What medicine is used for stroke?

Written by Zhang Hui
Neurology
Updated on December 25, 2024
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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 Zhao Zi Pan
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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Written by Zhang Hui
Neurology
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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 Li Chao Jin Zi
Neurorehabilitation
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Basic Principles of Stroke Rehabilitation Treatment

There are several key principles for stroke rehabilitation. The first emphasizes that rehabilitation should start as early as possible. In cases of ischemic stroke, generally when the patient is conscious and vital signs are stable, rehabilitation can begin after 48 hours. For patients with high blood pressure or cerebral hemorrhage, it is generally recommended to start rehabilitation after seven days. The second principle emphasizes the active participation of the patient, encouraging patients to actively engage in rehabilitation training and communicate with therapists to achieve functional improvement. The third point emphasizes comprehensive rehabilitation; stroke patients often have issues in multiple areas such as language, cognition, swallowing, limb movement, and functional balance, so it is suggested that patients undergo comprehensive rehabilitation rather than focusing on just one aspect. The fourth point stresses the continuity of rehabilitation, as rehabilitation therapy is an ongoing process.

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Written by Zhang Hui
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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Written by Zhang Hui
Neurology
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Stroke and Its Treatment

Stroke primarily refers to cerebrovascular disease, characterized by the sudden onset of symptoms that develop within minutes. This rapid development of symptoms is why it is called a stroke. Stroke commonly affects middle-aged and elderly people who often have certain risk factors. For example, high blood pressure, high blood cholesterol, smoking, drinking, obesity, and heart diseases like atrial fibrillation can increase the risk of stroke. For the treatment of stroke, it is crucial to reach the hospital as soon as possible, as earlier treatment leads to better outcomes. Generally, if it is suitable, the patient may receive intravenous thrombolysis. Additionally, treatment may involve anti-atherosclerosis measures, nutritional support for nerves, and rehabilitation training, which is also very important.