Paralysis is used to mean hemiplegia, loss of force and sensation, affecting one side of the body. However, the symptoms are not limited to this; it can affect a wide range of areas such as balance, speech, swallowing and mood.
Stroke is a result of the obstruction of the cerebral vessels (ischemia), vascular obstruction by a clot (embolism) or cerebral hemorrhage.
Stroke is mostly known as the loss of strength and sensation in one side of the body. However, it is a much more complicated problem. First of all, it points at brain damage. In addition, it may be caused by different factors like trauma, infection, and poisoning. In spite of different etiological factors, the outcomes share a similarity.
First of all, it is a life-threatening problem. Necrosis of a very big area in the brain or loss of an area related to vital functions may lead to death. After the patient overcomes the first days, during which the risk is very high, the treatment and rehabilitation should be focused on the recovery of the lost functions. Some problems encountered in stroke patients are as follows: Weakness in arms and legs, gait disturbance, loss of sensation, dysphagia, speech disorder, cognitive problems, balance disorders, visual disorders, neglect syndrome, epilepsy, bladder and bowel problems, psychological problems, sexual problems, and pain.
The severity of the stroke changes depending on the affected vessel and region. Certain factors like age and health condition prior to the stroke can affect the severity of the stroke. In general, the first days are the worst. The majority of the patients, who cannot move their arms or legs, regain their mobility in the following weeks. Some patients do not experience mobility problems even in the first days. Medically, these different conditions correspond to the phase or severity defined during the examination. Stroke, which causes only a mild dysfunction, is called a minor stroke.
The term “transient ischemic attack” is preferred in the medical terminology. In this type of stroke the stroke symptoms recover completely within 24 hours. However, it should not be underestimated, as it may be a prodromal sign of a real stroke.
Sometimes a small vessel is obstructed and it does not cause any recognizable symptom. Silent strokes are usually diagnosed during autopsy or cranial MRI examination. If a silent stroke is diagnosed, the patient should be evaluated for the risk factors and should be treated if necessary.
Most of the stroke patients benefit from physiotherapy and rehabilitation. Some patients may be very mildly affected so that outpatient or home monitoring is sufficient. The improvement in patients with severe brain damage is usually limited. A big group of patients is between these two extremes. Our rehabilitation team implements comprehensive and intensive treatments based on modern techniques in stroke patients.