stroke management

[grandmacath]

can anyone give me an answer? what are the differences between a stroke and a transient ischaemic attack [T.I.A ]? also can you list the different healthcare professionals who should be involved in rehabilitating a stroke patient and who else needs to be actively involved? thanks in advance await you answers

[Dr Hungry]

Uhh I am certainly no expert in this field at all. A transient ischaemic attack I think will NOT cause permanent damage to the brain, whereas a stroke will leave some degree of lasting disability. As to who is involved, I guess it depends greatly upon the level of disability caused by the stroke. Paramedics, doctors + nurses in A+E, neurologist + nurses on the ward, general practitioner, Physiotherapist, OT, Speech and Language Therapist, Social worker might give you a start.

Ok google tells me that the symptoms of a TIA are gone within 24 hours, but they are an important warning signal of impending stroke.

Sorry I can't be more helpful

[k@tie]

Dr Hungry is indeed correct in that a TIA is sometimes known as a mini stroke but usually indicates that a stroke (CVA cerebral vascular accident) could be on its way. Some people suffer a number of TIAs before or after a major CVA, some people are unaffected and some people may suffer loss of one side of their body, may be unable to swallow properly or talk. There would be many menbers of the multidisciplinary included in the aftercare all of which Dr Hungry has listed.

[alijangra]

Cant add to the above really, both very good answers

[grandmacath]

i would like to thank you all for your answers they were very helpfull most of what was put was what i had thought ,i could be back soon with some more questions

[Ethmer]

"Can you have a mild stroke and not know it?

Yes. They're called a mini-stroke or transient ischemic attack (TIA).

Transient ischemic attack (tia)

A brief interruption of the blood supply to part of the brain, it causes a temporary impairment of vision, speech, or movement. Usually the episode lasts for just a few moments, but it may be a warning sign for a full-scale stroke.

Cerebral thrombosis occurs when a blood clot, or thrombus, forms within the brain itself, blocking the flow of blood through the affected vessel. Clots most often form due to "hardening" (atherosclerosis) of brain arteries. Cerebral thrombosis occurs most often at night or early in the morning. Cerebral thrombosis is often preceded by a transient ischemic attack (TIA), sometimes called a "mini-stroke." In a TIA, blood flow is temporarily interrupted, causing short-lived stroke-like symptoms. Recognizing the occurrence of a TIA and seeking immediate treatment are important steps in stroke prevention.

Stroke is a medical emergency requiring immediate treatment. Prompt treatment improves the chances of survival and increases the degree of recovery that may be expected. A person who may have suffered a stroke should be seen in a hospital emergency room without delay. Treatment to break up a blood clot, the major cause of stroke, must begin within three hours of the stroke to be effective. Improved medical treatment of all types of stroke has resulted in a dramatic decline in death rates in recent decades. In 1950, nine in 10 people died from stroke, compared to slightly less than one in three today.