DISEASE CONDITION

CEREBRAL VASCULAR ACCIDENT

Definition :

A stroke is an interruption of the blood supply to any part of the brain resulting in a sudden
loss of brain function. A stroke is something called a ‘brain attack’ It occur when blood flow
to a part of the brain is suddenly stopped and oxygen cannot get to that part. This lack of
oxygen may damage or kill the brain cells. Death of a part of the brain may lead to loss of
certain body function controlled by that effected part. Blood flow can be compromised by
variety of mechanisms.

Causes :

Book Picture Patient Picture

Transient ischemic attack
Absent
Cerebral thrombosis Absent

Cerebral embolism Present

Cerebral hemorrhage Absent

hypertension present

Heart disease Present

Clinical Manifestation :

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Confusion Present

Dysphagia present

Dysarthria Present

Vision losss Absent

Weakness Present

Weight loss present

Diagnostic Evaluation

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Complete physical and neurological exam Present

Computerize tomography Present

Computerize tomography with angiography present

Conventional angiogram Absent

Blood chemistry tests Present
Heart test Present

Carotid Doppler Ultrasound Present

Management :

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Thrombolytic medicine Absent

Anticoagulant medicine Present

Opioid analgesics Present

Anti-inflammatory drugs Present

Oxygen therapy Present

Surgical Management :

 Carotid endarterectomy

COMPLICATION

1. Irregular heart rhythms

2. Decrease alertness
3. Lung infection
4. Poor bladder function
5. Systemic infection
6. Poor healing