Can a stroke be cured?

Written by Zhang Hui
Neurology
Updated on September 16, 2024
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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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Written by Zhang Hui
Neurology
48sec home-news-image

Manifestations of Stroke

First, if the patient has a large-area ischemic stroke, or if there is a significant amount of cerebral hemorrhage, consciousness disorders will occur rapidly, and the patient may even fall into a coma. Second, in the case of general strokes, patients will experience reduced mobility in their limbs, primarily manifesting as unilateral limb paralysis, with symptoms varying from mild to severe. Patients with milder symptoms show clumsiness in fine movements, while more severe cases may require bed rest. Third, a common clinical symptom is numbness in one side of the body. Fourth, patients with a stroke generally also suffer from symptoms such as deviation of the corners of the mouth, shallowing of the nasolabial folds, drooling, and unclear speech.

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Written by Zhang Hui
Neurology
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What is good to eat after a stroke?

Stroke primarily refers to cerebrovascular diseases, among which cerebral infarction has the highest incidence rate. Regarding diet after experiencing a cerebral infarction, it mainly falls into two categories: The first category is medications. If it is a cerebral thrombosis, it is crucial to strictly control blood pressure and blood sugar using appropriate medications. Additionally, it is necessary to take medications to prevent the recurrence of thrombosis. These medications primarily include antiplatelet agents and drugs that regulate blood lipids to stabilize plaques. Furthermore, traditional Chinese medicines that invigorate the blood and remove stasis can also be used. These medicines also help to improve blood circulation. In terms of diet, it is essential to follow a low-salt, low-fat diet, avoid overly greasy foods, and eat plenty of fresh vegetables and fruits regularly. High-quality proteins should also be included, such as drinking milk and eating beef. Whole grains should not be omitted to ensure a balanced diet and promote recovery.

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Written by Tang Bo
Neurology
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The difference between stroke and cerebral infarction

Stroke includes ischemic stroke and hemorrhagic stroke. Ischemic stroke refers to cerebral infarction, while hemorrhagic stroke refers to cerebral hemorrhage. Symptoms such as limb weakness, slurred speech, or other neurological deficits should initially suggest the possibility of a stroke. Whether it is an ischemic or hemorrhagic stroke may be related to the symptoms, but a CT scan is essential. If a CT scan rules out cerebral hemorrhage, then cerebral infarction is more likely. The treatment varies with time; within 4.5 hours, if the conditions for thrombolytic therapy are met and there are no contraindications, and the relatives have signed an informed consent, thrombolytic treatment can be administered. If this time window is exceeded, this opportunity is lost, so it is crucial to seek medical attention immediately upon symptom onset.

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Written by Tang Ying
Physical Medicine and Rehabilitation
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Stroke Rehabilitation Treatment Plan

In the rehabilitation treatment of stroke patients, we first need to conduct a comprehensive rehabilitation assessment, evaluating the patient's current primary clinical symptoms, nutritional status, and rehabilitation functional impairments. Based on the results of the assessment, we determine the patient's main functional impairments, targeting a series of functional impairments such as mobility, hand function, as well as speech and swallowing disorders. We adopt a series of therapeutic interventions including exercise therapy, occupational therapy, physical therapy, swallowing therapy, speech therapy, psychological therapy, rehabilitation engineering, and rehabilitation nursing. Generally speaking, through evaluation, we develop a personalized rehabilitation treatment plan for the patient, comprehensively promoting the patient's overall recovery, improving the patient’s ability to live independently, and helping them return to their families, society, and work positions as soon as possible.

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Written by Zhang Hui
Neurology
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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.