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The Medical Center of Central Georgia Stroke Center

The Medical Center of Central Georgia Stroke Center. Background. A Stroke occurs if: Ischemic : Blood supply to part of the brain is suddenly interrupted (e.g. a clot). Hemorrhagic : A blood vessel in the brain bursts. Other names for a stroke: CVA TIA Brain Attack. Ischemic Stroke.

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The Medical Center of Central Georgia Stroke Center

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  1. The Medical Center of Central GeorgiaStroke Center

  2. Background • A Stroke occurs if: • Ischemic: Blood supply to part of the brain is suddenly interrupted (e.g. a clot). • Hemorrhagic: A blood vessel in the brain bursts • Other names for a stroke: • CVA • TIA • Brain Attack

  3. Ischemic Stroke • Blood vessel becomes occluded and blood supply to part of the brain totally or partially blocked • Embolic: Blood clot forms somewhere in the body and travels through the bloodstream to your brain • Thrombotic: Blood flow is impaired because of a blockage to one or more of the arteries supplying blood to the brain • Account for 85-90% of strokes

  4. Hemorrhagic Stroke • Occurs when a blood vessel in the brain ruptures or bleeds Intracerebral: • Bleeding occurs from vessels within the brain itself • High blood pressure is the primary cause Subarachnoid: • Aneurism burst near the membrane surrounding the brain • Causes the brain to be surrounded by blood contaminated fluid

  5. Primary Stroke Mechanisms

  6. U.S. Statistics • 750,000 people suffer a stroke each year. • Stroke is 3rd leading cause of death annually • Stroke is the leading cause of serious long-term disability • 14% of people who have a stroke will have another within one year • 40,000 more women than men have a stroke each year • Stroke care costs more than $52 billion annually

  7. Stroke Death Rates per 100,000, US Adults Ages 35+, 1991-1998 Age-adjusted Average Annual Deaths per 100,000 • Stroke mortality rates are 150% of the national average in the “Stroke Belt” (Georgia, South Carolina, North Carolina) CDC National Center for Chronic Disease Prevention and Health Promotion

  8. Risk Factors Uncontrollable: • Increasing Age • Sex • Race • Family History

  9. Risk Factors Controllable: • Diet • Exercise • High Blood Pressure • Diabetes • Cigarette Smoking • High Blood Cholesterol • Obesity • Heart Disease

  10. Symptoms of Stroke • Sudden numbness or weakness of the face, arm or leg; especially on one side of the body • Sudden confusion, trouble speaking or understanding • Sudden trouble seeing in one or both eyes • Sudden trouble walking, dizziness, loss of balance or coordination • Sudden, severe headache – the worst ever experienced

  11. Act F-A-S-T F = Face - ask the person to smile A= Arm - ask the person to raise both arms S = Speech - ask the person to say a simple sentence T= Time - Time is precious. Seek treatment ASAP CALL 9-1-1 The faster you act, the better the chances of recovery!

  12. MCCG Stroke Center Goals • Provide World Class stroke care • Use evidence-based standards of care • Develop care network with regional hospitals. • Monitor & continually improve our performance & care • Educate our community about how to recognize & care for a stroke

  13. Neurosurgical Services If the patient comes to MCCG within 5-6 hours of their stroke… • We can use Intra-arterial TPA • This breaks up any clots (like Drain-o for a pipe) • We can use Biplane Interventions • Clot Buster • Merci Retrieval • Pulls out a clot (picture at left)

  14. Your Role In The Community • Know “Act FAST” -- ways to identify a stroke • Educate your family, friends & peers • Educate your community • If you teach others, be sure to let us know so you can get credit & thanks (478-633-1184).

  15. Questions?

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