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2. Hemorrhagic stroke
Hemorrhagic stroke occurs when a blood vessel in your brain leaks or
ruptures. Brain hemorrhages can result from many conditions that affect
your blood vessels, including uncontrolled high blood pressure
(hypertension), overtreatment with anticoagulants and weak spots in your
blood vessel walls (aneurysms).
A less common cause of hemorrhage is the rupture of an abnormal tangle of
thin-walled blood vessels (arteriovenous malformation) present at birth.
Types of hemorrhagic stroke include:
Like an ischemic stroke, a TIA occurs when a clot or debris blocks blood
flow to part of your brain. A TIA doesn't leave lasting symptoms
because the blockage is temporary.
Seek emergency care even if your symptoms seem to clear up. Having
a TIA puts you at greater risk of having a full-blown stroke, causing
permanent damage later. If you've had a TIA, it means there's likely a
partially blocked or narrowed artery leading to your brain or a clot
source in the heart.
It's not possible to tell if you're having a stroke or a TIA based only on
your symptoms. Up to half of people whose symptoms appear to go
away actually have had a stroke causing brain damage.
Risk factors
Many factors can increase your risk of a stroke. Some factors can also
increase your chances of having a heart attack. Potentially treatable
stroke risk factors include:
Lifestyle risk factors
Physical inactivity
High cholesterol.
Diabetes.
Gender Men have a higher risk of stroke than women. Women are
usually older when they have strokes, and they're more likely to die of
strokes than are men. Also, they may have some risk from some birth control
pills or hormone therapies that include estrogen, as well as from pregnancy
and childbirth.
Diagnosis of a Cerebrovascular Accident
Your doctor can tell if you have had a stroke in a number of ways. First,
you will be examined. Your doctor will check your reflexes, vision,
speaking, and senses. He or she will also check for a particular sound
in the blood vessels of your neck. This sound, which is called a bruit,
indicates abnormal blood flow. Finally, your doctor will check your
blood pressure, which may be high if you have had a stroke.
Your doctor may also perform diagnostic tests to confirm a stroke and
to pinpoint its location:
Blood tests: Your doctor may want to test your blood for clotting time,
blood sugar levels, or infection. These can all affect the likelihood and
progression of a stroke.
For a hemorrhagic stroke, you may be given a drug that lowers the
pressure in your brain caused by the bleeding. You may also need
surgery, if the bleeding is severe, to remove excess blood. You may
also need surgery to repair the ruptured blood vessel.
After any type of stroke, there is a recovery period that varies
depending on how severe the stroke was. You may need to participate
in rehabilitation because of the effects of the stroke. This can include
speech therapy, occupational therapy, or work with a psychiatrist,
neurologist, or other professionals.
control diabetes