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A cerebrovascular accident (CVA) or stroke is caused by an acute lack of blood supply to part of
the brain. There are two major types of stroke: ischemic, in which a blockage (usually a blood
clot) reduces or halts blood flow, and hemorrhagic, in which bleeding in the brain triggers a
response that restricts blood supply elsewhere. The pathophysiology of cerebrovascular accident
is different for these two types of stroke.
An ischemic stroke may be caused by a blood clot that occurs in the affected artery (thrombosis),
a blood clot that traveled from another part of the body (embolism), or a blockage due to damage
to the arterial wall (lacunar infarct). Blockage of a single artery can often be compensated for by
other arteries in the blood vessel network, call collaterals. Artherosclerosis (hardening of the
arteries), other damage to arteries, and natural variations in the collateral network can prevent the
collateral system from compensating fully. The result is a loss of perfusion, or blood supply, to
an area of the brain (ischemia).
Arteriovenous malformations (AVMs), abnormal tangles of blood vessels in which arteries flow
directly into veins, are another possible cause of ischemic stroke. AVMs can press directly on
brain tissue, blocking blood flow.
The main type of hemorrhage that can lead to stroke is subarachnoid hemorrhage. In this type of
bleed, which usually results from head trauma or a ruptured aneurysm, there is uncontrolled
bleeding between the innermost two of the three meninges (membranes lining the brain), the pia
mater and the arachnoid mater.
The blood that pools or collects in a subarachnoid bleed is called a hematoma. Ischemia (lack of
blood flow) from the hematoma is a secondary problem. It is caused by constriction of the
arteries (vasospasm) as a protective response to reduce bleeding. About 25% of patients with
subarachnoid hemorrhages will experience stroke symptoms resulting from secondary ischemia.
The Merck Manual of Diagnosis and Therapy: Entries on Ischemic Stroke, Subarachnoid
Hemorrhage, and Intracerebral Hemorrhage
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Cerebrovascular accident (CVA) is the medical term for what is commonly termed as stroke. It
refers to the injury to thebrai n that occurs when flow of blood to brain tissue is interruptedby a
clogged or ruptured artery, causing brain tissue to die becauseof lack of nutrients and oxygen.A
stroke (sometimes called a cerebrovascular accident(CVA)) is the rapidly developing loss of
brain function(s) due todisturbance in the blood supply to the brain, caused by a blockedor burst
blood vessel. This can be due to ischemia (lack of glucoseand oxygen supply) caused by
thrombosis or embolism or due to ahemorrhage. As a result, the affected area of the brain is
unable tofunction, leading to inability to move one or more limbs on oneside of the body,
inability to understand or formulate speech, or inability to see one side of the visual field. A
stroke is a medicalemergency and can cause permanent neurological damage,complications, and
death.
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personality
DEFINITION OF DISEASE]
Cerebrovascular accident (CVA) is the medical term for what is commonly termed as stroke. It
refers to the injury to thebrai n that occurs when flow of blood to brain tissue is interruptedby a
clogged or ruptured artery, causing brain tissue to die becauseof lack of nutrients and oxygen.A
stroke (sometimes called a cerebrovascular accident(CVA)) is the rapidly developing loss of
brain function(s) due todisturbance in the blood supply to the brain, caused by a blockedor burst
blood vessel. This can be due to ischemia (lack of glucoseand oxygen supply) caused by
thrombosis or embolism or due to ahemorrhage. As a result, the affected area of the brain is
unable tofunction, leading to inability to move one or more limbs on oneside of the body,
inability to understand or formulate speech, or inability to see one side of the visual field. A
stroke is a medicalemergency and can cause permanent neurological damage,complications, and
death.
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Increased hunger and food intake. Because glucose cannotenter cells of the satiety center of
the brain without insulin,the satiety center in the hypothalamus is stimulated resultingin a
“hunger sensation” as if there were very little blood glucose, resulting in an exaggerated
appetite.BODY MALAISEThis is due to the decreased glucose uptake by the tissuesleading to
decreased energy production.GLYCOSURIAThe kidney filters the blood, making it to its
normal state.Glucose was filtered out and excreted in the urine. Due tothe excess
glucose ad compared to the kidney threshold,which results to the excretion of glucose in
the urine.BLURRED VISIONDiabetes can affect the lens, vitreous, and retina,
causingvisual symptoms. Visual blurring may develop acutely as thelens changes shape with
marked changes in blood glucoseconcentrations. This effect, which is caused by
osmoticfluxes of water into and out of the lens, usually occurs as hyperglycemia
increases.WEIGHT LOSSDespite eating more than usual to relieve constant hunger bythe
stimulation of satiety center, weight loss may still exist.Without the glucose supplies, muscle
tissues and fat storesmay deplete.SLOW-HEALING SORE AND FREQUENT
INFECTIONHigh levels of blood sugar impair your body's natural healingprocess and your
ability to fight infections. For wom en,bladder and vaginal infections are especially
common.TINGLING SENSATION/ NUMBNESS IN THE HAND ANDFEETExcess sugar in
your blood can lead to nerve damage. Youmay notice tingling and loss of sensation in your
hands andfeet, as well as burning pain in your arms, hands, legs andfeet.PROTEINURIATesting
the urine for microalbuminuria shows earlynephropathy, long before it would be on routine
urinalysis,ANEMIAIf there are renal affectations, this might bring to decreaseproduction of
erythropoietin which brings to decreaseproduction of RBC from the bone marrow that may
result toanemia.
CEREBROVASCULAR ACCIDENT
Specific Deficits
1. Hemiparesis/Hemiplegia – the former means weakness of one sideof the body while the latter
means paralysis of one side of the body.2. Aphasia – defects on using and interpreting symbols
of language3. Apraxia - a condition in which a client can move the affected partbut cannot use it
for purposeful actions.4. Homonymous Hemianopsia – a defective vision or vision loss inthe
same half of the visual field.5. Agnosia – a problem in interpreting visual, tactile or other
sensoryinformation.
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