Stroke: Difference between revisions
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== Mechanism of Injury / Pathological Process<br> == | == Mechanism of Injury / Pathological Process<br> == | ||
A stroke occurs when there is interruption of the blood supply to a particular area of the brain, ultimately leading to cell injury and cell death.<br>Strokes can be classified as either: | |||
*Ischaemic | |||
*Haemorrhagic<br><br> | |||
== Epidemiology/Etiology == | == Epidemiology/Etiology == | ||
Stroke kills more than 49,000 people each year in the UK, nearly 1 in 10.<br>In 2010 stroke was the fourth largest cause of death in the UK after cancer, heart disease and respiratory disease.<ref>Townsend N, Wickramasinghe K, Bhatnagar P, | |||
Smolina K, Nichols M, Leal J, Luengo-Fernandez R, | |||
Rayner M (2012). Coronary heart disease statistics | |||
2012 edition. British Heart Foundation: London. P21</ref><br> | |||
== Clinical Presentation == | == Clinical Presentation == |
Revision as of 01:19, 20 November 2013
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Clinically Relevant Anatomy
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At the base of the brain, the carotid and vertebrobasilar arteries form a circle of communicating arteries known as the Circle of Willis. From this circle, other arteries—the anterior cerebral artery (ACA), the middle cerbral artery (MCA) and posterior cerebral artery (PCA)—arise and travel to all parts of the brain.
Mechanism of Injury / Pathological Process
[edit | edit source]
A stroke occurs when there is interruption of the blood supply to a particular area of the brain, ultimately leading to cell injury and cell death.
Strokes can be classified as either:
- Ischaemic
- Haemorrhagic
Epidemiology/Etiology[edit | edit source]
Stroke kills more than 49,000 people each year in the UK, nearly 1 in 10.
In 2010 stroke was the fourth largest cause of death in the UK after cancer, heart disease and respiratory disease.[1]
Clinical Presentation[edit | edit source]
add text here relating to the clinical presentation of the condition
Diagnostic Procedures[edit | edit source]
add text here relating to diagnostic tests for the condition
Outcome Measures[edit | edit source]
Dynamic Gait Index, the 4-item Dynamic Gait Index, and the Functional Gait Assessment show sufficient validity, responsiveness, and reliability for assessment of walking function in patients with stroke undergoing rehabilitation, but the Functional Gait Assessment is recommended for its psychometric properties[2].
Physiotherapy[edit | edit source]
Physiotherapists should be involved early, and should make their own assessment of how much they can work with a patient. Early mobilization is associated with better outcomes - even after taking account of the potential confounding influence of disease severity. If rehabilitation is to take place on a different ward from acute care, the care received should be made as seamless as possible. Type and intensity of therapy should be determined by the patient's needs not location.[3]
Management / Interventions
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add text here relating to management approaches to the condition
Differential Diagnosis
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add text here relating to the differential diagnosis of this condition
Key Evidence[edit | edit source]
add text here relating to key evidence with regards to any of the above headings
Resources
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Stroke Scales & Clinical Assessment Tools
Case Studies[edit | edit source]
add links to case studies here (case studies should be added on new pages using the case study template)
Recent Related Research (from Pubmed)[edit | edit source]
References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ Townsend N, Wickramasinghe K, Bhatnagar P, Smolina K, Nichols M, Leal J, Luengo-Fernandez R, Rayner M (2012). Coronary heart disease statistics 2012 edition. British Heart Foundation: London. P21
- ↑ Lin JH, Hsu MJ, Hsu HW, Wu HC, Hsieh CL. Psychometric Comparisons of 3 Functional Ambulation Measures for Patients With Stroke. Stroke. 2010 Jul 29; online article ahead of print
- ↑ Harwood R, Huwez F, Good D. Stroke Care: A practical manual. New York: Oxford, 2011.