Stroke
- | ICD9 = - |
A
stroke, also known as
cerebrovascular accident (
CVA), is an acute neurologic injury whereby the
blood supply to a part of the
brain is interrupted. Stroke can also be said to be a syndrome of sudden loss of neuronal function due to disturbance in cerebral perfusion. This disturbance in perfusion is commonly on the arterial side of the circulation, but can be on the venous side.
The part of the brain with disturbed perfusion can no longer receive adequate oxygen carried by the blood; brain cells are therefore damaged or die, impairing function from that part of the brain. Stroke is a
medical emergency and can cause permanent neurologic damage or even death if not promptly diagnosed and treated. It is the third leading cause of
death and adult disability in the US and industrialized European nations. On average, a stroke occurs every 45 seconds and someone dies every 3 minutes. Of every 5 deaths from stroke, 2 occur in men and 3 in women.
Risk factors include advanced age,
hypertension (high blood pressure),
diabetes mellitus,
high cholesterol, and
cigarette smoking. Cigarette smoking is the most important modifiable risk factor of stroke.
The term "
brain attack" is starting to come into use in the United States for stroke, just as the term "heart attack" is used for
myocardial infarction, where a cutoff of blood causes
necrosis to the tissue of the
heart. Many hospitals have "brain attack" teams within their
neurology departments specifically for swift treatment of stroke.
Strokes can be classified into two major categories: ischemic and hemorrhagic.
Ischemia can be due to
thrombosis,
embolism, or systemic hypoperfusion.
Hemorrhage can be due to
intracerebral hemorrhage or
subarachnoid hemorrhage. ~80% of strokes are due to ischemia.
Ischemic stroke
In ischemic stroke, which occurs in approximately 85-90% of strokes, a
blood vessel becomes occluded and the blood supply to part of the brain is totally or partially blocked. Ischemic stroke is commonly divided into thrombotic stroke, embolic stroke, systemic hypoperfusion (Watershed or Border Zone stroke), or venous thrombosis
= Thrombotic stroke
=In thrombotic stroke, a
thrombus forming process develops in the affected artery and gradually the thrombusâ€"built up clotâ€"narrows the lumen of the artery and impedes blood flow to distal tissue. These clots usually form around
atherosclerotic plaques. Since occlusion of the artery is gradual, onset of symptomatic thrombotic strokes is slower. A thrombus itself (even if non-occluding) can lead to an embolic stroke (see below) if the thrombus breaks offâ€"at which point it is then called an "embolus." Thrombotic stroke can be divided into two types depending on the type of vessel the thrombus is formed on:
*
Large vessel disease involves the common and
internal carotids,
vertebral, and the
Circle of Willis. Diseases that may form thrombus in the large vessels include (in descending incidence):
**
Atherosclerosis** Vasoconstriction
**
Dissection**
Takayasu arteritis**
Giant cell arteritis** Arteritis/vasculitis
** Noninflammatory vasculopathy
**
Moyamoya syndrome**
Fibromuscular dysplasia *
Small vessel disease involves the intracerebral arteries, branches of the Circle of Willis,
middle cerebral artery stem, and arteries arising from the distal vertebral and
basilar artery. Diseases that may form thrombus in the small vessels include (in descending incidence):
** Lipohyalinosis (lipid hyaline build-up secondary to hypertension and aging) and fibrinoid degeneration. Stroke involving these vessels are known as
lacunar infarcts** Microatheromas from larger arteries that extend into the smaller arteries (atheromatous branch disease)
=Embolic stroke
=Embolic stroke refers to the blockage of arterial access to a part of the brain by an
embolus -- a travelling particle or debris in the arterial bloodstream originating from elsewhere. An embolus is most frequently a blood clot, but it can also be a plaque broken off from an
atherosclerotic blood vessel or a number of other substances including fat, air, and even
cancerous cells. Because an embolus arises from elsewhere, local therapy only solves the problem temporarily; source of the embolus must be identified. Because the embolic blockage is sudden in onset, symptoms usually are maximal at start. Also, symptoms may be transient as the embolus lyses and moves to a different location or dissipates altogether. Embolic stroke can be divided into four categories:
* those with known cardiac source
* those with potential cardiac or aortic source (from
transthoracic or
transesophageal echocardiogram)
* those with an arterial source
* those with unknown sourceHigh risk cardiac causes include:
*
Atrial fibrillation and
paroxysmal atrial fibrillation* Rheumatic mitral or aortic valve disease
* Bioprosthetic and mechanical heart valves
* Atrial or ventricular thrombus
*
Sick sinus syndrome* Sustained
atrial flutter* Recent
myocardial infarction (within one month)
* Chronic myocardial infarction together with
ejection fraction <28 percent
* Symptomatic
congestive heart failure with ejection fraction <30 percent
*
Dilated cardiomyopathy*
Libman-Sacks endocarditis*
Antiphospholipid syndrome*
Marantic endocarditis from cancer
*
Infective endocarditis*
Papillary fibroelastoma*
Left atrial myxoma*
Coronary artery bypass graft (
CABG) surgeryPotential cardiac causes include:
*
Mitral annular calcification*
Patent foramen ovale* Atrial septal
aneurysm* Atrial septal aneurysm with patent foramen ovale
* Left ventricular aneurysm without thrombus
* Isolated left atrial smoke on echocardiography (no mitral stenosis or atrial fibrillation)
* Complex atheroma in the ascending aorta or proximal arch
=Systemic hypoperfusion is the reduction of blood flow to all parts of the body. It is most commonly due to cardiac pump failure from cardiac arrest or arrhythmias, or from reduced
cardiac output as a result of
myocardial infarction,
pulmonary embolism,
pericardial effusion, or bleeding.
Hypoxemia (low blood oxygen content) may precipitate the hypoperfusion. Because the reduction in blood flow is global, all parts of the brain may be affected, especially "watershed" areas --- border zone regions supplied by the major cerebral arteries. Blood flow to these areas does not necessarily stop, but instead it may lessen to the point where brain damage can occur.
=Venous thrombosis
=Veins in the brain function to drain the blood back to the body. When veins are occluded due to thrombosis, the draining of blood is blocked and the blood backs up, causing cerebral edema. This can result in both ischemic and hemorrhagic strokes. This commonly occurs in the rare disease
sinus vein thrombosis.
Hemorrhagic stroke
A hemorrhagic stroke, or
cerebral hemorrhage, is a form of stroke that occurs when a blood vessel in the brain ruptures or bleeds. Like ischemic strokes, hemorrhagic strokes interrupt the brain's blood supply because the bleeding vessel can no longer carry the blood to its target tissue. In addition, blood irritates brain tissue, disrupting the delicate chemical balance, and, if the bleeding continues, it can cause increased intracranial pressure which physically impinges on brain tissue and restricts blood flow into the brain. In this respect, hemorrhagic strokes are more dangerous than their more common counterpart, ischemic strokes. There are two types of hemorrhagic stroke: intracerebral hemorrhage, and subarachnoid hemorrhage.
=Intracerebral hemorrhage
=
Intracerebral hemorrhage (ICH) is bleeding directly into the brain tissue, forming a gradually enlarging
hematoma (pooling of blood). It generally occurs in small arteries or arterioles and is commonly due to
hypertension, trauma, bleeding disorders,
amyloid angiopathy, illicit drug use (
amphetamines and
cocaine), and vascular malformations. The hematoma enlarges until pressure from surrounding tissue limits its growth, or until it decompresses by emptying into the ventricular system,
CSF or the surface. A third of intracerebral bleed is into the brain's ventricles. ICH has a mortality rate of 44 percent after 30 days, higher than ischemic stroke or even the very deadly subarachnoid hemorrhage.
=Subarachnoid hemorrhage
=
Subarachnoid hemorrhage (SAH) is bleeding into the
cerebrospinal fluid (CSF) of the
subarachnoid space surrounding the brain. The two most common causes of SAH are rupture of
aneurysms from the base of the brain and bleeding from
vascular malformations near the pial surface. Bleeding into the CSF from a ruptured aneurysm occurs very quickly, causing rapidly increased
intracranial pressure. The bleeding usually only lasts a few seconds but rebleeding is common. Death or deep coma ensues if the bleeding continues. Hemorrhage from other sources is less abrupt and may continue for a longer period of time. SAH has a 40% mortality over 30 day period.
The symptoms of stroke depend on the type of stroke and the area of the brain affected. Ischemic strokes usually only affect regional areas of the brain perfused by the blocked artery. Hemorrhagic strokes can affect local areas, but often can also cause more global symptoms due to bleeding and increased intracranial pressure.
If the area of the brain affected contains one of the three prominent
Central nervous system pathways -- the
spinothalamic tract,
corticospinal tract, and
dorsal column (
medial lemniscus), symptoms may include:
* muscle weakness or numbness (
hemiplegia)
* reduction of pain or temperature sensation
* reduction in sensory or vibratory sensationIn most cases, the symptoms affect one side of the body, from the neck downwards, excluding the face. The defect in the brain is
usually on the opposite side of the body (depending on which part of the brain is affected). However, the presence of any one of these symptoms does not necessarily suggest a stroke, since these pathways also travel in the
spinal cord and any lesion there can also produce these symptoms.
In addition to the above CNS pathways, the
brainstem also consists of the 12
cranial nerves. A stroke affecting the brainstem therefore can produce symptoms relating to deficits in these cranial nerves:
* altered smell, taste, hearing, or vision (total or partial)
* drooping of eyelid (
ptosis) and weakness of ocular muscles
* decreased reflexes: gag, swallow, pupil reactivity to light
* decreased sensation and muscle weakness of the face
* balance problems and
nystagmus* altered breathing and heart rate
* weakness in
sternocleidomastoid muscle (SCM) with inability to turn head to one side
* weakness in tongue (inability to protrude and/or move from side to side)
If the
cerebral cortex is involved, the CNS pathways can again be affected, but also can produce the following symptoms:
*
aphasia (inability to speak or understand language from involvement of
Broca's or
Wernicke's area)
*
apraxia (altered voluntary movements)
* disorganized thinking, confusion, hypersexual gestures (with involvement of frontal lobe)
* altered vision (involvement of occipital lobe)
* memory deficits (involvement of temporal lobe)
* hemineglect (involvement of parietal lobe)
If the
cerebellum is involved, the patient may have the following:
* trouble walking
* altered movement coordination
* dizziness
Loss of consciousness, headache, and vomiting usually occurs more often in hemorrhagic stroke than in thrombosis because of the increased intracranial pressure from the leaking blood compressing on the brain.
If symptoms are maximal at onset, the cause is more likely to be a subarachnoid hemorrhage or an embolic stroke.
Subarachnoid hemorrhage
The symptoms of SAH occur abruptly due to the sudden onset of increased intracranial pressure. Often, patients complain of a sudden, extremely severe and widespread headache. The pain may or may not radiate down into neck and legs. Vomiting soon occurs after the onset of headache. Usually the neurologic exam is nonfocal - unless the bleeding also occurs into the brain. The combination of headache and vomiting is uncommon in ischemic stroke.
Transient ischemic attack (TIA)
If the symptoms resolve within an hour, or maximum 24 hours, the diagnosis is
transient ischemic attack (TIA), and not a stroke. This syndrome may be a warning sign, and a large proportion of patients develop strokes in the future. Recent data indicate that there is about a ten to fifteen percent chance of suffering a stroke in the year following a TIA, with half of that risk manifest in the first month, and, further, with much of that risk manifest in the first 48 hours. The chances of suffering an
ischemic stroke can be reduced by using
aspirin or related compounds such as clopidogrel, which inhibit platelets from aggregating and forming obstructive clots; but, for the same reason, such treatments (slightly) increase the likelihood and effects of
hemorrhagic stroke since they impair clotting.
Stroke is diagnosed through several techniques: a neurological examination,
blood tests,
CT scans (without contrast enhancements) or
MRI scans,
Doppler ultrasound, and
arteriography.
If a stroke is confirmed on imaging, various other studies may be performed to determine whether there is a peripheral source of
emboli:
* an
ultrasound/doppler study of the
carotid arteries (to detect
carotid stenosis)
* an
electrocardiogram (ECG) and
echocardiogram (to identify
arrhythmias and resultant clots in the heart which may spread to the brain vessels through the bloodstream)
* a
Holter monitor study to identify intermittent arrhythmias
* an
angiogram of the cerebral vasculature (if a bleed is thought to have originated from an aneurysm or arteriovenous malformation)
Early assessment
It is important to identify a stroke as early as possible because patients who are treated earlier are more likely to survive and have better recoveries.
If a patient is suspected of having a stroke, emergency services should be contacted immediately. The patient should be transported to the nearest hospital that can provide a rapid evaluation and treatment with the latest available therapies targeted to the type of stroke. The faster these therapies are started for hemorrhagic and ischemic stroke, the chances for recovery from each type improves greatly. Quick decisions about medication and the need for surgery have been shown to improve outcome.
Only detailed
physical examination and
medical imaging provide information on the presence, type, and extent of stroke.
Studies show that patients treated in hospitals with a dedicated Stroke Team or Stroke Unit and a specialized care program for stroke patients have improved odds of recovery.
Ischemic stroke
As ischemic stroke is due to a
thrombus (blood clot) occluding a cerebral artery, a patient is given
antiplatelet medication (
aspirin,
clopidogrel,
dipyridamole), or
anticoagulant medication (
warfarin), dependent on the cause, when this type of stroke has been found. Hemorrhagic stroke must be ruled out with medical imaging, since this therapy would be harmful to patients with that type of stroke.
In increasing numbers of primary stroke centers, pharmacologic
thrombolysis ("clot busting") is used to dissolve the clot and unblock the artery. However, there is a time constraint: the more time that goes by, the more brain that has irreversibly died. There is also a small risk of making the patient worse by causing bleeding. When used within the first 3 hours, thrombolysis improves the outcome in 1 of every 3.1 patients and worsens the outcome in 1 in every 32 patients. The routine use of thrombolysis is not approved beyond 3 hours. As an easily administered therapy that can be given at any hospital with a CAT scanner, thrombolysis is available at most hospitals in the US, but not where no institutional commitment to stroke care has occurred.
Another intervention for acute ischemic stroke is removal of the offending thrombus directly. This is accomplished by inserting a catheter into the femoral artery, directing it up into the cerebral circulation, and deploying a corkscrew-like device to ensnare the clot, which is then withdrawn from the body. In August 2004, the FDA cleared one such device, called the
Merci Retriever.
Whether thrombolysis is performed or not, the following investigations are required:
* Stroke symptoms are documented, often using scoring systems such as the
National Institutes of Health Stroke Scale, the
Cincinnati Stroke Scale, and the
Los Angeles Prehospital Stroke Screen. The latter is used by
emergency medical technicians (EMTs) to determine whether a patient needs transport to a stroke center.
* A
CT scan is performed to rule out hemorrhagic stroke
*
Blood tests, such as a
full blood count,
coagulation studies (
PT/INR and
APTT), and tests of
electrolytes,
renal function,
liver function tests and
glucose levels are carried out.
Other immediate strategies to protect the brain during stroke include ensuring that blood sugar is as normal as possible (such as commencement of an
insulin sliding scale in known
diabetics), and that the stroke patient is receiving adequate
oxygen and
intravenous fluids. The patient may be positioned so that his or her head is flat on the stretcher, rather than sitting up, since studies have shown that this increases blood flow to the brain. Additional therapies for ischemic stroke include
aspirin (50 to 325 mg daily),
clopidogrel (75 mg daily), and combined aspirin and
dipyridamole extended release (25/200 mg twice daily).
It is common for the
blood pressure to be
elevated immediately following a stroke. Studies indicated that while high blood pressure causes stroke, it is actually beneficial in the emergency period to allow better blood flow to the brain.
If studies show
carotid stenosis, and the patient has residual function in the affected side,
carotid endarterectomy (surgical removal of the stenosis) may decrease the risk of recurrence.
If the stroke has been the result of
cardiac arrhythmia (such as
atrial fibrillation) with cardiogenic emboli, treatment of the arrhythmia and
anticoagulation with
warfarin or high-dose aspirin may decrease the risk of recurrence.
Hemorrhagic stroke
Patients with bleeding into (
intracerebral hemorrhage) or around the brain (
subarachnoid hemorrhage), require
neurosurgical evaluation to detect and treat the cause of the bleeding. Anticoagulants and antithrombotics, key in treating ischemic stroke, can make bleeding worse and cannot be used in intracerebral hemorrhage. Patients are monitored and their blood pressure, blood sugar, and oxygenation are kept at optimum levels.
Care and rehabilitation
Stroke rehabilitation is the process by which patients with disabling strokes undergo treatment to help them return to normal life as much as possible by regaining and relearning the skills of everyday living. It also aims to help the survivor understand and adapt to difficulties, prevent secondary complications and educate family members to play a supporting role.
A rehabilitation team is usually multidisciplinary as it involves staff with different skills working together to help the patient. These include nursing staff,
physiotherapy,
occupational therapy,
speech and language therapy, and usually a
physician trained in
rehabilitation medicine. Some teams may also include
psychologists,
social workers, and
pharmacists since at least one third of the patients manifest
post stroke depression.
Good nursing care is fundamental in maintaining skin care, feeding, hydration, positioning, and monitoring vital signs such as temperature, pulse, and blood pressure. Stroke rehabilitation begins almost immediately.
For most stroke patients,
physical therapy is the cornerstone of the rehabilitation process. Often,
assistive technology such as a
wheelchair and
standing frame may be beneficial. Another type of therapy involving relearning daily activities is
occupational therapy (OT). OT involves exercise and training to help the stroke patient relearn everyday activities sometimes called the
Activities of daily living (ADLs) such as eating, drinking and swallowing, dressing, bathing, cooking, reading and writing, and toileting.
Speech and language therapy is appropriate for patients with problems understanding speech or written words, or problems forming speech.
Patients may have particular problems, such as complete or partial inability to swallow, which can cause swallowed material to pass into the lungs and cause
aspiration pneumonia. The condition may improve with time, but in the interim, a nasogastric tube may be inserted, enabling liquid food to be given directly into the stomach. If swallowing is still unsafe after a week, then a
percutaneous endoscopic gastrostomy (PEG) tube is passed and this can remain indefinitely.
Stroke rehabilitation can last anywhere from a few days to several months. Most return of function is seen in the first few days and weeks, and then improvement falls off. Complete recovery is unusual but not impossible. Most patients will improve to some extent.
Disability affects 75% of stroke survivors enough to decrease their employability.
Stroke can affect patients physically, mentally, emotionally, or a combination of the three. The results of stroke vary widely depending on size and location of the lesion.
Dysfunctions correspond to areas in the brain that have been damaged.
Some of the physical disabilities that can result from stroke include
paralysis, numbness,
pressure sores,
pneumonia,
incontinence,
apraxia (inability to perform learned movements), difficulties carrying out daily activities, appetite loss, vision loss, and
pain. If the stroke is severe enough,
coma or
death can result.
Emotional problems resulting from stroke can result from direct damage to emotional centers in the brain or from frustration and difficulty adapting to new limitations. Post-stroke emotional difficulties include
anxiety,
panic attacks,
flat affect (failure to express emotions),
mania, apathy, and
psychosis.
30 to 50% of stroke survivors suffer post stroke
depression (
Post stroke depression), which is characterized by lethargy, irritability, sleep disturbances, lowered self esteem, and withdrawal.
Depression can reduce motivation and worsen outcome, but can be treated with
antidepressants.
Emotional lability, another consequence of stroke, causes the patient to switch quickly between emotional highs and lows and to express emotions inappropriately, for instance with an excess of laughing or crying with little or no provocation. While these expressions of emotion usually correspond to the patient's actual emotions, a more severe form of emotional lability causes patients to laugh and cry pathologically, without regard to context or emotion.
Some patients show the opposite of what they feel, for example crying when they are happy.
Emotional lability occurs in about 20% of stroke patients.
Cognitive deficits resulting from stroke include perceptual disorders, speech problems,
dementia, and problems with attention and memory. A stroke sufferer may be perpetually unaware of his or her own disabilities or even the fact that he or she has suffered a stroke. In a condition called
agnosia, or neglect, a patient is unable to see anything on the left or right side and is unaware of and unable to conceive of anything on the neglected side.
Up to 10% of all stroke patients develop
seizures, most commonly in the week subsequent to the event; the severity of the stroke increases the likelihood of a seizure
[Reith J, Jorgensen HS, Nakayama H, Raaschou HO, Olsen TS. Seizures in acute stroke: predictors and prognostic significance. The Copenhagen Stroke Study. Stroke 1997;28:1585-9. PMID 9259753.][Burn J, Dennis M, Bamford J, Sandercock P, Wade D, Warlow C. Epileptic seizures after a first stroke: the Oxfordshire Community Stroke Project. BMJ 1997;315:1582-7. PMID 9437276.].
The most important risk factors for stroke are hypertension, heart disease, diabetes, and cigarette smoking. Other risks include heavy alcohol consumption (see
Alcohol consumption and health), high blood cholesterol levels, illicit drug use
Needs Citation, and genetic or congenital conditions. Family members may have a genetic tendency for stroke or share a lifestyle that contributes to stroke. Having had a stroke in the past greatly increases one's risk of future strokes.
One of the most significant stroke risk factors is advanced age. 95% of strokes occur in people age 45 and older, and two-thirds of strokes occur in those over the age of 65. -->
A person's risk of dying if he or she does have a stroke also increases with age. However, stroke can occur at any age, including in fetuses.
Sickle cell anemia, which can cause blood cells to clump up and block blood vessels, also increases stroke risk. Stroke is the second leading killer of people under 20 who suffer from sickle-cell anemia.
Men are 1.25 times more likely to suffer CVAs than women,
Some risk factors for stroke apply only to women. Primary among these are pregnancy, childbirth, menopause and the treatment thereof (
HRT). Stroke seems to run in some families.
Prevention is an important public health concern. Identification of patients with treatable risk factors for stroke is paramount. Treatment of risk factors in patients who have already had strokes (secondary prevention) is also very important as they are at high risk of subsequent events compared with those who have never had a stroke. Medication or drug therapy is the most common method of stroke prevention. Aspirin (usually at a low dose of 75 mg) is recommended for the primary and secondary prevention of stroke. Treating
hypertension,
diabetes mellitus, smoking cessation, control of
hypercholesterolemia, physical exercise, and avoidance of illicit drugs and excessive alcohol consumption are all recommended ways of reducing the risk of stroke.[
1]
In patients who have strokes due to abnormalities of the heart, such as
atrial fibrillation,
anticoagulation with medications such as warfarin is often necessary for stroke prevention.[
2]
Procedures such as
carotid endarterectomy or carotid
angioplasty can be used to remove significant atherosclerotic narrowing (stenosis) of the
carotid artery, which supplies blood to the brain. These procedures have been shown to prevent stroke in certain patients, especially where carotid stenosis leads to
ischemic events such as
transient ischemic attack.
Ischemic stroke occurs due to a loss of blood supply to part of the brain. Brain tissue ceases to function if deprived of oxygen for more than 60 to 90 seconds and after a few minutes will suffer irreversible injury possibly leading to a death of the tissue, i.e.,
infarction.
Atherosclerosis may disrupt the blood supply by narrowing the lumen of blood vessels leading to a reduction of blood flow, by causing the formation of blood clots within the vessel, or by releasing showers of small
emboli through the disintegration of atherosclerotic plaques. Embolic infarction occurs when emboli formed elsewhere in the circulatory system, usually in the heart, lodge in and occlude brain blood vessels.
Within the region of brain tissue affected by ischemia there is a spectrum of severity of the ischemia such that part of the tissue may immediately die while other parts may only be injured and could potentially recover. The ischemia area where tissue might recover is referred to as the
ischemic penumbra.
As oxygen or glucose becomes depleted in ischemic brain tissue, the production of high energy phosphate compounds such as adenine triphosphate (ATP) fails leading to failure of energy dependent processes necessary for tissue cell survival. This sets off a series of interrelated events that result in cellular injury and death. Among these is the loss of membrane ion pump function that leads to electrolyte imbalances in brain cells, the release of excitatory neurotransmitters, which have toxic effects in excessive concentrations, the release of oxygen free radicals that react with and damage a number of cellular elements, and the failure of
mitochondria, which can lead further toward energy depletion and may trigger cell death due to
apoptosis..
These processes are the same for any type of ischemic tissue and are referred to collectively as the
ischemic cascade. However, brain tissue is especially vulnerable to ischemia since it has little respiratory reserve and is completely dependent on
aerobic metabolism, unlike most other organs.
Brain tissue survival can be improved to some extent if one or more of these processes is inhibited. Drugs that reduce oxygen free radicals, inhibit apoptosis, or inhibit excitotoxic neurotransmitters, for example, have been shown experimentally to reduce tissue injury due to ischemia. Agents that work in this way are referred to as being
neuroprotective. However, no neuroprotective agents have been shown to be effective in humans..
In addition to injurious effects on brain cells, ischemia and infarction can result in loss of structural integrity of brain tissue and blood vessels, partly through the release of matrix metalloproteases, which are zinc- and calcium-dependent enzymes that break down collagen, hyaluronic acid, and other elements of connective tissue. Other proteases also contribute to this process. The loss of vascular structural integrity results in a breakdown of the protective
blood brain barrier that contributes to
cerebral edema, which can cause secondary progression of the brain injury.
As is the case with any type of brain injury, the
immune system is activated by cerebral infarction and may under some circumstances exacerbate the injury caused by the infarction. Inhibition of the inflammatory response has been shown experimentally to reduce tissue injury due to cerebral infarction, but this has not proved out in clinical studies.
Hemorrhagic strokes result in tissue injury by causing compression of tissue from an expanding
hematoma or hematomas. This can distort and injure tissue. In addition, the pressure may lead to a loss of blood supply to affected tissue with resulting infarction, and the blood released by brain hemorrhage appears to have direct toxic effects on brain tissue and vasculature.
Stroke will soon be the most common cause of death worldwide
[. Stroke is the third leading cause of death in the Western world, after heart disease and cancer]
In 1658, in his Apoplexia, Johann Jacob Wepfer (1620-1695) identified the cause of hemorrhagic stroke when he suggested that people who had died of apoplexy had bleeding in their brains.
* Apoplexy
* Subclavian steal syndrome
* * The original text for this article was taken from the National Institute of Neurological Disorders and Stroke public domain resource at this page
* StrokEngine (McGill University, Montreal, Quebec, Canada) "This site focuses on stroke rehabilitation and interventions. Information is derived from quality articles, websites and systematic reviews. All have been reviewed using a systematic process."
* Ischemic stroke - MedLink Neurology Clinical Summary
* Cerebrovascular disease and risk of stroke
* Stroke Center of the Washington University School of Medicine
* Cerebrovascular Disorder Help & Information Site
* Stroke Engine. Heart and Stroke Foundation of Canada. Edited by a consorsium of researchers of McGill University, Canada. Information on stroke rehabilitation.
* American Stroke Association
* The Stroke Association UK
* The Brain Injury Association of Queensland Australia
* The Stroke Center at Cedars-Sinai Medical Center
* Stroke recovery in plain english has great resources that laypeople can understand.
