Vascular diseases of the brain - one of the most common diseases, especially in the elderly. Microstroke symptoms or transient brain lesions is a signal that soon may develop full-fledged stroke. Therefore, patients with minor strokes should be carefully examined.
Why do we need a survey at microstroke
Symptoms microstroke is not always possible to capture and properly assess the background to the diseases caused by it. But if there were clear signs of transient ischemic attack, it is necessary to complete a survey to establish the cause and extent of changes in the brain, which led to minor strokes.
If this is not done with the subsequent treatment of the underlying disease, a complete change in lifestyle and diet, we should expect a full stroke, with severe consequences, and total or partial disability of the patient.
As the survey is conducted
Microstroke diagnosis is made by characteristic symptoms (headache, blurred speech, movements in the limbs, and so on) that last from a few moments to a day, and then fully tested.
Be sure to research conducted state of the cervical spine. Some of his disease (eg, low back pain) contribute to stroke, as there is a compression of the vertebral artery that carries blood to the brain. For this radiography of the spine.
To detect changes in the brain performed radiographic studies, computer and magnetic resonance imaging (CT and MRI). At the same time an occasion to study the state of cerebral vessels - Doppler ultrasound (Doppler ultrasound), angiography using CT and MRI. Angiography carotid subject in the case where a patient suspected of having atherosclerotic lesions in blood vessels.
At the same time carried out a survey of the cardiovascular system, as it is the condition of the heart often cause microstroke. The patient made an electrocardiogram (ECG) and echocardiogram (Echo - to assess the condition of the heart and blood in it), if detected any violations examined in more detail.
ALWAYS do biochemical analysis of blood - clotting parameters are checked, the content of prothrombin, fibrinogen, sugar, urea and so on. In general blood analysis also revealed signs of pathology, e.g., inflammation, and other signs of anemia.
In some cases, the cause may be a violation microstroke in small blood vessels caused by diseases such as rheumatic fever
Rheumatic fever - are possible complications of heart
Syphilis - punishment of Venus
and others. If you suspect that such processes are carried out appropriate blood tests to identify the nature of the process.
If necessary, the patient is sent for examination to other specialists, such as cardiologist.
How are the results of the survey
The survey evaluated only in the complex. This allows you to make predictions on the possible future violations of the brain and give the patient detailed instructions for the prevention of these disorders.
Particular importance is attached to blood clotting parameters as increased clotting is responsible for the formation of blood clots in blood vessels - often the immediate cause of ischemic stroke.
Of equal importance is a metabolic disorder
Metabolism: The basis of life of all living things
In particular lipid to form atherosclerotic changes in cerebral vessels.
Which diseases should be differentiated microstroke
Microstroke should be differentiated, first of all, with a brain tumor
Brain tumor - surgery inevitable
That the growth can compress blood vessels and cause symptoms of cerebral circulation. But the tumor is characterized by slow growth of such signs. In addition, they tend not tested alone, whereas signs microstroke tested throughout the day.
Specific vasculitis (rheumatic, syphilitic, etc.) cause minor strokes are rare, however, exclude this cause is also necessary.
Cerebrovascular accidents can occur as a consequence of traumatic brain injury, when the site of injury grows connective tissue that may compress the blood vessel. But these phenomena also take place in the treatment of the day and have a permanent character.
Thus, minor stroke should be an occasion to examine the patient, identify and treat the underlying disease that led to the development of transient ischemic attacks.