Stroke - complications and treatment

Complications of a stroke

In the case of stroke, the following complications are conceivable:

  • death
  • Wasting, decrepitude
  • Severe motor impairment
  • Severe disturbance of the function of the sense organs (for example, eyes, ears, organ of balance)
  • Impaired function of internal organs including excretory organs
  • pneumonia
  • thrombosis
  • Impairment of intellectual performance to dementia

Treatment of a stroke

In general, a distinction must be made between treatment in the acute stage and rehabilitation treatment, including preventive measures to prevent further strokes. The treatment principles in the acute stage of a stroke have changed over time. The following measures are recognized as effective today:

Blood thinning medicines: The administration of certain medications such as heparin via the vein can reduce the blood's ability to coagulate, improve blood circulation in the affected cerebral cortex, and thus reduce the extent of the damage.

Lysis therapy: If the onset of the acute symptoms of stroke is no longer than four to six hours back, in individual cases, the dissolution of the triggering blood clot by a lysis therapy in question. The benefits of the lysis therapy must be weighed against possible risks due to the increased bleeding risk.

Balloon dilatation: Under certain conditions, specialized centers in the acute stage of stroke may also attempt to re-expand the occluded vessel using a balloon catheter inserted into the vasculature.

Operation: If the acute stroke is due to hemorrhaging into the brain, for example in a brain tumor or after vascular rupture, an acute brain operation to relieve pressure may be required in individual cases. After overcoming the acute phase of the stroke, the following treatment options exist:

  • physiotherapy
  • Drugs for blood thinning
  • Control of Risk Factors for Strokes
  • Surgery of large constricted neck vessels
  • Treatment of underlying heart disease

Preventive measures

Basically, the prevention of a stroke is all those measures that are also indicated to avoid other vascular diseases: Due to the particular importance of hypertension for the development of strokes, the adequate adjustment of blood pressure should be given top priority.

  • physiotherapy
  • Drugs for blood thinning
  • Control of Risk Factors for Strokes
  • Surgery of large constricted neck vessels
  • Treatment of underlying heart disease
  • Weight regulation in overweight
  • Diet and medication for high blood pressure, lipid metabolism disorder or diabetes
  • nicotine abstinence
  • Sufficient physical exercise
Share with friends

Leave your comment