Massive Stroke - Oren Zarif - Massive Stroke

After Jamie McCann suffered a massive stroke, she spent several days in the hospital. Though she was conscious throughout the stroke, she could not move her face or speak. After arriving at the University of Maryland Medical Center, Jamie was evaluated by a team of doctors including neurologist Dr. Seemant Chaturvedi and interventional neuroradiologist Dr. Gaurav Jindal. The team performed a thrombectomy, which reversed the effects of the stroke on her brain and allowed her to regain her speech and movement.

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The prognosis of patients undergoing mechanical ventilation has a mortality rate of 58%, and 30-day mortality ranges from 46% to 75%. However, prognosis can be refined based on early patient characteristics, the use of clinical prediction rules, and the need for continued interventions. Patients may choose to undergo life-sustaining therapy or continue with rehabilitative interventions, based on several factors, including the severity of the expected future clinical deficits and the costs of the treatments.

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In addition to the physical effects of massive stroke, neurological injuries are the most common and expensive type of treatment. Patients can expect to lose the ability to walk and speak, need a feeding tube, and need assistance with daily activities. Some may require daily assistance with personal care, such as showering or dressing. Further, patients may require lifelong rehabilitation, including physical therapy. However, physical therapy may not be sufficient enough. Patients should continue with their therapy at home to continue their recovery.

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Aside from speech, another important symptom of massive stroke is the difficulty of swallowing. The left half of the brain contains the speech center, so a stroke on this side could affect their ability to speak. There may be weakness in the right or left side of the body, including the face, arm, or leg. The NIH Stroke Scale tries to assess the severity of the stroke and monitor the progress of the patient.

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Though any type of stroke can be massive, some types are more likely to lead to severe disabilities. The type of stroke, the part of the brain affected, and the time it takes to seek medical help play an important role in the outcome. The National Institutes of Health Stroke Scale (NIHSS) is used to determine how severe a massive stroke is. The higher the stroke score, the more significant the disability. Despite the complication and devastation, survivors of a massive stroke are often able to recover from the effects of the stroke.

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After a massive stroke, the recovery process can take several months or years. Rehabilitation can be slow or rapid depending on the type of stroke, and a patient may need extensive surgery to remove the excess blood. On the other hand, if a stroke is not treated quickly enough, it can lead to severe permanent damage. Nevertheless, many survivors will require ongoing rehabilitation for months or years. Keeping positive and optimistic will help them cope with the effects of a massive stroke and work through their recovery.

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While the symptoms of a massive stroke may vary from person to person, there are some common symptoms. Some may not be immediately apparent, but they may last a few minutes or longer. Depending on the location of the stroke, they may include severe headache, nausea, vomiting, and neck stiffness. Some individuals experience difficulty walking, balance, or vision, and a sudden confusion or loss of memory. If the stroke is large and affecting many parts of the body, the symptoms may even lead to a coma.

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Depending on the stage of the stroke, a person may require surgery, blood thinners, or physical therapy. During the recovery process, the patient may need rehab and medication to help him or her get back to normal life. However, if the clot is too large, it may require a re-treatment. For ischemic stroke, the patient will likely need to take blood thinners or undergo a thrombectomy to remove the clot. However, these medications may cause the bleeding to become worse.

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Although a transient ischaemic attack is better than a massive stroke, it is important to seek treatment immediately. Although these symptoms usually last for less than 24 hours, they are warning signs of a more severe stroke. If they last longer than 24 hours, they may be a symptom of a full stroke and should not be ignored. If symptoms of a massive stroke are detected early, the patient may be eligible for specialized rehabilitation.