Cerebrovascular Accident
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Cerebrovascular accident (CVA), also called stroke or brain attack, is a focal neurological disorder that develops suddenly because of a pathological process involving the blood vessels to the brain. A CVA may result in disruption of motor, sensory, cognitive, and emotional function that can range from minor to severe disability and death.
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, also called stroke or brain attack, is a focal neurological disorder that develops suddenly because of a pathological process involving the blood vessels to the brain. A CVA may result in disruption of motor, sensory, cognitive, and emotional function that can range from minor to severe disability and death.
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.
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 | ||||||||||||||||||||||||||||||||||||||||
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