in nature. If you're experiencing any of these problems seek medical attention immediately. ...Read more
Immediately: A suspected stroke is a medical emergency. Person or family should call 911 as time is very important for treatment. If the stroke is caused by a blocked artery treatment to break the blockage is available. After the stroke is stable and the treatment is complete rehabilitation can start. This may occur in an inpatient rehabilitation unit or subacute unit depending on the person's abilities. ...Read more
F = new onset facial weakness on one side, the mouth or the eye droops (smiling shows this up)
A = new onset arm weakness (you cant hold one of your arms up or lift it properly
S = speech problems, new slurring or difficulty finding the name for common objects e.g. pen, chairs, keys.
T = Urgent treatment in hospital is required. Call ambulance. ...Read more
Disabling: If one has a stroke, and was a lawyer, loss of speech is a "severe stroke". If a patient has an intracerebral bleed, there is a 60% chance of death in one year, and this would be "severe". A complete paralysis on one side, "hemiplegia" is considered severe. Complete obstruction of a major blood vessel, or impact on the brainstem area can have devastating consequences. ...Read more
Vision in both eyes: By definition, any vision changes that occur with stroke must show up in both eyes. Sometimes it is subtle, but because the nerves from your eyes cross over, any stroke will affect both. ...Read more
Mini stroke is: Symptoms of stroke that last just few minutes or hours but always less than 24 hrs. Consider a warning sign of a complete stroke. Also known as transient ischemic attacks is a serious event that should not be ignored. Treatment and diagnosis should be seek immediately. Symptoms include sudden numbness and tingling or weakness at face, arm or leg in one side of the body; confusion, trouble speaking. ...Read more
Weakness, numbness: The classic signs of a stroke include weakness or numbness or a facial droop on one side of the body. There can also be speech problems with slurring of speech or difficulty finding the right words. In certain types of stroke such as a hemorrhagic stroke, the symptoms can include severe headache and decreased mental status. Sometimes the patient may not recognize the symptoms, but family should. ...Read more
Yes: Strokes can be classified as hemorrhagic or ischemic. A hemorrhagic stroke is where there is bleeding in and amongst the environs of the brain. Ischemic strokes are the result of blockage or diminished flow to regions of the brain. Ultimately, a stroke is a pathological alteration of brain blood flow. ...Read more
Generally yes: When looking at populations of african americans, they tend to have risk factors for stroke such as hypertension and diabetes mellitus that are less well controlled than a similar population of whites. Some of this is due to insurance or the lack of, and all other other ills of medicine. Equalize the risk factors between whites and blacks, the risk for stroke is likely very similar. ...Read more
Risk factors include: Hypertension, diabetes, high blood fats (especially triglycerides), high homocysteine, cigarette smoking, alcohol abuse, drug abuse (especially sympathomimetic amines, like cocaine, speed), trauma (arterial dissection), arteritis or vasculitis (lupus, etc), vascular malformations (aneurysm, avm), emboli (distant blood clots from heart, or paradoxical like pfo), and genetic such as mthfr mutations. ...Read more
NUMEROUS: Most unusual would be in people in your age group and younger. Virtually, any neurological dysfunction could be associated with small cerebral infarct. In elderly, cognitive loss thought secondary to alzheimer's could be due to multiple lacunar strokes. A presentation of epilepsy in older folks often due to a stoke. Very complex area, best sources for more info, am heart assoc, and stroke ass. ...Read more
Some assoc w stroke: There are many answers to this. For one, strokes are related to other conditions, like high blood pressure and diabetes. Second, strokes may occur with heart disease as they have similar risk factors. Third, strokes that affect mobility put us at risk of other conditions, such as DVT and pressure sores. Strokes are also associated with depression, especially when people do not recover well. ...Read more