What is a devastating stroke?

Among the most feared and devastating strokes are ones caused by blockages in the brain's critical basilar artery
basilar artery
The basilar artery (/ˈbæz. ɪ. lər/) is one of the arteries that supplies the brain with oxygen-rich blood. The basilar artery lies at the front of the brainstem in the midline and is formed from the union of the two vertebral arteries.
https://en.wikipedia.org › wiki › Basilar_artery
system
. They can cause head-to-toe paralysis called "locked-in syndrome
locked-in syndrome
Locked-in syndrome (LIS), also known as pseudocoma, is a condition in which a patient is aware but cannot move or communicate verbally due to complete paralysis of nearly all voluntary muscles in the body except for vertical eye movements and blinking.
https://en.wikipedia.org › wiki › Locked-in_syndrome
. However, a minority of patients can have good outcomes, especially with new MRI technologies and time-sensitive treatments.
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What's considered a severe stroke?

Total scores between 21 and 42 are defined as a severe stroke.
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Can you recover from a catastrophic stroke?

Understanding massive stroke

The ability to recover from a stroke depends on the severity of the stroke and how quickly you get medical attention. A massive stroke can be fatal, as it affects large portions of the brain. But for many people experiencing a stroke, recovery is long, but possible.
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What is the most severe type of stroke?

Hemorrhagic strokes are extremely dangerous because the blood in the brain can sometimes lead to further complications such as hydrocephalus, increased intracranial pressure, and blood vessel spasms. If not treated aggressively, these conditions can lead to severe brain damage and even death.
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What does catastrophic stroke mean?

Abstract. The catastrophic reaction is a rare affective disorder following left hemispheric strokes. It is characterized by a disruptive emotional outburst involving anxiety, agitation and aggressive behavior.
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What happens during a stroke? - Vaibhav Goswami



What are the signs of death after a stroke?

found a high prevalence of certain symptoms among dying stroke patients (n = 42), namely, dyspnea (81%) and pain (69%), mouth dryness (62%), and anxiety (26%)[12].
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What is the life expectancy after a hemorrhagic stroke?

Survival Probabilities Following Hemorrhagic or Ischemic Stroke. In the hemorrhagic stroke group, survival probabilities were as follows: 6 months (36% [95% CI, 28–43]), 1 year (34% [95% CI, 27–41]), 2 years (31% [95% CI, 24–38]), and 3 years (27% [95% CI, 20–33]).
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What is the average life expectancy after a stroke?

The median survival time after a first stroke are: at 60-69 years of age–6.8 years for men and 7.4 years for women; at 70-79 years of age–5.4 years for men and 6.4 years for women; and at 80 years and older–1.8 years for men and 3.1 years for women.
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What happens in the first 3 days after a stroke?

During the first few days after your stroke, you might be very tired and need to recover from the initial event. Meanwhile, your team will identify the type of stroke, where it occurred, the type and amount of damage, and the effects. They may perform more tests and blood work.
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What percentage of stroke patients make a full recovery?

Although just 10% of people fully recover from a stroke, 25% have only minor impairments and 40% have moderate impairments that are manageable with some special care.
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What are the chances of surviving a severe stroke?

Of the surviving patients, 60 percent who suffered an ischemic stroke and 38 percent with intracerebral hemorrhage survived one year, compared to 31 percent and 24 percent, respectively, after five years. At the end of the study, 29 percent of the stroke patients were still alive.
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Is death by stroke painful?

Registry data also shows that stroke patients, to a lesser extent than cancer patients, are stated as suffering from pain, from feeling sick, from confusion and anxiety, and from dyspnea (breathing difficulties) in their last week of life; on the other hand, they suffer more from rattling breath.
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Are there warning signs days before a stroke?

- Warning signs of an ischemic stroke may be evident as early as seven days before an attack and require urgent treatment to prevent serious damage to the brain, according to a study of stroke patients published in the March 8, 2005 issue of Neurology, the scientific journal of the American Academy of Neurology.
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Can the brain heal after a massive stroke?

The short answer is yes; the brain can heal after acute trauma from a stroke or brain injury, although the degree of recovery will vary. The reason the brain can recover at all is through neuroplasticity, sometimes referred to as brain plasticity.
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What are the 3 types of strokes?

What are the types of stroke?
  • Ischemic stroke. Most strokes are ischemic strokes. ...
  • Hemorrhagic stroke. A hemorrhagic stroke happens when an artery in the brain leaks blood or ruptures (breaks open). ...
  • Transient ischemic attack (TIA or “mini-stroke”) ...
  • CDC. ...
  • Million Hearts® and CDC Foundation. ...
  • Other organizations.
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How do hospitals treat a stroke?

If you get to the hospital within 3 hours of the first symptoms of an ischemic stroke, you may get a type of medicine called a thrombolytic (a “clot-busting” drug) to break up blood clots. Tissue plasminogen activator (tPA) is a thrombolytic. tPA improves the chances of recovering from a stroke.
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Do stroke patients go to ICU?

Background: Patients with severe stroke defined as NIHSS score >17 constituting about 15-20% of cerebrovascular accident require admission into the Intensive Care Unit (ICU).
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Which side of brain is worse for stroke?

Left-hemispheric ischemic strokes appear to be more frequent and often have a worse outcome than their right-hemispheric counterparts.
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How long do stroke patients stay in hospital?

The typical length of a hospital stay after a stroke is five to seven days. During this time, the stroke care team will evaluate the effects of the stroke, which will determine the rehabilitation plan.
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What causes death after a stroke?

The dominant causes of death, as verified by autopsy, were cerebrovascular disease in the first week (90%), pulmonary embolism in the second to fourth week (30%), bronchopneumonia during the second and third months (27%) and cardiac disease, mainly myocardial infarction, later than three months after the stroke (37%).
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What are the three main causes of strokes?

Causes
  • High blood pressure. Your doctor may call it hypertension. ...
  • Tobacco. Smoking or chewing it raises your odds of a stroke. ...
  • Heart disease. This condition includes defective heart valves as well as atrial fibrillation, or irregular heartbeat, which causes a quarter of all strokes among the very elderly. ...
  • Diabetes.
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What type of stroke has the highest mortality rate?

Compared with ischemic strokes, HS was associated with an overall higher mortality risk (HR, 1.564; 95% CI, 1.441–1.696).
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Which is worse ischemic stroke or hemorrhagic stroke?

Background: Intracerebral hemorrhage (ICH) is associated with a greater average initial stroke severity, higher mortality, and poorer long-term neurologic outcomes than ischemic stroke.
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Can a person survive a hemorrhagic stroke?

Surviving a hemorrhagic stroke depends on the severity of the stroke and how fast the person is able to get treatment. Unfortunately, the majority of people who have a stroke die within a couple of days. About a quarter of survivors are able to live longer than five years, but the recovery process is long and slow.
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When someone is dying what do they see?

Visions and Hallucinations

Visual or auditory hallucinations are often part of the dying experience. The appearance of family members or loved ones who have died is common. These visions are considered normal. The dying may turn their focus to “another world” and talk to people or see things that others do not see.
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