Pathophysiology

Predisposing factors: Precipitating factors:

-Hereditary -Hypertension
-Gender: Male -Cardiovascular disease
-Age: -Cigarette smoking
-High cholesterol
-Being overweight
-Heavy Drinking
-Obstructive sleep apnea
-Diabetes Milletus

Narrowing of blood vessels

Formation of plaque deposit

Occlusion of major vessels

Increase pressure in the blood vessels

Due to thrombosis, some neurons die because of lack of oxygen and nutrients

CVA (Stroke)

Cerebral Ischemia

Initiation of ischemic cascade

Anaerobic metabolism of mitochondria, which generates a large amount of lactic acid

 Transient Ischemic Attack (weakness of the face, fingers, hands, arms)

Altered Cerebral Metabolism and decrease cerebral perfusion

Damage of the hemisphere of brain

Increased Intracranial pressure

Impaired perfusion and function

-Numbness on the left side of the brain

-Trouble speaking

-Difficulty of walking, dizziness

-Sudden severe headache

If not managed If manage

Space occupying blood clot put more -Pallative care

pressure on the brain tissue -Frequent vital sign and

neuro vital sign

The ruptured cerebral vessels may constrict to

limit blood loss, however, this vasospasm Good cerebral perfusion

will result to further ischemia and necrosis of brain tissue

Good improvement

BRAIN DEATH Good Prognosis