Cognitive Course Cerebro Vascular Event Hemiplegia Dr Öğr Gör Gülşah Kınalı Cerebro Vascular Event Hemiplegia is a vascular syndrome which is characterized ID: 934004
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Slide1
HEMİPLEGİASensory Motor Cognitive Course
Cerebro
Vascular
Event
-
Hemiplegia
Dr.
Öğr
. Gör. Gülşah Kınalı
Slide2Cerebro Vascular EventHemiplegia is a vascular syndrome which is characterized
by neuromuscular dysfunction in one half of the body due to pathological changes in the cerebral circulation.
SVO
Hemiplegia is a finding, so the result
!...
Inflammation due to decreased blood flow to brain tissue due to reasons such as SVO, tumor, arterial infarction, bacterial endocarditis
!....
Slide3Risk factorsMajor RisksAge --- increases both risk and riskHypertension, non - treatableSubstance addictionCardiac diseases (CAD) ** Risk in treatmentDiabetes
Transient Ischemic Attack
Slide4Congestive heart failureAtrial fibrillationSinus Syndrome
Know these diseases? Remember?
Slide5Congestive
Heart
Failure
Slide6Atrillar Fibrillation
Slide7Sinus Arrhythmia
Slide8Slide9Slide10Anatomy and Etiology
Clinical manifestations of CVO vary depending on whether the anterior or posterior circulation of the brain is affected.
Anterior
Circulatory
Ischemia
Posterior Circulatory Ischemia
Hemiparazi - more than
postataxia
HemianestezBilateral or
hemianesthesiaMonocular blindness
VertigoFacial
numbnesshemiparesis
Lower facial
weaknessDysarthria, dysphagia
Aphasia
Syncope
and
dizziness
Headache
Headache
Dizartri
-
less
than
post.
Tinnitus
Loss
of
visual
field
diplopia
Slide11Pathogenesisthrombolytic ****Embolitic **Lakuner * initially creates TIAHemorajik*****
ischemic
Hemorrhagic
Slide12Clinical Findings of Vascular LesionsMiddle cerebral artery
Anterior
Cerebral
ArteryPosterior
cerebral arteryInternal
carotid artery
Basillar arteryAnterior
superior cerebellar artery
Anterior inferior
cerebellar arteryVertebral
artery
Slide13PrognosisFlask --- Spastic --- Normal TonusFull paralysis - synergy - voluntary movements
Slide14TreatmentAcute CareConventional Method.Neurophysiological approaches
Slide15ComplicationsLower extremityUpper extremityGeneral Medical
Slide16History of Neurological Approaches
PNF
: Diagonal and
sipiral
thought of active and passive patterns have emerged and developed over time. Stretching effect and resistant work are important.Brunstrom: Firstly, motor synergies are created by utilizing pathological reflexes. Used in sensory stimulation and repositioning.
Bobath: To eliminate the spasticity is the primary use for this purpose.Sensory Integration- Ayres: It argues that sensory and perceptual impairment causes functional liming. Space, shape perception,
dyspraksi, tactile, auditory language probe. And it works on vestibular disorder, it is used in business dealings.
Slide17AFTER STROKE TREATMENTThere are some exciting approaches to the treatment of stroke (nine-plasmon activator)However, it should be noted that the most important approach is prevention of stroke!
Slide18Primary ProtectionHyperlipidemia - StaninsAtrial fibralation - WarfarinAspirin
for
myocardial infarction
and other vascular conditionsFor
carotid stenosis, carotid endorocytosis can be used as
preventive surgery.
Slide19Secondary Protection The target is people who have had TIA.-antitrombolytic drugs,surgical methods and endovascular treatments. Angioplasty, stents
etc
oplast.
Slide20Emergency Approach in Stroke
Slide21Emergency Treatment - Stroke*Prevent loss of functionality of the penumbra area.Is the airway open?Is fever and blood pressure normal?Nasal mask if oxygen saturation is insufficient
If the nasal mask is inadequate, should be intubated and provided with mechanical ventilator assistance
Slide22Surgical treatment in strokeIn acute stroke, the surgical option may not be chosen very quickly, because the sudden correction of blood flow may increase the damage.
Carotid
endorectomy
Endovasicular
ring if torn veinClosure may be required for aneurysms with stable neurological status, and open brain surgery for unstable patients.
Slide23