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Hemorrhagic stroke

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20% of strokes are hemorrhagic Types of hemorrhagic stroke intracerebral hemorrhage subarachnoid hemorrhage Worldwide statistics WHO: ... – PowerPoint PPT presentation

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Title: Hemorrhagic stroke


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Hemorrhagic stroke
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Alternative names   
  • brain bleeding
  • brain hemorrhage
  • stroke hemorrhagic
  • hemorrhagic cerebrovascular disease

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Definition
  • Hemorrhagic stroke occurs when a blood vessel
    bursts inside the brain.
  • 20 of strokes are hemorrhagic

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Types of hemorrhagic stroke
  • intracerebral hemorrhage
  • subarachnoid hemorrhage

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Worldwide statistics
  • WHO 15 million people suffer a stroke each year
  • 5 million die
  • 5 million permanently disabled.
  • high blood pressure contributes to over 12.7
    million strokes worldwide
  • Europe approximately 650,000 stroke deaths each
    year
  • risk of stroke in blacks almost twice that of
    whites
  • in developed countries incidence of stroke
    declining due to efforts to lower blood pressure
    and reduce smoking
  • overall rate of stroke high due to the aging of
    the population

9
Causes
  • high blood pressure- hypertension (ICH)
  • trauma
  • infections
  • tumors
  • blood-clotting deficiencies
  • abnormalities in blood vessels (arteriovenous
    malformations)
  • Aneurysm (SAH)
  • accumulation of amyloid
  • drugs - cocaine

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Warning signs and symptoms
  • sudden trouble seeing in one or both eyes
  • sudden confusion, trouble speaking or
    understanding
  • sudden trouble walking, dizziness, loss of
    balance or coordination
  • sudden severe headache with no known cause
  • sudden numbness or weakness of face, arm or leg,
    especially on one side of the body

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Think FAST
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Exams and tests
  • neurologic exam
  • CT scan
  • MRI
  • angiography
  • CBC
  • bleeding time
  • prothrombin/partial thromboplastin time(PT/PTT)
  • CSF (cerebrospinal fluid) examination

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Treatment
  • IMMEDIATE TREATMENT
  • SURGERY
  • LONG-TERM TREATMENT

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Possible complications
  • permanent loss of movement or sensation of a part
    of the body
  • joint contractures
  • muscle spasticity
  • permanent loss of cognitive or other brain
    functions
  • disruption of communication, decreased social
    interaction
  • decreased ability to function or care for self
  • decreased life span
  • urinary and respiratory tract infections

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Prevention
  • Risk factors
  • high blood pressure
  • smoking
  • cocaine
  • alcohol

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Did you know
  • turmeric, the active ingredient of the Indian
    curry spice, may help reduce the size of a
    hemorrhagic stroke
  • stroke - leading cause of adult disability
  • up to 80 of all strokes preventable
  • every 45 seconds someone suffers a stroke
  • every three minutes someone dies from a stroke
  • more women than men die from stroke
  • third most common cause of death globally
  • (Which are first two?)
  • Almost half of the people with a subarachnoid
    hemorrhage die before reaching the hospital.

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References
  • www.strokecenter.org
  • www.nlm.nih.gov
  • www.emedicine.medscape.com
  • www.mayoclinic.org
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