Strokes
can be caused either by blockage or rupture of an artery
Ischemic strokes
are produced
by arterial blockage.
The resulting inadequate blood flow (ischemia) deprives the brain of oxygen
and glucose and slows the removal of metabolic wastes. The parts of the
brain that the occluded artery can no longer adequately supply begin to function
abnormally or cease to function. If ischemia persists, brain cells die
and then swell. The term "infarct" is commonly used to describe such a region
of dead tissue. The brain is at special risk for ischemia because there
is not enough redundancy in the arterial supply to maintain adequate blood flow
if one artery is suddenly occluded.
About 80% of all strokes are the ischemic type.
A Transient Ischemic
Attack (TIA) is the result of a brief, transient episode of focal brain or retinal
ischemia. Neurological deficits suddenly occur and then, unlike a stroke, disappear
completely. Most TIAs last less than an hour. In fact, in the vast majority
of cases, the patient experiences symptoms for less than 10 minutes. However,
the standard current definition includes events that persist up to 24 hours
before they fade. Unlike a stroke, no neurological deficits remain once
the attack has ended because no brain tissue is permanently damaged.
A
TIA sounds the alarm that an ischemic stroke may be imminent.
Hemorrhagic
strokes
are produced by
arterial rupture
Depending on the vessels involved, bleeding can occur
within the brain and its ventricles or around the brain in the subarachnoid
space. The blood produces injury by distorting, compressing, and tearing
the surrounding brain tissue (including its blood vessels) or by increasing
intracranial pressure.
About 20% of all strokes are the hemorrhagic type.