December 17, 2019

Cerebral Vascular Attack – Stroke

Stroke is an infarction of the brain, in which ischemia or hemorrhage leads to interruption of function. It is characterized by a localized neurological deficit (hemiparesis, hemiplegia), suddenly installed. It is little known that it is possible to experience a stroke without the patient knowing it. Stroke can occur during sleep, and a lack of severity and minor symptoms will not interfere with it. At the time of awakening, however, the patient may present a confused state, the inability to express himself correctly, difficulties in using afoot, the feeling of weakness in the arm, double or partial vision.


The morning symptoms depend largely on the degree of severity and the part of the brain affected by stroke. The symptoms of stroke can occur as a result of interest:

  1. anterior cerebral circulation comprising:
    • the carotid artery and its main branches
    • anterior and middle cerebral arteries
  1. posterior cerebral circulation comprising:
    • vertebrobasilar arteries
    • posterior cerebral arteries

Knowing the symptoms of a stroke (even in the case of a minor stroke) is essential in preventing the spread of brain damage. Specialized medical care is critical, especially when the stroke is caused by a blood clot.

Almost 80% of strokes occur in the carotid distribution territory and consist of decreased muscle strength of one part of the body, affecting the face, arm or leg in any combination. Stroke that occurs in the territory of the posterior circulation (stroke at the base of the brain) is the result of thrombosis and occlusion of small penetrating arterioles that detach directly from the vertebrobasilar arteries. The clinical picture of this stroke is more complex, due to important neurophysiological structures arranged compactly at the base of the brain compared to the cerebral hemispheres.

Types of Strokes

Etiologically, stroke is divided into four broad categories (the first two are more frequent and the others rarer):

  1. cerebral ischemia
  2. intracranial hemorrhages
  3. cerebral vascular malformations
  4. cerebral thrombophlebitis


Stroke recovery involves using:

  • compensatory techniques for mobility (physiotherapy, massage)
  • daily activities / ADL (Activities of Daily Living)
  • communication

The recovery of the hospitalized patient is a sample that allows the patient to demonstrate his candidacy for immediate recovery after acute stroke. The limited prognosis of a stroke to recover is conferred by the following elements:

  • severe memory problems
  • inability to understand orders
  • medical/surgical instability
  • Stroke in the background
  • urinary incontinence / fecal matter
  • visual space deficits

Stroke is a common occurrence, and recovery is a complex process. Even if the functional deficiencies appear to be identical the patients react individually. As a result, the recovery program is tailored to the case. More important than the motor deficits are the cognitive aspects, affected by stroke. The recovery of patients after the stroke starts in the acute phase of the care given to them.

The therapeutic intervention performed in a timely manner presents the following advantages:

  • increases the recovery potential
  • prevents problems due to immobilization