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The European Cooperative Acute Stroke Study (ECASS 3): Results of a Randomized Trial


Title:
The European Cooperative Acute Stroke Study (ECASS 3): Results of a Randomized Trial

Description:
In his latest video blog, Dr. Alberts discusses the results from The European Cooperative Acute Stroke Study (ECASS 3).

Author:
medvidblog

Tags:
hemorrhage, hemorrhages, hemorrhagic, intracerebral, therapy, thrombolytic,

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Contributed by: (http://www.india-herbs.com): What is a stroke? A stroke is serious - just like a heart attack. A stroke is sometimes called a "brain attack." Most often, stroke occurs when blood flow to the brain stops because it is blocked by a clot. The brain cells in the immediate area begin to die because they stop getting the oxygen and nutrients they need to function. What causes a stroke? There are two kinds of stroke. The most common kind of stroke, called ischemic stroke, is caused by a blood clot that blocks or plugs a blood vessel in the brain. The other kind of stroke, called hemorrhagic stroke, is caused by a blood vessel that breaks and bleeds into the brain. Know the Signs. Act in Time Stroke Symptoms  Sudden numbness or weakness of the face, arm, or leg (especially on one side of the body)  Sudden confusion, trouble speaking or understanding speech  Sudden trouble seeing in one or both eyes  Sudden trouble walking, dizziness, loss of balance or coordination  Sudden severe headache with no known cause Causes of stroke There are two main causes of stroke 1. The most common type of stroke is a blockage. This is called an ischaemic stroke, which happens when a clot blocks an artery that carries blood to the brain. It may be caused by: a cerebral thrombosis, when a blood clot (thrombus) forms in a main artery to the brain; a cerebral embolism, when a blockage caused by a blood clot, air bubble or fat globule (embolism) forms in a blood vessel somewhere else in the body and is carried in the bloodstream to the brain; or a blockage in the tiny blood vessels deep within the brain (lacunar stroke). 2. The second type of stroke is a bleed, when a blood vessel bursts, causing bleeding (haemorrhage) into the brain. This is called a haemorrhagic stroke. It may be caused by: an intracerebral haemorrhage, when a blood vessel bursts within the brain; or a subarachnoid haemorrhage, when a blood vessel on the surface of the brain bleeds into the area between the brain and the skull (subarachnoid space). How is a stroke diagnosed? Time is critical in diagnosing and treating a stroke. The first step will be a physical exam and tests of your brain function, followed by a type of X-ray called a CT scan of the brain to establish the type of stroke-ischemic or hemorrhagic. This distinction is critical because the medicine given for an ischemic stroke (tissue plasminogen activator, or t-PA) could be life-threatening if given to someone with a hemorrhagic stroke (bleeding in the brain). A prompt diagnosis is also crucial because t-PA should be given within 3 hours of when your symptoms began. How is it treated? Ischemic stroke: Doctors will first stabilize your condition and try to restore or improve blood flow to the brain. If less than 3 hours have passed since your symptoms began, tissue plasminogen activator (t-PA), a clot-dissolving medicine, may be given. Research shows that the medicine can improve recovery from a stroke, especially if given within 90 minutes of your first symptoms.1 Hemorrhagic stroke: Treatment for a hemorrhagic stroke is difficult. It includes monitoring and controlling bleeding and pressure in the brain and other efforts to stabilize vital signs, especially blood pressure. After your initial emergency treatment, health professionals will focus on preventing complications such as pneumonia and future strokes. Your health professional will also involve you in a stroke rehabilitation program as soon as possible. Can I prevent a stroke? You can help prevent a stroke by eliminating risk factors. You may lower your risk of stroke if you can control certain diseases or conditions. These include: • High blood pressure (hypertension). High blood pressure is the second most important stroke risk factor after age. • Diabetes. Having diabetes doubles your risk for stroke because of the circulation problems associated with the disease.2 • High cholesterol. High cholesterol can lead to hardening of your arteries (atherosclerosis). Hardening of the arteries can cause coronary artery disease and heart attack, which can damage the heart muscle and increase your risk of stroke.
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