Nuero physiotherapy Assignment Example | Topics and Well Written Essays - 2500 words

Nuero physiotherapy - Assignment Example Stroke is known to be one of the worst causes of disability and death all over the world. Ischemic stroke contributes to more than 87 percent of all the strokes (Amarenco et al. 2012). Stroke easily leads older people to death within a very short time; research shows that 8 to 12 percent of adults aged between 45 and 64 years die within 30 days of transient ischemic attack. George’s case is a perfect description of an adult who has suffered a stroke that has lasted for more than one hour without medical attention. The amount of time that the patient lasted without medical attention may have been more than one hour since the only person who could have helped him had been away for most part of the day. Various things occur to patients who suffer ischemic stroke within the first hour leading to neurological problems and even death. During the first hour, a section of the brain usually faces threats of death. The infarct core might be highly ischemic and may certainly die, but tissue with a shortfall of blood provision is also poised on a knife-edge between recovery and death. At this state, metabolic factors and hemodynamics are essential (Bath & Lees 2000). Clinical symptoms exhibited by George are due to a stroke that he has undergone. It is more likely that he suffered from ischemia, which causes more than 85% of strokes, or hemorrhage, which accounts for the remaining 15%, after diagnosis rules out subarachnoid hemorrhage. Hemorrhage leads to direct neuronal injury and adjacent ischemia due to the pressure effect it develops. Primary ischemia occurs because of an embolism or atherothrombotic occlusion. The normal sources of embolism in an individual are the left atrium in cases where there is atrial fibrillation or left ventricle in cases where there is heart failure or myocardial infarction. Occlusion of vessels occurs because of atherosclerosis, in the internal parts of the carotid artery, which is simply next to the carotid bifurcation,