NEUBRASKA ™ Cerebrovascular Disease
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Strokes or "brain attacks" are generally classified as (1) ischemic (lack of blood flow due to narrowed or thrombosed cerebral arteries), (2) intracerebral hemorrhage or (3) subarachnoid hemorrhage. Ischemic strokes, intracerebral hemorrhage and subarachnoid hemorrhage comprise 85%, 10% and 5% of strokes respectively. Genetic variants within chromosome 12 can increase the susceptibility of ischemic strokes by up to 30% versus the general population.
The brain is very sensitive to oxygen and blood flow (perfusion) loss. Acute stroke or "brain attack" is a medical emergency requiring the efforts of a dedicated stroke team with a pre-determined checklist, goals of acute stroke management, time targets for evaluation and possible rapid treatment with intravenous tPA. The National Institutes of Health has prepared a uniform Stroke Scale (NIHSS) that should be used with all patients to evaluate the severity of the stroke.
Additionally, supportive care of the airway, blood glucose, vital signs, cardiac rhythm and prevention of deep vein thromboses may be needed. Brain swelling (cerebral edema) may occur with stroke to the degree that some patients may need a portion of their skulls removed (hemicraniectomy) in life threatening increases of intracranial pressure. For more information on strokes, please contact Byron L. Barksdale, M.D.
500 West Leota Street #200
North Platte, Nebraska 69101
Byron L. Barksdale, M.D.
Phone: 308-532-4700
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