Cerebrovascular Accident



Cerebrovascular Accident








The two major types of stroke are ischemic stroke (75%), which results from vessel occlusion due to atherosclerosis, thrombosis, or embolism, and hemorrhagic stroke (15%), which results from bleeding into the brain tissue (intracerebral) or into the subarachnoid space due to hypertension, tumor, vascular malformations, or bleeding disorders due to anticoagulant therapy. Lacunar strokes, also known as a small vessel stroke, occur in smaller arteries and are associated with hypertension and diabetes mellitus. They are more likely to cause motor and sensory deficits.


CVA remains the third leading cause of death and is the major cause of disability in the United States, despite a general decline. What has probably contributed to the decline is an increased awareness of risk
factors, improved prophylactic measures such as therapeutic life-style changes, improvements in pharmaceutical therapies, and surveillance of those at risk.








Table 17-1 Types of Strokes




























































Stroke


Cause


Course of Progression


Thrombotic or central


Atherosclerosis


Sudden or slow progression, minutes to hours


Arteritis


Increased coagulation


Embolic


Obstruction of vessel causing ischemia


Sudden onset of hemiplegia



Atrial fibrillation or rheumatic heart disease



Recent myocardial infarction



Valve replacement



Air or fat emboli


Hemorrhagic


Hypertension


Sudden onset of vomiting while active



Trauma



Ruptured aneurysm


Headache



Vascular malformations


Contralateral hemiplegia



Anticoagulation


Coma leading to death


Lacunar


Occlusion of smaller branches


“Lacunar syndrome” includes pure motor and sensory hemiplegia and dysarthria



Large cerebral arteries



Hypertension, embolism

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Oct 21, 2016 | Posted by in NURSING | Comments Off on Cerebrovascular Accident

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