The Medical Center of Central Georgia Stroke Center

1
The Medical Center of Central GeorgiaStroke
Center
2
Background

• A Stroke occurs if
• Ischemic Blood supply to part of the brain is
  suddenly interrupted (e.g. a clot).
• Hemorrhagic A blood vessel in the brain bursts

• Other names for a stroke
• CVA
• TIA
• Brain Attack

3
Ischemic Stroke

• Blood vessel becomes occluded and blood supply to
  part of the brain totally or partially blocked
• Embolic Blood clot forms somewhere in the body
  and travels through the bloodstream to your brain
• Thrombotic Blood flow is impaired because of a
  blockage to one or more of the arteries supplying
  blood to the brain
• Account for 85-90 of strokes

4
Hemorrhagic Stroke

• Occurs when a blood vessel in the brain ruptures
  or bleeds
• Intracerebral
• Bleeding occurs from vessels within the brain
  itself
• High blood pressure is the primary cause
• Subarachnoid
• Aneurism burst near the membrane surrounding the
  brain
• Causes the brain to be surrounded by blood
  contaminated fluid

5
Primary Stroke Mechanisms
6
U.S. Statistics

• 750,000 people suffer a stroke each year.
• Stroke is 3rd leading cause of death annually
• Stroke is the leading cause of serious long-term
  disability
• 14 of people who have a stroke will have another
  within one year

• 40,000 more women than men have a stroke each
  year
• Stroke care costs more than 52 billion annually

7
Stroke Death Rates per 100,000, US Adults Ages
35, 1991-1998
Age-adjusted Average Annual Deaths per 100,000

• Stroke mortality rates are 150 of the national
  average in the Stroke Belt (Georgia, South
  Carolina, North Carolina)

CDC National Center for Chronic Disease
Prevention and Health Promotion
8
Risk Factors

• Uncontrollable
• Increasing Age
• Sex
• Race
• Family History

9
Risk Factors

• Controllable
• Diet
• Exercise
• High Blood Pressure
• Diabetes
• Cigarette Smoking
• High Blood Cholesterol
• Obesity
• Heart Disease

10
Symptoms of Stroke

• 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 the worst ever
  experienced

11
Act F-A-S-T

• F Face - ask the person to smile
• A Arm - ask the person to raise both arms
• S Speech - ask the person to say a simple
  sentence
• T Time - Time is precious. Seek treatment ASAP

CALL 9-1-1
The faster you act, the better the chances of
recovery!
12
MCCG Stroke Center Goals

• Provide World Class stroke care
• Use evidence-based standards of care
• Develop care network with regional hospitals.
• Monitor continually improve our performance
  care
• Educate our community about how to recognize
  care for a stroke

13
Neurosurgical Services
If the patient comes to MCCG within 5-6 hours of
their stroke

• We can use Intra-arterial TPA
• This breaks up any clots (like Drain-o for a pipe)

• We can use Biplane Interventions

• Clot Buster
• Merci Retrieval
• Pulls out a clot (picture at left)

14
Your Role In The Community

• Know Act FAST -- ways to identify a stroke
• Educate your family, friends peers
• Educate your community
• If you teach others, be sure to let us know so
  you can get credit thanks (478-633-1007).

15
Questions?