Marbella Neurolgy 2024
Marbella Neurolgy 2024

Stroke

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A stroke is term used to describe any brain damage caused by obstruction to blood flow or a rupture of a cerebral arterial vessel which threatens or actually causes tissue damage, including cerebral infarction.

 

The word stroke encompasses cerebral infarct, CVA, embolus…

 
 

 
 

 
 

The most common cause of stroke is an accumulation of vascular risk factors.

 

  • Non-modifiable risk factors: age or sex.
  • Modifiable risk factors: hypertension, diabetes, hypercholesterolaemia, smoking, sedentary lifestyle, obesity…
    Neurologists, primary care physicians and other specialists place particular emphasis on controlling those vascular risk factors which are modifiable.

When a stroke occurs, different symptoms develop depending on the area of brain tissue that has been threatened. Speech disturbances, loss of power, sensory disturbances or even double vision, difficulty swallowing, or altered visual perception may occur. If any of these symptoms occur it is essential to attend hospital urgently, as the first few hours, even the first few minutes, are essential.

 

Managing to reverse the threat and the lack of blood flow using different treatments and techniques can prevent the patient from having any lasting effects. A stroke is a level 1 medical emergency.

  • Ischaemic stroke, there are several types of acute treatments, depending on whether the patient meets certain criteria:
    • Fibrinolysis, involves the intravenous injection of a substance to try and improve the patient’s cerebral circulation.
    • Thrombectomy, direct endovascular access and removal of the thrombus that is making oxygenation difficult in the brain. 
  • Haemorrhagic stroke, when there is rupture of a vessel. 
    • Depending on the cause this may be solved endovascularly, but only in certain cases.

 

At HC Marbella, the Neurology Unit works closely with the Endovascular Unit in order to give urgent and appropriate care to patients who have had a stroke and who require these techniques.

 

We also have a Rehabilitation Unit to help with the patient’s recovery, reducing the physical and sensory effects.

 

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