Case Study 1



Case Study 1

Analysis of the Case Study

Answer # 1

Yes there are various evidence which suggest us that which hemisphere of the Trim's brain got damaged due to the stroke. The stroke is caused by a process of ischemia, during which a person dies of the brain tissue due to failure of the blood supply. The cause of ischemia is the cerebral arterial occlusion system. It usually occurs in older people and associated risk factors including previous transient ischemic attacks. The main risk factors for the occurrence of a stroke are high blood pressure, the lipid disorders, and smoking.

Hemorrhagic stroke often occurs in people between the ages of 45 to 60 years, both men and women. Generally, it appears suddenly in the afternoon, often after a sharp fatigue or anxiety, physical stress. The initial symptoms of hemorrhagic stroke are vomiting, sudden intense headache, disturbances of consciousness - as stunning, and its complete loss. The presence of paralysis due to hemorrhage place: if hit by the left or right hemisphere. It is the development of paralysis of arms and legs on the opposite side of the human body, and if struck by the brainstem paralysis expressed to a lesser extent, but there are violations related to the innervations of the face (Taylor, 2008).

This stroke is often developed in a few hours, gradually increasing the level of numbness and weakness in legs and arms on one side of the body. Such phenomena are close to a violation of speech (if things left hemisphere), numbness of the face, headache, and dizziness. Sometimes with one another and with a stroke develops mental changes, seizure.

Answer # 2

The first diagnostic evaluation involves performing some additional tests necessary, and therefore should be in a hospital. Rapid specialized assistance by neurologist is a factor that improves prognosis and influences treatment effectiveness. Most stroke patients require hospital admission, except for dementia patients with previously diagnosed with a terminal illness or those who express their wish not to be entered (Diller, 2005).

Diagnosis of the stroke often requires the exclusion of the tumor and inflammatory lesions of the brain. Finding blood in the cerebrospinal fluid during the acute syndrome of the shell, can confidently distinguish meningeal hemorrhage of meningitis. Crucial in all cases in which doubt is computed tomography. Critical role in the acute and recovery plays confrontation. Human stroke almost every 2 hours in bed should be turned in order to carry out prevention of bedsores and pneumonia. It plays an important role in oral care, skin care, and easily digested and high-calorie food.

Surgical removal of the malformation is necessary to prevent another accident. There is no time for medication that could open the caliber of cerebral vessels, thus increasing blood flow in the ischemic region (where the blood reaches the least). For edema (collection of water) in the brain, it is usually advisable to use corticosteroids (cortisone), but this is not the case in strokes. However, in the presence of cerebral edema secondary to stroke targeted ...