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Stroke

Introduction 

Stroke: an animation

This animation explains how a stroke happens, the different types of stroke, and how lifestyle changes may help to reduce the risks

A stroke is a medical emergency

If you think you're having a stroke, dial 999 immediately. Limiting the damage from a stroke is very important to your chances of recovery.

A stroke is a serious medical condition that occurs when the blood supply to the brain is disturbed.

Like all organs, our brain needs the oxygen and nutrients provided by our blood to function properly. If the supply of blood is restricted or stopped, brain cells begin to die. This can lead to brain damage and possibly death.

Strokes are a medical emergency, and prompt treatment is essential because the sooner a person receives treatment for a stroke, the less damage is likely to happen.

Types of stroke

There are two main causes of strokes:

  • Ischaemic (accounting for 70% of all cases): the blood supply is stopped due to a blood clot.
  • Haemorrhagic: a weakened blood vessel supplying the brain bursts and causes brain damage.

There is also a related condition known as a transient ischaemic attack (TIA), where the supply of blood to the brain is temporarily interrupted, causing a sort of 'mini-stroke'. TIAs should be treated very seriously as they are often a warning sign that a full stroke is coming.

Who's at risk from stroke?

In England, strokes are a major health problem. With over 111,000 people having a stroke every year, they are the third largest cause of death. The brain damage caused by strokes means that they are the largest cause of adult disability in the UK.

People who are over 65 years of age are most at risk of having strokes, but they can affect people of any age, including children.

Those of Afro-Caribbean origin are at increased risk of having a stroke, and the number of people affected by the condition is higher among this ethnic group than any other. This is because people of Afro-Caribbean origin have a genetic predisposition (a natural tendency) to developing diabetes and heart disease, which are two conditions that can cause strokes.

Smoking, obesity, poor diet and excessive alcohol consumption are also risk factors for stroke. Also, conditions that affect the circulation of the blood, such as diabetes or hypertension (high blood pressure), increase your risk of having a stroke.

Strokes can be treated and prevented

Strokes can usually be successfully treated and they can also be prevented. Following a healthy diet, taking regular exercise, drinking alcohol in moderation and not smoking will dramatically reduce your risk of having a stroke.

Strokes can be treated using a combination of surgery and medicines. However, many people will require a long period of rehabilitation after a stroke, and not all will recover fully.

Last reviewed: 04/01/2008

Next review due: 03/01/2010

What are these?

 

BHPearl said on 21 July 2009

Forgive me, but reading this article one would think that although a stroke was serious, most people recover fully eventually. In fact you actually say that most strokes can be successfully treated.
I wish that were true! My doctor told me 33.3% die quickly, 33.3% are permanently disabled, some seriously leaving only 33.3% who recover fully. If he is right, most people are NOT successfully treated.
Treatment also seems to depend where you live, with physiotherapy being very difficult to arrange for the elderly in some areas.

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