3. Rapidly developed clinical signs of focal
(or global) disturbance of cerebral function;
lasting more than 24 hours or leading to
death, with no apparent cause other than
vascular origin
TIA: <24 hours
4.
5.
6. Morbidity ( 12 country WHO study)
Incidence : 0.2 -2.5/1000/yr.
Mortality: leading cause of death &
disability through out world
33% cases die within 3 weeks, 48% die within 1yr
7.
8. Host Factors
1.Age
80% cases: In India >40 yr;
while in developed countries >65 yr
2.Sex
Males
3.Personal History
History of DM/HT/Cardiovascular diseases
12. Subarachnoid hemorrhage(SAH)
Cerebral hemorrhage
Cerebral thrombosis or embolism
Occlusion of pre cerebral arteries
Transient cerebral ischemia (TCI) more than 24 hrs.
Ill defined cardiovascular disease ,
when underlying pathology is in brain
14. SHAME are the risk factors for Stroke
Smoking
Hypertension/ Hyperlipidemia,
Atrial fibrillation
Male
Elderly
5 Cs are the causes for stroke in young age
Cancer
Cardiogenic emboli
CNS infection [HIV conditions]
Congenital arterial lesion
Cocaine
Risk Factors of Stroke
15.
16. Control of Hypertension
Control of Diabetes
Control of Cholesterol & Saturated Fat Intake
No alcohol
No smoking
Regular exercise
Maintain healthy weight
Avoid illicit drug like cocain which is associated with TIA
Primary Prevention of Stroke
20. Remove obstruction to restore
blood flow to brain
Clot busting drugs within 3 hrs.
Carotid endarterectomy
Angioplasty
Preventive medications
Anti-platelet drugs
Anti-coaggulants
Secondary Prevention of Stroke
(Treatment)
21. 1.Disability Limitation
• Prevention of Complications
• Good nursing care (bladder and bowel)
2.Rehabilitation
• Physical
• Occupational
• Psychological
Tertiary Prevention of Stroke
