Emedicine acute stroke management
Common Questions and Answers about Emedicine acute stroke management
stroke
Rapid assessment of acute ischemia is critical for the management of acute stroke patiens who may benefit from thrombolytics or neuroprotective therapeutics. Differentiation of acute from chronic stroke, which may all appear hyperintense on T2- Weighted Imaging(T2WI ), is essential in determining the management of patiens.
Look on google or emedicine or search archives of this forum to learn more. See an ophthalmologist to make sure it is not a retinal or vitreous detachment or a transient ischemic attack.
As my father is affected by Acute Brain Stem Infarct (Pontine Stem Stroke) which has all the vital functions like breathing, swallowing, sleeping, thinking, movements etc. He got the stroke on 2nd Mar 2012 and now he is able to breath by himself. Swallowing is not properly done, so Ryle's tube is inserted through the nose for his feed. He is not able to move and he is bed - ridden.
On 26th Mar 2013 he vomited some black particles through the Treacheostomy tube.
then pain moved into down my arm the pcp got a nerve conduction test no nerve damage progressed into major muscle spasm tightness of neck always put my head to one aide atiff spasm started in my leggs left side went numb blurred vision like a stroke was not a stroke now have to see a nurologist put me on steroids stopped. Muscle spasms and now sudden jerks had put me on a med thats stops my movemnts all doctors say it sounds like ms .i honestly.
Hello,
I'm writing on behalf of my sister, who has been experiencing a series of puzzling health problems following a recent brain stroke. Despite multiple visits to doctors, we haven't been able to pinpoint the cause or find effective treatments. I'm hoping to gather insights or suggestions from this community.
Here are some key details about her situation:
- Low ferritin levels (3.5 ng/ml)
- Low transferrin saturation (4.4%)
- Low iron (18.
If you have anything where all the vision goes out in the eye or you have stroke like symptoms ( slurred speech, trouble moving arms, legs, trouble with balance, etc) you need to call 911 or have someone take you to an ER immediately. There are some causes of this that are not ultra serious but the serious causes need to be ruled out first. You can read more about TIA on WebMD or emedicine.
Unfortunately To date, there have been no studies that have evaluated either the prevention or the management of delirium post-stroke. I agree with the doctors as the time taken for recovery may be in months or even years. But preventing malnutrition and removal of the cause of stroke helps in quick recovery.
It is very difficult to precisely confirm a diagnosis without examination and investigations and the answer is based on the medical information provided.
The onset of pain under any circumstance shouldn't be ignored. I highly recommend that you pay a visit to your doctor as soon as possible.
That said, I'm not sure why your post bears the title "Stroke". Strokes usually present over the course of several hours and involve a plethora of neurological symptoms, like confusion, difficulty speaking, memory loss, sudden lethargy, tingling or numbness down one side of the body, and sometimes a sharp pain in the head.
My dad in Indonesia, 63 years old, is currently in hospital due to stroke (brainsteam?) since a month ago. Based on what I heard, I am in usa, he is currently physically getting better. He can write and move his hand/foot. However, he still can not breath by himself and rely on the ventilator although the doctor did tracheotomy. Everytime, the ventilator is taken out and replace with the oxygen, he start having difficulty to breath.
Once again thank you for your kindness in answering me . Yesterday I had a meeing with eventually the dr,the physio ,nurse stroke management team social worker,& chaplain, the speech therapist. I was shown the catscan & now know how massive a stroke it was--it took out the complete right side of brain & enveloped the main artery in the brain.
If there was evidence of an acute stroke on the MRI, investigation for causes of stroke in a young person (of which there are many many causes including blood clots from various areas of the body including heart and legs, various clotting tendencies including the clotting tendency that occurs in all women around pregnancy but also other hereditary or non-hereditary clotting disorders, and some genetic disorders such as CADASIL and mitochondrial disorders).
My mother suffered an acute subdural hematoma after falling down the stairs, hitting her head. She had surgery to drain the blood within a 2 hour window.
Her recovery was outstanding at first, and was sent home a week later. She seemed to be pretty close to 100% mentally - able to carry on inteligent conversations with no problems.
All of a sudden a couple days after she had been taken home, she began to be unable to "spit out" what she was trying to say.
anyways my question is about acute relapses i awoke at approx.
The next day he woke up with the same symptoms as the stroke 6 years ago and we assumed he had another stroke. The MRI, CTScan shows no new stroke, but his symptoms continue and he doesn't seem to be getting much better. He has lost his job due to the memory loss issues. Any thoughts on what could have happened? We are seeing a neuropsychologist.
So even neurologists and others who specialize in stroke management will not give a prognosis as to outcome or time.
There are several different types of botulinum toxin used in pain management, Botox being just one of them. Seizures from treatment with botulinum toxin are a rare side effect, but certainly worth discussing with your doctor(s). As with any treatment, there are risks. You just have to weigh those against the possible benefits.
The doctors are recommending surgery on the right side first, since that is the side of the stroke. She was moved to acute rehab first to get stronger and to give a diagnosed UTI time to clear up. Is there a time frame for the most success for both cardioid surgeries. The surgeon said 1-2 weeks after the stroke and neurologist said it is elective and can be done in a few weeks after she gets stronger.
I was curious if the standard, acute treatment for a hemorrhagic stroke included an emergency vent shunt.
My sixty one year old father suffered a severe hemorrhagic stroke 10 months ago. He received a CT scan upon arrival at the emergency room where they determined he had a hemorrhagic stroke. At that point he was considered a 3 on the Glasgow coma scale.
Recommended
