CEREBROVASCULAR DISEASE

Kelompok 6

Words Carification
Hemiparese Aphasia

Explanation & Clarification

Anatomy & Physiology Etiology Patophysiology Workup Complication

Anatomy & Physiology

Carotid System Vertebral System

Etiology
Atrial fibrillation Diabetes Family history of stroke High cholesterol Increasing age, especially after age 55 Race (black people are more likely to die of a stroke) Being overweight or obese Drinking heavily Eating too much fat or salt Smoking Taking cocaine and other illegal drugs

Patophysiology
Ischemic stroke may happen in two ways:
thrombotic stroke. embolic stroke. Ischemic strokes may be caused by clogged arteries. Fat, cholesterol, and other substances collect on the artery walls, forming a sticky substance called plaque.

Patophysiology
A hemorrhagic stroke occurs when a blood vessel in part of the brain becomes weak and bursts open, causing blood to leak into the brain:
Aneurysm Arteriovenous Malformation (AVM)

Workup
A stroke is a medical emergency
Treatment must begin within 3 hours of when the symptoms first started: CT scan must be done to see whether the stroke is from a clot or from bleeding If blood clot occurred, thrombolytic therapy may be used If bleeding occurred, surgery is often needed to remove blood from around the brain and to fix damaged blood vessels

The goal of treatment after a stroke is to help the patient recover as much function as possible and prevent future strokes.

Prognosis & Possible Complication

The type of stroke:
ischemic stroke have a better chance of surviving than those who have a hemorrhagic stroke

How much brain tissue is damaged What body functions have been affected How quick the patient get treated:
The risk for a second stroke is highest during the weeks or months after the first stroke. Then the risk begins to decrease

Complication:
Falls, loss of mobility & movement, problems speaking, understanding, thinking or focusing

Hypothesis

Conclusion

Refferences
http://www.meddean.luc.edu/lumen/MedEd/neuro/neurovasc/navigation 19 Oct 2011 http://missinglink.ucsf.edu/lm/ids_104_cns_injury/response%20_to_injury/Water shed.htm 19 Oct 2011 http://www.highlighthealth.com/wp-content/uploads/2008/01/cervicocerebralarteries.jpg 19 Oct 2011 http://medialibrary.stanford.edu/php/show_result.php?id=113 20 Oct 2011 http://www.heart-vessels.com/cardiovascular-diseases/stenosis-carotid-artery.php 20 Oct 2011 http://en.wikipedia.org/wiki/Posterior_cerebral_artery 20 Oct 2011 http://www.netterimages.com/image/1369.htm 20 Oct 2011 http://www.medicallecturenotes.com/2009/12/cerebrum-iii.html 20 Oct 2011 http://www.nlm.nih.gov/medlineplus/ency/article/000726.htm 26 Oct 2011 Harrisons Internal Medicine. 17th Ed. Mc Graw Hill Harsono (Ed.). Kapita Selekta Neurologi. Edisi 2. FKUGM: 2009

by : Nelson P.T.