behandlungsfeld schlaganfall 1

Stroke

A stro­ke is a sud­den cir­cu­la­to­ry dis­or­der in the brain, resul­ting in an under­sup­p­ly of oxy­gen. This dis­rup­ti­on means that the ner­ve cells in the affec­ted area of the brain are no lon­ger ade­qua­te­ly sup­pli­ed with oxy­gen and are dama­ged. Along­side heart dise­a­se and can­cer, stro­ke is the third most com­mon cau­se of death and the most com­mon cau­se of disa­bi­li­ty in Ger­ma­ny (1) . Men are affec­ted more fre­quent­ly than women. Strokes increase in fre­quen­cy with incre­asing age and typi­cal risk fac­tors (high blood pres­su­re, smo­king, ele­va­ted blood lipids, dia­be­tes mel­li­tus, obe­si­ty, exces­si­ve alco­hol con­sump­ti­on, nega­ti­ve psy­cho­so­cial situa­ti­on and other cau­ses).

Sym­ptoms and com­plaints of a stro­ke:

  • Sud­den one-sided para­ly­sis or loss of strength
  • Numb­ness
  • One-sided dro­o­ping cor­ner of the mouth
  • Swal­lo­wing dis­or­ders, devia­ti­on of the ton­gue when sti­cking out
  • Para­ly­sis of one side of the face
  • Visu­al dis­tur­ban­ces up to tem­po­ra­ry blind­ness
  • Speech dis­or­ders up to the loss of the abili­ty to speak
  • Com­pre­hen­si­on dis­or­ders
  • Balan­ce dis­or­ders and diz­ziness
  • Loss of con­scious­ness and uncon­scious­ness up to coma
  • Nau­sea and vomi­ting
  • seve­re hea­da­ches.

Every stro­ke is a medi­cal emer­gen­cy, which is why tho­se affec­ted should recei­ve pro­fes­sio­nal care as quick­ly as pos­si­ble and be taken to a hos­pi­tal, pre­fer­a­b­ly with a spe­cial stro­ke unit. When the war­ning signs first appear, they should defi­ni­te­ly be taken serious­ly, as the poten­ti­al dama­ge can be mini­mi­zed within a few hours. If in doubt, always call the emer­gen­cy ser­vices and have the cau­se cla­ri­fied, pre­fer­a­b­ly in a stro­ke unit. The fol­lo­wing appli­es here “Time is brain” (“Time is brain”)!

Sym­ptoms that rece­de quick­ly should also be taken serious­ly. It could be a TIA (tran­si­ent ischemic attack), which is a “har­bin­ger”, a war­ning sign of a stro­ke Pre­ven­ti­on and tre­at­ment of a stro­ke:

To safe­ly pre­vent a stro­ke, it is also important that tho­se affec­ted have the cau­se cla­ri­fied imme­dia­te­ly, even in the event of a rel­ap­se! After acu­te tre­at­ment in a neu­ro­lo­gi­cal cli­nic, reha­bi­li­ta­ti­on tre­at­ment is often neces­sa­ry, whe­re lost func­tions are trai­ned again. This can also lea­ve disa­bi­li­ties behind. Howe­ver, dama­ged func­tions can often still rege­ne­ra­te as ner­ve tis­sue recon­nects. Inten­si­ve trai­ning sup­ports reco­very.