Cerebral vascular accident
Cerebrovascular accident is an acute condition, which is caused by interruption of blood supply of some part of the brain. Ischemic CVA includes 80% cases of all CVA and it is result of occlusion blood vessel by a thrombus. The cells of the brain will start to die without oxygen supply, we also lose the functions which are controlled by affected area. Clinical symptoms of patients include motional dysfunctions of facial muscles or limbs, balance disorders, sudden intensive headache, vision disorderes or speaking problems. Essencial factor of successful treatment is a quick and right diagnosis of ischemic CVA because of limited interval for tPA application. Consequences of the ictus correlate with localisation and extend of damaged tissue.
Review
Acute cerebrovascular accident is an urgent condition, when literally minutes decide about beginning of successful therapy. Following restoration of the patient depends on level of the brain damage, delay in treatment and following healthcare including rehabilitation. Therefore is neccesary quick diagnose and modern treatment, which is nowadays centralized in complex stroke centers. This algorithm attractively shows options to decide on model example, focusing on most common mistakes and directing to the right solution. We have to always remember speed of decision and without unnecessary delay start with efficient treatment, we don´t wait for spontaneous improvement.
Sources
FEIGIN, Valery L. Cévní mozková příhoda: prevence a léčba mozkového iktu. Praha: Galén, c2007. ISBN 9788072624287.
HERZIG, Roman. Ischemické cévní mozkové příhody: průvodce ošetřujícího lékaře. Praha: Maxdorf, c2008. Jessenius. ISBN 978-80-7345-148-6.
