“Accidente cerebrovascular isquémico: infarto de tallo cerebral”

Abstract

The Ischemic Stroke represents the third cause of death, the first cause of physical disability and the second cause of dementia in adults. Annually an estimated 15 million people in the world suffer a stroke, of these, five million die and another five suffer a permanent disability, which has a very significant impact on families and society. Ischemic stroke is the clinical syndrome that is characterized by symptoms and / or focal signs that develop rapidly, sometimes with global loss of brain function, lasting more than 24 hours, with no apparent cause other than a vascular origin due to obstruction or occlusion arterial. The probable reasons for this deterioration include the extension of the thrombus, the failure of the substitution of collateral circulation, and the progression towards arterial occlusion. The presence of hypotension due to cardiac compromise, or the increase in blood viscosity due to dehydration, can aggravate ischemic stroke and increase patient deterioration. The adequate initial care of these patients allows reducing the morbidity and mortality and sequelae associated with this pathology. Two clear phases are distinguished: 1) Prehospital and 2) Hospitable during the first hour. The knowledge of Controllable or treatable Risk Factors and the non-treatable ones; This starts from the daily practice in hospitals and primary care centers, as well as patients with neurological sequelae due to a Stroke caused by the lack of adequate control.

xii The present Clinical Case Analysis was developed through a descriptive investigation based on Epidemiology and Public Health, reviewing the Clinical History of a patient with Ischemic Stroke: Cerebral Stem Infarction of the General Ambato Teaching Hospital of the Intensive Care Unit.