STROKE

dr. Nora Fitria Tu

STROKE FACTS
Stroke is the No. 1 cause of death in
Indonesia. (Based on Riskesdas 2007)

Leading cause of adult disability.

Stroke risk increases with age.

Stroke is preventable.
STROKE DEFINITION

Clinical syndrome characterized by an acute

loss of focal or global brain function with
symptoms lasting greater than 24 hours or
is interrupted by death which is thought to be
caused by disturbance of blood supply to
the brain.
TYPE OF STROKE
SIGN and SYMPTOMS
The symptoms depend on the area of the brain
affected.

Sudden numbness or weakness of the face,

arm, or leg, especially on one side of the
body
Sudden confusion, trouble speaking or
understanding
Sudden trouble seeing in one or both eyes
Sudden trouble walking, dizziness, loss of
balance or coordination
Sudden, severe headache with no known
cause
DIAGNOSIS
History taking
Clinical manifestation
Physical examination:
- Vital sign
- Neurological examination
Neuroimaging (CT Scan or MRI)
Blood tests
EKG
IMAGING

CT Scan of ischemic CT Scan of intracerebral

stroke hemorrhage
MANAGEMENT
Adequate airway, breathing, and oxygenation.
High ICP management
Seizure management
Hypertension management
Antihypertension is given if:
- Ischemic stroke:
Systolic pressure > 220 mmHg and/or diastolic
pressure > 120 mmHg
- Hemorrhagic stroke:
Systolic pressure > 200 mmHg or MAP > 150 mmHg
Rehabilitation
MANAGEMENT
ISCHEMIC STROKE
Thrombolysis with r-TPA (Recombinant
Tissue Plasminogen Activator), given
before 3 hours of symptom onset.
Anticoagulant
Antiplatelet

HEMORRHAGIC STROKE
Surgical intervention if needed
 PREVENTION
You can control risk factors by:

HEALTHY DIET

EXERCISE

MEDICATIONS - Taking medications correctly

SMOKING - Stop smoking