Stroke is an acute, serious condition. Immediate medical attention is required, which is why some physicians now call stroke a "brain attack." In all cases, the sooner treatment is given, the better the likely outcome and the lower the chance of permanent disability or death. Treatment varies depending on the severity of symptoms. For virtually all strokes (including this kind), there is a need for hospitalization, possibly including intensive care and life support.
When the person is seen quickly, thrombolytic therapy may be appropriate in many cases for this kind of stroke. This involves use of a medication that breaks clots and is meant to restore normal blood flow. It is imperative that thrombolytic medication be given within 3 hours of symptoms onset, which is why it is important to get to the hospital quickly. However, there are strict criteria for eligibility to receive this medication as it also has some risks of significant side effects. If the stroke was caused by bleeding in the brain, and not a clot, this medication can be harmful.
Most patients will be admitted to an intensive care unit for close monitoring. If treatment with thrombolytic therapy is successful, there may be complete resolution of symptoms.
There is no known cure for stroke if someone is not a candidate for this treatment. Treatment is essentially rehabilitation based on the symptoms presented. Treatment is also aimed at prevention of future strokes.
Recovery may occur as other areas of the brain take over functioning for the damaged areas. The goal of treatment is to prevent spread (extension) of the stroke and to maximize the ability of the person to function.
The underlying heart disorder should be treated as appropriate, including medications to control the heartbeat.
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