What Is Stroke? (VIDEO)
- The internal carotid arteries, which run along the front of your neck
- The vertebral arteries, which run along the back of your neck
In the skull, the internal carotid arteries divide into several branches. The vertebral arteries unite to form the basilar artery, which then also divides into several branches. Read more
About 83% of all strokes are ischemic. Ischemic strokes are usually caused by atherosclerosis, when fatty deposits, made up mostly of cholesterol, form on the walls of the arteries. The arteries stiffen and become narrower. The resulting, severely reduced blood flow is called ischemia. Read more
- Genetics. Having a family history of stroke
- Age. Being 55 or over
Gender. Slightly more than half of all strokes occur in men, but more than 60% of stroke deaths occur in women, possibly because women tend to be older when they have strokes
- Medical history. Having had a prior stroke, TIA, or heart attack
A number of different tests may be used to examine you if you have risk factors for stroke, like high blood pressure and high cholesterol levels. They may also be used for diagnosis if you're having (or have had) a stroke.
- Computerized tomography (CT). CT scanning provides images of your brain and shows hemorrhages. More information is provided by computerized tomography angiography (CTA). In CTA, a dye is injected into your vein, and X-rays are used to create a three-dimensional image of blood vessels in your brain and neck that your doctor can examine for aneurysms, narrowing of the arteries, or blood vessel malformations.
The main goal in treating ischemic stroke is to restore blood flow to the brain.
Treatment with medications
- Aspirin. An antiplatelet medication that decreases blood clot formation by preventing the smallest blood cells (platelets) from sticking together. Aspirin is the best treatment immediately after a stroke to prevent further stroke. Ischemic stroke patients are typically given aspirin in the emergency room.
- Heparin and warfarin (Coumadin). Anticoagulants that help prevent clots from forming
- Tissue plasminogen activator (TPA). A potent clot-busting drug that may improve chances of recovery for some patients
The complications of stroke can be severe and include:
- Paralysis or loss of muscle movement
- Difficulty speaking
- Difficulty swallowing
- Loss of bowel or bladder control
- Memory loss or troubles with understanding
- Pain or numbness
- Herniation. The brain may swell, forcing it down in the skull and through the rigid structures that separate the brain into compartments. This affects the respiratory center in the lower part of the brain stem, and can cause irregular breathing, coma, and even death.