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(Stroke, Left-side; Left Hemisphere Stroke; Stroke, Left Hemisphere)
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- A clot from another part of the body like the heart or neck. The clot breaks off and flows through the blood until it becomes trapped in a blood vessel supplying the brain.
- A clot that forms in an artery that supplies blood to the brain.
- A tear in an artery supplying blood to the brain. Called an arterial dissection.
|Hemorrhagic vs. Ischemic Stroke|
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- Race—People of African American, Hispanic, or Asian/Pacific Islander descent are at increased risk.
- Age: Older than 55 years of age
- Family history of stroke
- High blood pressure
- High cholesterol levels—specifically high-LDL bad cholesterol
- Low bone mineral density, especially in women
- Obesity and metabolic syndrome
- High blood homocysteine level
- Diabetes mellitus or impaired glucose tolerance
- Atrial fibrillation
- Blood disorders such as sickle cell disease and polycythemia
- Vascular dementia
- Disease of heart valves, such as mitral stenosis
- Prior stroke or cardiovascular disease, such as heart attack
- Peripheral artery disease
- Transient ischemic attack (TIA) —a warning stroke with stroke-like symptoms that go away shortly after they appear
- Conditions that increase your risk of blood clots such as:
- Certain autoimmune diseases
- Migraine with aura
- Having a blood vessel abnormality
- Previous pre-eclampsia
- Use of birth control pills, especially if you are over 35 years old and smoke
- Long-term use of hormone replacement therapy
- Pregnancy—due to increased risk of blood clots
- Sudden weakness or numbness of face, arm, or leg, especially on the right side of the body
- Sudden confusion
- Sudden trouble speaking or understanding
- Sudden trouble seeing in one or both eyes
- Sudden dizziness, trouble walking, loss of balance, or coordination
- Sudden severe headache with no known cause
- Left-sided weakness and/or sensory problems
- Speaking and swallowing
- Vision (eg, inability for the brain to take in information from the left visual field)
- Perception and spatial relations
- Attention span, comprehension, problem solving, judgment
- Interactions with other people
- Activities of daily living (eg, going to the bathroom)
- Mental health (eg, depression , frustration, impulsivity)
- Magnetic resonance angiography (MRA) —maps blood flow
- CT angiogram (CTA)—creates detailed images of the blood vessels and their blood flow
- Doppler ultrasound —evaluates flow of blood in the head and neck
- Dissolve or remove a clot causing an ischemic stroke
- Stop the bleeding during a hemorrhagic stroke
- Dissolve clots and prevent new ones from forming
- Thin blood
- Control blood pressure
- Treat an irregular heart rate
- Treat high cholesterol
- Work against any blood-thinning drugs you may regularly take
- Prevent seizures
- Reduce how your brain reacts to bleeding
- Control blood pressure
- Reroute blood supply around a blocked artery.
- Remove the clot or deliver clot-dissolving medicine.
- Remove fatty deposits from a arteries in the neck .
- Widen carotid artery and add a mesh tube to keep it open.
- Place a clip or tiny coil in the aneurysm to stop it from bleeding.
- Remove a piece of the skull to relieve pressure on the brain.
- Physical therapy—to regain as much movement as possible
- Occupational therapy—to assist in everyday tasks and self-care
- Speech therapy—to improve swallowing and speech challenges
- Psychological therapy—to help adjust to life after the stroke
- Exercise regularly.
- Eat more fruits, vegetables , and whole grains . Limit dietary salt and fat .
- Stop smoking .
- Increase your consumption of fish.
- Drink alcohol only in moderation (1-2 drinks per day).
- Maintain a healthy weight.
- Check blood pressure frequently . Follow your doctor's recommendations for keeping it in a safe range.
- Take aspirin if your doctor says it is safe.
- Keep chronic medical conditions under control. This includes high cholesterol and diabetes.
- Talk to your doctor about the use of a statins. These types of drugs may help prevent certain kinds of strokes in some people.
- Seek medical care if you have symptoms of a stroke, even if symptoms stop.
- Stop the use of recreational drugs such as cocaine.
American Heart Association http://www.americanheart.org/
National Stroke Association http://www.stroke.org/
Heart and Stroke Foundation of Canada http://ww2.heartandstroke.ca/
Stroke Survivors Association of Ottawa http://www.strokesurvivors.ca/
Furie KL, Kasner SE, Adams RJ, et al. Guidelines for the Prevention of Stroke in Patients With Stroke or Transient Ischemic Attack: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke . 2010 October 21. Available at: http://stroke.ahajournals.org/cgi/reprint/STR.0b013e3181f7d043v1 . Updated October 21, 2010. Accessed September 4, 2012.
Hemorrhagic stroke. American Heart Association American Stroke Association website. Available at: http://www.strokeassociation.org/STROKEORG/AboutStroke/TypesofStroke/HemorrhagicBleeds/Hemorrhagic-Strokes-Bleeds%5FUCM%5F310940%5FArticle.jsp . Accessed June 6, 2013.
Hemorrhagic stroke. National Stroke Association website. Available at: http://www.stroke.org/site/PageServer?pagename=HEMSTROKE . A Accessed September 4, 2012.
Intracerebral hemorrhage. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated March 21, 2013. Accessed June 6, 2013.
Ischemic stroke. American Heart Association American Stroke Association website. Available at: http://www.strokeassociation.org/STROKEORG/AboutStroke/TypesofStroke/IschemicClots/Ischemic-Strokes-Clots%5FUCM%5F310939%5FArticle.jsp . Accessed June 6, 2013.
Long term management of stroke. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated April 30, 2013. Accessed June 6, 2013.
Mena F, Fruns M, Contreras A, Soto F, Mena I. Acute brainstem infarct: multidisciplinary management. Alasbimn Journal website. Available at: http://www.alasbimnjournal.cl/revistas/5/mena5.htm . Published October 1999. Accessed June 6, 2013.
Stroke (acute management). EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated May 2, 2013. Accessed June 6, 2013.
Nueroimaging for acute stroke. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated May 15, 2013. Accessed June 6, 2013.
Raychev R, Saver JL. Mechanical thrombectomy devices for treatment of stroke. Neurol Clin Practice . 2012;2(3):231-235.
Signs and symptoms. National Stroke Association website. Available at: http://www.stroke.org/site/PageServer?pagename=SYMP . A Accessed September 4, 2012.
Stroke (acute management). EBSCO Publishing DynaMed website. Available at: http://www.ebscohost.com/dynamed . Updated August 30, 2012. Accessed September 4, 2012.
Subarachnoid hemorrhage. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated January 22, 2013. Accessed June 6, 2013.
2/7/2014 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance: Bushnell C, et al. AHA/ASA Guideline for the Prevention of Stroke in Women. Stroke. 2014 Feb 6. [Epub ahead of print]
6/2/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Myint PK, Cleark AB, et al. Bone mineral density and incidence of stroke: European prospective investigation into cancer-norfolk population-based study, systemic review, and meta-analysis. Stroke. 2014 Feb;45(2):373-82.
6/2/2014 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Imfeld P, Bodmer M, et al. Risk of incident stroke in patients with Alzheimer disease or vascular dementia. Neurology. 2013 Sep 3;81(10):910-919.
- Reviewer: Rimas Lukas, MD
- Review Date: 12/2013
- Update Date: 06/02/2014