Acute stroke patients

Common Questions and Answers about Acute stroke patients


Avatar n tn My mother recently suffered an acute stroke after a mini-stroke two weeks earlier. While at the hospital the neurologist told our family that had they known she had atrial fibrillation in her first mini-stroke, they would have prescribed coumadin and the acute stroke would likely have been prevented. I was told by a geriatric nurse practitioner friend that they should have done the Holter EKG rather than the short EKG as it would have detected the atrial fibrillation.
Avatar n tn In order to explore acupuncture treatment of stroke mechanism, China has done a lot of research work, and of many of the objective data. As of patients with acute EEG, cerebral blood flow, hemorheology indicators and serum lipoproteins, such as measured before and after the treatment, have shown a marked improvement.
Avatar n tn One study which was an individual patient data pooling analysis of clinical trials on oral citicholine in acute ischemic stroke reported that treatment with oral citicoline within the first 24 hours after onset in patients with moderate to severe stroke increases the probability of complete recovery at 3 months (Davalos, et al, 2002).
Avatar m tn Since then, clopidogrel has been approved for the reduction of atherosclerotic events in patients with acute coronary syndromes. Clopidogrel does not require routine blood monitoring. Overall tolerability associated with use of clopidogrel appears to be similar to that of aspirin; however, gastrointestinal bleeding may occur less often with clopidogrel.
Avatar n tn A patient who had suffered from a myocardial infarction would have an area of damaged heart muscle and so would have elevated cardiac troponin levels in the blood The following information would summarize the interesting facts for your clarity and better understanding. Acute MI immediately following t-PA treatment for stroke is a rare but serious complication.
Avatar f tn s medical condition has been stabilized, often within 24 to 48 hours after the stroke. Stroke patients often have some problem with depression as part of the recovery process. This needs to be recognized and treated. ( Take care and keep us posted.
Avatar m tn In the CAPRIE trial, clopidogrel (plavix) was equivalent to aspirin for patients with a recent (but not acute) MI. Some subgroups of patients with cardiovascular disease in this trial seemed to benefit more from clopidogrel than from aspirin: those with a history of bypass surgery, a prior stroke or MI, arterial disease in two or more areas, diabetes, or high cholesterol. Clopidogrel may be a reasonable choice for these patients.
Avatar f tn What has been your experience on going about picking the next facility for stroke survivors? My father-in-law had a stroke on January 31 and will be moved from a long-term acute center to a post-acute facility (since he is having his trach removed today - yay!). But I wanted to know of anyone's experience with research, visiting, choosing, and maybe having to adjust your plan once you got to the facility? I would love the good and bad that you have to offer.
Avatar n tn My mother suffered from a stroke(multifocal brain haemorrhage)after an attack of acute headache(migrainous) at the age of 35 years.she had hemiplegia left side from which she recovered partially..she is now 60 years old.she has been suffering from parasthesias since then which are extremely distressing and she describes it as a machine whirring continuously inside her mouth and limbs which keeps migrating also from 1 site to another She is a controlled diabetic and hypertensive.
Avatar n tn Your Mom has youth, awareness of the left side and family support on her side. I am a speech-language pathologist working in both the acute- rehab and acute settings. A good place to aim for is an acute-rehab facility. If your mom isn't too high level or low level (can't walk on her own, but can handle 3 hours of therapy a day) she may qualify for acute-rehab.
644988 tn?1236364548 Following yesterday (second time seeing patients) left work OK but talked myself into negatve spin on the way home, bumped car, house full of kids, tears started and wouldn't stop, coudn't speak to Cristina on phone, woke same today, slowed++, phoned Terri, spoke to her twice also Cristina called, this helped, made myself walk dog but a struggle. Sleep in afternoon was fitful and woke feeling a bit better. Mood lifted through the evening.
Avatar m tn Some stroke patients do appear to have 100 percent recovery. And many regain a great deal of their abilities. If the "stroke" is stabilized, and there is no further bleeding or clotting I would remain optimistic. Hope this helped and do keep us posted.
Avatar m tn Areas of diminished blood supply are reported in imaging studies. Therapy is focused on improving the blood supply. Thrombolysis is of net benefit in patients with acute ischaemic stroke, who are younger than 80 years of age and are treated within 4·5 hrs of occurrence of stroke. Plavix is given to prevent clot formation and to improve blood supply to the brain. Any systemic causes like diabetes and hypertension are adequately controlled.
Avatar n tn Hi. What type of "mini stroke" did the person have? Was the event a transient ischemic attack (TIA)? The Aerospace Medical Association ( is an international recognized authority with expertise in providing guidelines regarding traveling for persons with medical conditions.
534785 tn?1329592208 No evidence of acute transcortical infarct or intracranial hemorrhage. No intra-or extra-axial fluid collections. The basal cisterns are open. The calvarium is intact and there is no evidence of acute fracture. Visualized sinuses, mastoid air cells, and middle ear cavities are clear. Orbits are unremarkable. Impression: Focal region of hypodensity in the central pons, which may represent artifact. A lesion in this region would not explain the patient's symptoms.
Avatar n tn Depending on how an MRI scan is completed it can show both acute and chronic strokes. Radiologists comment on the fact that there is no acute stroke either to indicate that they did special imaging to look for an acute stroke, or because this is a common reason to obtain a MRI of the brain. Chronic strokes can be seen with standard MRI techniques, and therefore the comment normal MRI excludes the presence of chronic strokes.
Avatar n tn Beyond this time frame, little change was noted in the patients language function. In summary, initial severity of the stroke was the only clinically relevant predictor of outcome. Another study looking at stroke rehab found that patients with moderate defecits benefited from focuses rehab. Predictors of poor outcome included advanced age, severe stroke, and neuropsych defecits (such as depression).
220090 tn?1379167187 Imai, E, Yamamoto, R, Suzuki, H , Watanabe, T CLINICAL AND EXPERIMENTAL NEPHROLOGY 14 (5): 445-452 OCT 2010 Abstract: “Use of erythropoiesis-stimulating agents (ESA) has been reported to increase the incidence of cardiovascular diseases at target Hb levels by more than 12.0 g/dl. The recent TREAT study found an increased incidence of stroke and cancer when maintaining the Hb level at 12.5 g/dl in diabetic patients.
Avatar n tn The majority of migraine patients should have a fast-acting triptan as part of their acute treatment plan. Since you have had a stroke and have high blood pressure as well, triptans are probably not an option for you. Still, if you have never talked to your doctor about triptans, it would be worth having a conversation about them. Naproxen is another medication that many migraine patients should have as part of their acute treatment plan.
Avatar f tn This is the only MRI done since his initial stroke. The MRI showed old infarct in pons area + acute infarct in anterior portion of corpus callosum + subacute infarct in the other side of the corpus callosum. It also showed lesions in the thalamic portion + basil ganglia. The neurologist resident stated that my dad had a TIA (or stroke) 2 weeks prior to his stroke on February 19,09 (at home-it was never noticed).
Avatar f tn The goal for the acute management of patients with stroke is to stabilize the patient and to complete initial evaluation and diagnostics within a certain time frame after the patient arrives in the hospital. Depending on the results and evaluation of the attending physician, critical decisions may focus on the individualized management of each patient, whether blood pressure control or determination of risk/benefit for thrombolytic intervention are initiated.
Avatar m tn About a month ago I was admitted to hospital with severe vertigo and vomiting. Motor functions were fine but double vision for about a day and half. After all tests, radiologist and neurologist, based on MRI, concluded that I had a small vessel ischemic stroke event. I've been diagnosed with RRMS since 2003 and been on copaxone since then with virtually no new major MS events. I'm wondering if it really was a stroke or a new flare-up that has showed up on MRI in the pons area.