Can a stroke be cured?

Written by Zhang Hui
Neurology
Updated on September 16, 2024
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Stroke is mainly divided into ischemic stroke and hemorrhagic stroke. Ischemic stroke, also known as cerebral thrombosis, can benefit many patients if they can reach a hospital quickly and receive intravenous thrombolysis within the time window, such as within 4.5 hours, leaving them with only mild neurological deficits followed by proper rehabilitation training. Some patients can be cured. However, if the stroke is severe from the onset, resulting in complete paralysis or even consciousness disorders such as drowsiness, stupor, or coma, the treatment outcomes can be significantly less effective, potentially leaving some degree of disability. Generally speaking, whether a stroke can be cured depends closely on the initial severity of the stroke, the overall condition of the patient, and the timeliness of the treatment. Some conscious patients who receive timely treatment can be cured, whereas those with severe conditions typically suffer from long-term complications.

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Written by Zhang Hui
Neurology
1min 12sec home-news-image

What is a stroke?

Stroke primarily refers to cerebrovascular disease. Acute onset of stroke usually presents with focal neurological deficits, mainly divided into ischemic and hemorrhagic strokes. Ischemic stroke, primarily referring to cerebral infarction, occurs due to an interruption in the blood supply to the brain, causing vessel occlusion and resulting in various clinical syndromes. Clinically, it presents rapidly with symptoms such as limb paralysis, slurred speech, and facial drooping. The pathogenesis of ischemic stroke is caused by central arteriosclerosis of large vessels. Additionally, stroke also includes cerebral embolism, mainly referring to atrial fibrillation-induced emboli from wall-attached thrombi, and other foreign bodies causing embolic blockage, leading to necrosis of brain tissue. Stroke also encompasses hemorrhagic stroke, with a typical condition being cerebral hemorrhage, which is due to long-term hypertension causing hyaline degeneration of the small arterial walls, eventually leading to necrosis and rupture with bleeding, resulting in neurological deficits.

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Written by Tang Ying
Physical Medicine and Rehabilitation
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Principles of Stroke Rehabilitation Treatment

Principles of stroke rehabilitation treatment. First is the issue of timing; it is crucial to choose the appropriate time for rehabilitation intervention. Rehabilitation treatment should start as early as possible when the patient's condition is stable. Secondly, rehabilitation assessment, also known as rehabilitation evaluation, should be performed throughout the treatment process. This allows for comparability before and after treatment, clarifying the treatment results for the patient and determining if there is a need to modify the treatment plan during the process. Thirdly, it is essential to have rehabilitation treatment goals and plans. Based on assessments, short-term and long-term rehabilitation plans must be developed for the patient to achieve certain rehabilitation objectives. Fourth, the principle of gradual progression must be adhered to in rehabilitation treatment. It should not be rushed, and active participation from both the patient and their family members is crucial, incorporating daily life and exercise opportunities. Fifth, rehabilitation treatment primarily involves comprehensive therapy, which includes physical exercise, speech therapy, occupational therapy, physiotherapy, and traditional rehabilitation treatments such as acupuncture and moxibustion, as well as psychological therapy, rehabilitation engineering, and assistive devices. Sixth, conventional pharmacological treatments and necessary surgical interventions are involved. These include essential medications that must be used, and when rehabilitation methods alone cannot restore function, appropriate medical advice from relevant departments should be considered, and surgical treatment may be needed to assist the patient in better recovery.

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Written by Zhang Hui
Neurology
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What is good to eat after a stroke?

Stroke primarily refers to cerebrovascular diseases, among which cerebral infarction has the highest incidence rate. Regarding diet after experiencing a cerebral infarction, it mainly falls into two categories: The first category is medications. If it is a cerebral thrombosis, it is crucial to strictly control blood pressure and blood sugar using appropriate medications. Additionally, it is necessary to take medications to prevent the recurrence of thrombosis. These medications primarily include antiplatelet agents and drugs that regulate blood lipids to stabilize plaques. Furthermore, traditional Chinese medicines that invigorate the blood and remove stasis can also be used. These medicines also help to improve blood circulation. In terms of diet, it is essential to follow a low-salt, low-fat diet, avoid overly greasy foods, and eat plenty of fresh vegetables and fruits regularly. High-quality proteins should also be included, such as drinking milk and eating beef. Whole grains should not be omitted to ensure a balanced diet and promote recovery.

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Written by Tang Ying
Physical Medicine and Rehabilitation
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Treatment of urinary retention in stroke patients

In cases of urinary retention after a stroke, some patients experience this due to psychological factors, concerns, and the sudden need to remain in bed, making it difficult to urinate in bed since they cannot stand or squat. Therefore, the first step is to alleviate psychological factors, provide patient communication and counseling, and perform massages around the navel and abdomen, along with heat treatments, to help patients urinate on their own. In a second scenario, where the patient's condition is severe or even comatose, and they have difficulty urinating, a catheter can be placed. It's important to first try to rule out a urinary tract infection, collect a midstream urine sample for analysis, and ensure the catheter is not left in longer than necessary. Once the patient's condition improves or they regain consciousness, the catheter should be removed promptly to avoid any urinary tract infections.

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Written by Tang Bo
Neurology
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The difference between stroke and cerebral hemorrhage

Stroke includes hemorrhagic stroke and ischemic stroke. Hemorrhagic stroke refers to cerebral hemorrhage, and ischemic stroke refers to cerebral infarction. Thus, they are included in the category of stroke. If symptoms similar to stroke occur, such as facial droop and limb weakness, along with a sudden increase in blood pressure, it is essential to go to the hospital immediately. The first step should be a cranial CT scan to determine whether it is a hemorrhagic or ischemic stroke, to guide further different treatments. Therefore, one must go to the hospital promptly if such symptoms appear.