Every 45 seconds, someone in the US has a stroke. Dr. Alexander Khalessi, Director of Endovascular Neurosurgery \u0026 Surgical Director of Neurocritical Care, joins Dr. David Granet to discuss how to recognize a stroke. Watch the Entire Talk Here: • Innovations in the Treatment of Strok… [6/2018] [Show ID: 33581]
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0.03 -> - So if you have an asymmetry of your face, so one
side of your face goes weak, you have weakness or
4.89 -> numbness of either your arm or leg, and if you have
disruption of speech. Those things are things that,
10.41 -> this is the one medical condition where if you
are thinking there's even a remote possibility
14.49 -> you're having a stroke, you need to seek medical
attention right away. Because you're losing 1.9
20.55 -> million neurons every minute that you wait. And so
and there are there options that that go off the
26.16 -> table if you're out of certain time windows from
when your symptoms start to when you actually seek
30.84 -> medical care. So heading to the emergency room,
calling 911 is the most important first step.
35.37 -> Now, most of these things occur in people over 65,
some two-thirds to three-quarters. It's important
42.06 -> and hopefully we'll have time to talk about
what happens to the younger crowd when that
44.94 -> happens, but a lot of that that that group has
aches and pains and things aren't quite right,
49.44 -> and they kind of just you know they want to blow
it off sometimes. Sure. Is it the person who's having
56.16 -> the stroke that knows it, or is it somebody who's
with them that notices it? How do most of these
60.03 -> get found? Yeah it's a terrific question. So for
minor strokes often people have insight into the
66.36 -> fact that they're developing a new problem, but
you're right more than any other disease it's a
71.58 -> third party observer who's gonna recognize this
person's not quite right. And actually one of the
76.74 -> real challenges in stroke care is usually the
person who's having the problem thinks they're
81 -> fine, and so they really resist seeking care and
wanting to actually get in that ambulance and
86.34 -> go to the emergency room. And so you can be a real
advocate for your loved one or your friend if you
91.59 -> realize something's not right and you actually
force them to actually seek medical care in that
96.12 -> situation. I had it happen once, my mother-in-law
the side of her face was starting to go yeah down
100.59 -> and I'm like - we have to go to the emergency room
and she fought me. Yeah I'm fine. What are you
talking about?
106.26 -> You know yeah, you're exactly you're exactly right,
and I can't emphasize enough that it is the best
111.33 -> everyday opportunity to really save someone's life
because they're often largely in a position where
116.52 -> they can't help themselves. The brain's the part
of the body that tells you moment to moment that
121.02 -> you're okay, and so when that's the organ affected
you're in a situation where you're really relying
126.09 -> on the people around you to recognize that and get
you to appropriate medical. Even if it's not a full
130.62 -> stroke, are there warning strokes, are there red flags
that God is sort of sending you, pay attention? Yeah,
What
137.61 -> you're describing is something called a transient
ischemic attack or a TIA, and that's a temporary
142.53 -> interruption of blood flow to the brain, but that
that occlusion or that blockage is restored before
147.72 -> that part of the brain actually dies. We do have
a window of time before that brain dies where
152.19 -> we can actually, you know get that handled. That
tends to happen with certain types of causes
157.47 -> of stroke more than others, and so if you're
dealing with a structural vascular problem.
161.22 -> A blockage of the carotid artery like we talked
about earlier, that's classically associated with
165.78 -> the TIA that can also cause a window shade to
come down in your vision from a lack of blood
170.61 -> flow to the eye. So those kind of warning signs
definitely put you at higher risk for a larger
175.86 -> or more permanent stroke. So if it kind of comes
and goes don't ignore it. No question you need to
180.93 -> seek medical care right away it, because that
that's essentially you're being given a rare
185.34 -> window of opportunity to fix that problem before
that major stroke. So somebody's calling. Exactly.