I'm currently doing a case on a patient who survived a stroke 1 year ago. She said that the day she had a stroke, she was admitted in the ICU and had a CVD bleed. What does that mean? Thanks you.
And i was also wondering if what type of stroke she had because i don't have her records. She said she spent 2 days in the ICU, 1 month at the hospita, has left side paralysis and no peripheral vision on the left eye. Now she still has no peripheral vision on the left eye and still has weakness on the left side of her body. Thank you for your help.
CVD usually refers to cardiovascular disease. Perhaps she threw a clot as a result of atherosclerosis or hypertension.
Maybe the following link and text will help. I found the information at: http://www.neurologychannel.com/stroke/types.shtml
Types of Stroke
Approximately 80% of strokes, or brain attacks, are ischemic. They can develop in major blood vessels on the surface of the brain (called large-vessel infarcts) or in small blood vessels deep in the brain (called small-vessel infarcts). Types of ischemic stroke include embolic infarct, thrombotic infarct, and lacunar infarct. Infarct of undetermined cause accounts for approximately 30% of cases of ischemic stroke.
Tissue death caused by lack of blood (embolic infarct) occurs suddenly when a blood clot (embolism) forms in one part of the body, travels through the bloodstream, and lodges in and obstructs a blood vessel in the brain. Cardiac embolism, in which a blood clot forms in the heart, accounts for about 20-30% of ischemic strokes.
Thrombotic infarct (approx. 10-15% of cases) occurs when a blood clot forms in an artery that supplies the brain, causing tissue death. This type usually occurs as a result of plaque build-up in arteries (atherosclerosis ) and develops over time.
Lacunar infarct (approx. 20% of cases) usually occurs as a result of arterial blockage caused by high blood pressure (hypertension). This type of stroke has the best prognosis.
A transient ischemic attack (TIA) is a transient event that is a risk factor for ischemic stroke. In a TIA, arterial blockage in the brain occurs briefly and resolves on its own, without causing tissue death. Approximately 10% of ischemic strokes are preceded by a TIA, and about 40% of patients who experience a TIA will have a stroke.
Hemorrhagic stroke occurs when a blood vessel in the brain ruptures and bleeds into surrounding tissue. The bleeding compresses nearby blood vessels and deprives surrounding tissue of oxygen, causing stroke. Hemorrhagic stroke usually affects a large area of the brain, is severe, and carries a high risk for death.
Intracranial hemorrhages occur when blood vessels located between the brain and the skull rupture. They can result from traumatic brain injury (TBI) or develop spontaneously as the result of a blood vessel defect or weakness such as a bulge in an artery (aneurysm) or arteriovenous malformation (AVM).
Blood vessel defects can be present at birth (congenital; e.g., berry aneurysm, arteriovenous malformation) or acquired (e.g., atherosclerotic aneurysm). Atherosclerotic aneurysm develops when plaque build-up weakens the arterial wall.
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