Stroke - Cerebrovascular accident

High urgency
-Moderately severe
Stroke or cerebrovascular accident is a disease that affects the blood vessels responsible for supplying blood to the brain. An ischemic stroke is the blockage of a blood vessel by an embolism or thrombus, whereas a hemorrhagic stroke occurs when the injury is secondary to a ruptured blood vessel. Risk factors include: age, family history, race or gender, hypertension, smoking, diabetes mellitus, heart disease, etc. The symptoms will depend on the area of the brain affected (loss of strength and/or sensitivity of a region of the body, difficulty speaking or walking, etc.). Diagnosis is established by taking the medical history and performing a complete physical examination, blood tests and a computed tomography. Treatment varies depending on whether the stroke is caused by a blocked artery or a ruptured blood vessel.
Bibliographic references
  1. Louis R Caplan. Overview of the evaluation of stroke. UpToDate. Apr 12, 2016.
  2. Jamary Oliveira Filho, Michael T Mullen. Initial assessment and management of acute stroke. UpToDate. Aug 15, 2016.
  3. Demaerschalk BM, Kleindorfer DO, Adeoye OM, et al. Scientific Rationale for the Inclusion and Exclusion Criteria for Intravenous Alteplase in Acute Ischemic Stroke: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke 2016; 47:581.
  4. Hemphill JC 3rd, Greenberg SM, Anderson CS, et al. Guidelines for the Management of Spontaneous Intracerebral Hemorrhage: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke 2015; 46:2032.
  5. Jauch EC, Saver JL, Adams HP Jr, et al. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2013; 44:870.
  6. Johnston SC, Easton JD. Enfermedades cerebrovasculares. Manual de diagnóstico y terapéutica médica Hospital Universitario 12 de octubre. 6ª edición. 2007. 59:66.
Author
Dr. Elvira Moreno
Copyright
© TeckelMedical 2026

Symptoms

    Neurological symptoms: impaired speech, physical strength or feeling


    Loss of strength or paralysis of half of the body


    Loss of feeling in half of the body


    Gaze deviated to one side


    Difficulty articulating words

Pre-hospital care recommendations

Keep calm.
Call medical assistance for instructions.
Do not eat or drink to prevent choking.