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Ischemic stroke

Description

Ischemic stroke or cerebral ischemia is a medical condition, characterized by loss of blood supply to the brain resulting in brain damage and loss of neurologic function. The brain doesn’t have a reserve for energy so it depends upon blood for its energy requirements. When blood supply to the brain is cut off the brain cells start to die within minutes. It is the most common type of stroke.

Causes

Following are the reasons why this might happen:

  • Thrombosis(obstruction of a blood vessel by a blood clot forming locally)
  • Embolism (obstruction due to an embolus from elsewhere in the body)
  • Systemic hypoperfusion (general decrease in blood supply e.g. in shock)
  • Heart attack
  • Injury to a blood vessel wall and formation of a blood clot which leads to narrowing of the blood vessel. Usually occurs with hypertension or diabetes mellitus.
  • Blood clotting problem
  • Heart valve disease
Risk factors
  • MODIFIABLE FACTORS (FACTORS THAT CAN BE CHANGED):
  1. High blood pressure (hypertension)
  2. Diabetes mellitus
  3. Cardiac disease
  4. Cigarette smoking
  5. Obesity
  6. Increase homocysteine
  7. Increase cholesterol
  •  NON-MODIFIABLE FACTORS (FACTORS THAT CANNOT BE CHANGED):
  1. Inheritance: If either parent has a history of ischemic stroke, their children are at a risk to develop it.
  2. Gender: Males have a greater tendency to suffer from an ischemic stroke.
  3. Age: As the age increases, so does the risk of ischemic stroke.
  4. Race: Hypertension is more common in African-Americans.
Symptoms

Development of symptoms depends on the area of brain affected by ischemic stroke. Some of the symptoms are:

 

  • Visual disturbances
  • Numbness of face, legs, or arms
  • Confusion
  • Severe headache
  • Dizziness (lightheadedness)
  • Drooping of face on one side.
Diagnosis
  • Your doctor will take a thorough medical history and then proceed with the physical examination.
  • To confirm a narrowed artery, your doctor will place the stethoscope over your carotid artery in your neck, to listen for a swooshing sound that's characteristic of a narrowed artery.
  • Your doctor may then test your physical and mental capabilities such as strength, memory, and speech.

After that, your doctor may recommend the following tests to assess blood flow, pressure, abnormalities in your neck and brain.

  • Ultrasound
  • CT or MRI
  • CT angiography or MR angiography
Management

In all emergencies, the goal of management is to maintain breathing, blood pressure, and heart rate to normal.

 

Non-surgical management:

  • Tissue plasminogen activator (protein involved in breakdown of clots)
  • Anti-coagulants
  • Anti-platelets

    

Surgical management:

  • Surgical clot removal
  • Stenting to open arteries
When to consult a doctor?

Consult your doctor immediately if you experience any symptoms of stroke. Urgent medical assistance is needed to prevent permanent brain damage and death.

Available Medicine for Ischemic stroke

Ascard 75mg

Rs.19.23

Atco

Ascard 150mg

Rs.23.08

Atco

Ascard Plus 81mg/75mg

Rs.184.75

Atco

Ascard 300mg

Rs.17.33

Atco

Lowplat Plus 75mg/75mg

Rs.208.92

Pharm Evo

Co-Plavix 75mg/75mg

Rs.332.06

Sanofi

Angipro 75mg

Rs.10

Unimark

Apiscot 150mg

Rs.14.67

Scotman

Apiscot 75mg

Rs.7.33

Scotman

ASA 150mg

Rs.33

Don Valley

ASA 300mg

Rs.50

Don Valley

ASA 75mg

Rs.23

Don Valley

Aspirin 300mg

Rs.130

Amros

Aspirin 300mg

Rs.182

Ardin

Aspirin 300mg

Rs.28

Gaba

Aspirin 300mg

Rs.183.04

Geofman

Aspirin 300mg

Rs.300

Ideal

Aspirin 300mg

Rs.250

Irza

Aspirin 300mg

Rs.20

Irza

Aspirin 300mg

Rs.113

Jawa

Aspirin 300mg

Rs.156.37

LCPW

Aspirin 300mg

Rs.5.77

LCPW

Aspirin 300mg

Rs.154.56

Lisko

Aspirin 300mg

Rs.0

Mediate

Aspirin 300mg

Rs.135

Nawab sons

Aspirin 300mg

Rs.80

Pharmacare

Aspirin 300mg

Rs.74.12

Unexo

Aspirin 300mg

Rs.125

Xenon

Aspirin 300mg

Rs.300

Euro Pharma

Aspiwan 75mg

Rs.30

Nawab Labs

Caprin 150mg

Rs.11.67

Candid

Caprin 75mg

Rs.8.33

Candid

Caspia 75mg

Rs.8.33

Epla

Deerin 300mg

Rs.100.67

Delux

Disprin CV 100mg

Rs.14.57

Reckitt Benckiser

Disprin 500mg

Rs.110

Reckitt Benckiser

Disprin 300mg

Rs.20.57

Reckitt Benckiser

Disprin 300mg

Rs.20.58

Reckitt Benckiser

Doloprin 75mg

Rs.9.43

Pacific Pharma

Eprin 300mg

Rs.104

Epoch

Eprin 300mg

Rs.1.85

Epoch

Eprocid 300mg

Rs.0

Eros

Eprocid 75mg

Rs.0

Eros

Jeprin 75mg

Rs.8.33

Genome Pharma

Loprin 150mg

Rs.22.52

Highnoon

Loprin 75mg

Rs.16.53

Highnoon

Mas-Prin 150mg

Rs.11.44

Mass-PH Health

Mas-Prin 75mg

Rs.9.53

Mass-PH Health

Megaprin 300mg

Rs.16

Mega

Meriprin 300mg

Rs.175.95

Bloom Pharma

Meriprin 300mg

Rs.19.17

Bloom Pharma

Meriprin 300mg

Rs.1055.7

Bloom Pharma

Mini Prin 75mg

Rs.9.2

Bloom Pharma

Myprin 300mg

Rs.215

Semos

Orsprine 75mg

Rs.8.33

Orta

Panarin 300mg

Rs.85

Flow Pharma

Prosperin 150mg

Rs.14.67

Epoch

Prosperin 75mg

Rs.12

Epoch

Solprin 300mg

Rs.590

Pharma Wise

Soluprin 300mg

Rs.60.5

Lisko

Soluprin 300mg

Rs.380.33

Lisko

Soluprin 300mg

Rs.49.5

Lisko

Vin 150mg

Rs.10

Saydon

Vin 300mg

Rs.16.33

Saydon

Vin 75mg

Rs.8.33

Saydon

Apcom 300mg / 200mg

Rs.3.5

Karachi Chemical

Febrinol Compound 300mg / 200mg

Rs.250

Pharma Wise

Febrinol Compound 300mg / 200mg

Rs.6.25

Pharma Wise

Apecirin 200mg / 300mg/ 30mg

Rs.180

Alfalah Pharma

Apecirin 200mg / 300mg/ 30mg

Rs.121

Alfalah Pharma

Nopain 200mg / 300mg/ 30mg

Rs.15.9

Schazoo Pharmaceuticals

Obsagrel 75mg/75mg

Rs.158.18

OBS

Aslow-81 81mg

Rs.11

Helix Pharma

Disprin cold n fever 300mg/200 mg

Rs.220

Reckitt Benckiser

Eplacin 300mg/200 mg

Rs.5.2

Epla

Juvapyrine 300mg/200 mg

Rs.300

Progressive

Apecirin 300 mg / 200 mg

Rs.180

Alfalah Pharma

Apecirin 300 mg / 200 mg

Rs.121

Alfalah Pharma

Aspirin 300 mg / 200 mg

Rs.172

Nawab sons

Aspirin 300 mg / 200 mg

Rs.8

Nawab sons

Norplate-S 75mg/75mg

Rs.218.75

Scilife

Clotnil Plus 75/75 mg

Rs.177.65

Barrett

Lowplat Plus 150mg 75mg/150mg

Rs.201.98

Pharm Evo

Noclot-EA 75mg/75mg

Rs.195

CCL

Ogrel Plus-81 Tab

Rs.175

Bosch

Aspisafe 75mg

Rs.24.69

Zafa

Clotles Plus 75 mg / 75 mg

Rs.159.7

Himont

Clopid Asp 75 / 75 mg

Rs.180

Ferozsons