Most common cause of stroke is sudden occlusion of blood vessels by thrombus or embolism, which results in loss of oxygen supply to the cerebral tissues. Acute ischemic stroke accounts for about 85% of all case of stroke, the remaining 15% by hemorhagic stroke. Ischemic stroke results from the sudden decrease or loss of blood circulation to an area of brain resulting in loss of neurological function. Brain tissue deprived of oxygen, glucose eventually becomes necrotic, brain inflamation occurs in the necrotic brain tissue, macrophages and neutrophil play a major role in brain inflamation.
Within seconds or minutes after the loss of blood to a region of brain, the ischemic cascade is rapidly initiated, which comprises series of events like oxidative stress, microvascular injury, blood brain barrier dysfunction and post ischemic inflamation, brain cells like astrocytes, oligodendrocytes, endothelium will contribute to triggering post ischemic inflamation by producing inflamatory mediators, inflamatory mediators like cytokines activate infiltrating leukocytes (type of white blood cell) which induces ischemic brain injury in brain cells. all this will ultimately result in cell death of a neuron, microglial cell ( microglial cells account for 10 to 15 % of cells in brain) endothelial cells, the degree and duration of ischemia determines the extent of cerebral damage.
A 75-year-old man was found unconscious in his bathroom after faltling and hitting his head. He...
Albert, a seventy-two year old African-American man, is brought into the emergency room by his daughter. Approximately 45 minutes before arriving, Albert dropped his book when his right arm and hand "fell asleep". When he tried to rise, he noticed his right leg was weak and he needed to hold onto the couch to stand up. He had a difficult time talking because the right side of his face and mouth were "numb" and his tongue felt "thick". In obtaining...