What is the treatment of a stroke?

TPA: One of the most important new treatments over the last few years for the immediate treatment of a stroke is a medicine called tPA (which stands for tissue plasminogen activator). TPA is a very powerful "clot-buster" that is infused through the veins. If given within the first three hours after the onset of symptoms, tPA can significantly improve the patient's outcome from the stroke over the long term. The sooner tPA is started, the better the outcome, so time is of the essence.

Treatment depends on the type of stroke, how long ago it happened, residual effects. If it's an ischemic stroke within 3 hours of onset and the patient has no exclusions, then a "clot busting" medication is the first line treatment. Then systemic anticoagulation. Diagnostic tests will be done to determine the cause and then possibly a greenfield filter will be placed. Depending on the severity, rehab may be necessary, to include physical, speech, occupational therapies.....Treatments are very individualized to the patient and stroke.

Initially, the patient will be given meds to stop or slow the spread of the brain bleed. After that, they are usually treated for whatever led to the stroke, for example blood pressure mmeds to stablize the blood pressure to prevent further strokes. Then, the patient is usually given rehab for whatever function they have lost.

Stroke Treatment


What are accepted ways to treat stroke?

Surgery, medications, hospital care and rehabilitation are all accepted stroke treatments.

When the carotid artery in the neck is partially blocked by a fatty buildup, called plaque, surgery called carotid endarterectomy might be used to remove the accumulated plaque.

Cerebral angioplasty is another technique in which balloons, stents and coils are used to treat some types of problems with the brain's blood vessels. Its widespread use depends on its safety and effectiveness.

What about tissue plasminogen activator (tPA)?

The U.S. Food and Drug Administration (FDA) has approved the clot-dissolving drug tissue plasminogen activator (tPA) to treat strokes caused by blood clots. (Blood clots cause about 80 percent of all strokes.) tPA dissolves the clot and restores blood flow to the brain. tPA carries a risk of bleeding in the brain, but its benefits outweigh the risks when an experienced doctor uses it properly.

Not every stroke patient, particularly those having a hemorrhagic stroke, should be treated with tPA. That's why it's extremely important to determine the type of stroke very quickly. tPA is effective only if given promptly. For maximum benefit, the therapy must be started within three hours of the onset of stroke symptoms. That's why it's so critical that medical professionals and the public recognize stroke as a medical emergency and respond immediately.

What about using hyperbaric oxygen?

According to the American Heart Association/American Stroke Association 2007 "Guidelines on the Treatment of Acute Ischemic Stroke," hyperbaric oxygen might be useful to treat selected patients with ischemic neurological symptoms caused by air embolism or Caisson disease (decompression sickness). A review of published studies did not find evidence that hyperbaric oxygen improved outcomes after stroke or brain injury, however. That means right now data don鈥檛 support the routine use of hyperbaric oxygen to treat patients with acute ischemic stroke.

What about treating heart disease?

Sometimes treating a stroke means treating the heart. The reason is that various kinds of heart disease can contribute to stroke risk. For example, damaged heart valves may need to be surgically treated or treated with anti-clotting drugs to reduce the chance of clots forming around them. Blood clots can also form in hearts with atrial fibrillation. This is a type of abnormal heart rhythm called an arrhythmia. If clots form in the heart or on the valves, there's a chance they can travel to the brain and cause a stroke.

Hope that helps :)

I had a brain stem stroke 9/97.My treatment was therapy,lots of it.Physical,Speech,and Occupational Therapy.I haven't come back to the old me and never will.I just take one day at a time.

Need a good DR.take medicne on time and a strong will to in prove , it depends on what type, conact a vascular surgery on your conputer , I am sure you will get the answers you need. GOOD LUCK

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