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When do Hypertension cause paralysis

Stroke occurs when the blood flow to the brain is cutoff i.e, oxygen is cutoff and the corresponding body part loses its function. It occurs because of blockage of artery to the particular part of brain.

There are three type of stroke

1. Ischemic stroke because of thrombosis or clotting.
2. Hemorrhagic stroke because of bleeding.
3. Transient Ischemic attack

80% of the stroke constitute Ischemic stroke

How to identify stroke?

1. Stroke is identified when a person develops weakens of one arm or one leg or both arm and leg of one side, facial drooping, difficulty in speech.
2. Once the stroke is identified patient should be taken to the hospital, preferably where 24 hours CT scan is available.
3. Other investigations include MRI brain, carotid angiogram , echo cardiogram.

TREATMENT

In Ischemic stroke, thrombolysis is done and it should be done usually within 4 and half hours.

In Hemorrhagicstroke treatment includes reducing BP and if bleeding is more surgical management is needed.

Interventional management is usually done to remove clots and where thrombolysis is not successful.

Surgical management is done when bleeding is more.