The treatment goals in the early stage of stroke

Written by Tang Bo
Neurology
Updated on September 17, 2024
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Stroke includes hemorrhagic and ischemic types. Whether it is hemorrhagic or ischemic, hospitalization is necessary during the acute phase. Depending on the patient's condition, if it is hemorrhagic, the amount of bleeding should be considered to decide whether to opt for surgical treatment or conservative treatment. If it is ischemic, and the treatment is initiated within the therapeutic time window, that is within 4.5 hours, thrombolytic therapy can be administered, which may potentially reverse the symptoms of the stroke. If the time window is missed, then conservative treatment is required. Acute cerebral infarction in its acute phase can potentially worsen, so the primary goal of acute phase treatment is to stabilize the condition. After stabilization, rehabilitation and physical therapy can gradually improve the patient's symptoms.

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Written by Zhang Hui
Neurology
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What medicine is used for stroke?

Stroke primarily refers to cerebrovascular disease, which is divided into two main categories. The first category is hemorrhagic stroke, including cerebral hemorrhage, subarachnoid hemorrhage, and other diseases. The second category is ischemic cerebrovascular diseases, including cerebral thrombosis, cerebral embolism, and other diseases. Thus, although both categories are classified as stroke, the medications used are different. For cerebral hemorrhage, the patient needs to rest in bed and must strictly control blood pressure, primarily using medications that strictly control blood pressure. There are no special oral medications, but intravenous medications can be given to protect brain nerves. If intracranial pressure is high, some dehydrating and intracranial pressure-reducing medications can be administered. For ischemic stroke, such as cerebral thrombosis, it is crucial to get to the hospital quickly. If it is within the thrombolytic time window, intravenous thrombolytic drugs can be administered for treatment, from which many patients may benefit. Additionally, it is necessary to take long-term medications that prevent platelet aggregation and regulate blood lipids, as well as stabilize arterial atherosclerotic plaques.

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Written by Zhang Hui
Neurology
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Can a stroke be cured?

Stroke is mainly divided into ischemic stroke and hemorrhagic stroke. Ischemic stroke, also known as cerebral thrombosis, can benefit many patients if they can reach a hospital quickly and receive intravenous thrombolysis within the time window, such as within 4.5 hours, leaving them with only mild neurological deficits followed by proper rehabilitation training. Some patients can be cured. However, if the stroke is severe from the onset, resulting in complete paralysis or even consciousness disorders such as drowsiness, stupor, or coma, the treatment outcomes can be significantly less effective, potentially leaving some degree of disability. Generally speaking, whether a stroke can be cured depends closely on the initial severity of the stroke, the overall condition of the patient, and the timeliness of the treatment. Some conscious patients who receive timely treatment can be cured, whereas those with severe conditions typically suffer from long-term complications.

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Neurology
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Can stroke paralysis be cured?

For a disease like stroke, if paralysis occurs, a small portion of patients can be completely cured without any sequelae. These patients generally are younger in age, receive timely treatment, and do not have a particularly large area of cerebral infarction. However, for the majority of patients, some degree of sequelae is likely to remain. After a stroke, it is crucial to go to the hospital as quickly as possible. If thrombolytic treatment can be administered during the intravenous thrombolysis time window, it can be very effective, and a few patients may even be completely cured. For most patients, further treatment with antiplatelet therapy and rehabilitation training is needed. Although symptoms can significantly improve, complete recovery is relatively difficult.

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Neurology
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Can a stroke be cured?

Stroke can result in sequelae such as deviation of the mouth, slurred speech, hemiplegia, numbness of extremities, coughing when drinking water, hoarseness, and difficulty swallowing. If the stroke affects a smaller area or is not located in a critical area, recovery tends to be better. However, if the infarct is large or occurs in a critical area like the brainstem, sequelae may persist, with partial function recovery possible within about three to six months.

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Six Common Manifestations of Stroke

Firstly, patients may experience language impairment, primarily characterized by unclear speech or sensory aphasia, where they cannot understand others' conversations. Secondly, motor dysfunction is also a very common symptom, typically presenting as hemiplegia on one side of the body. Thirdly, sensory dysfunction can occur, manifested as numbness in one side of the body, an inability to feel pain, and an inability to sense temperature. Fourthly, there may be signs of ataxia, such as unstable walking or standing. Fifthly, there may be difficulties in swallowing, coughing while drinking water, and articulation disorders. Lastly, cognitive dysfunction can also occur, characterized by slow responsiveness and similar symptoms.