Akademik Veri Yönetim Sistemi
World Academic Congress of Emergency Medicine 2023, Antalya, Türkiye, 28 - 31 Ekim 2023, ss.972-973, (Özet Bildiri)
Introduction and Purpose: Stroke is one of the most important causes of disability and mortality in adults in all societies. With this aspect acut ischemic stroke is an important public health problem. The cornerstone of effective stroke care remains timely reperfusion therapy. Early recognition of stroke symptoms by the community and first responders prioritizes transferring the patient to an appropriate stroke center. The aim of the treatment is to provide reperfusion of the ischemic penumbra with intravenous thrombolysis and/or endovascular thrombectomy in appropriately selected patients. With these treatments, it is tried to reduce the mortality and morbidity of the disease.
Materials and Methods: A 26-year-old male patient presented to the emergency service with complaints of speech disorder, weakness on the left side, and right shift in the mouth that developed 1 hour ago. The patient with a known diagnosis of mitral valve prolapse did not use any medication. In the examination of the patient, Glasgow coma scale: 15, oriented cooperative, pupillary light reflex (direct/indirect) ++/++, central facial paralysis on the left, left upper and lower extremity motor strength 4/5, Babinski reflex positive on the left. Atrial fibrillation is present on the electrocardiogram. The patient, who was evaluated as an acute cerebrovascular accident, had a brain without contrast.computed tomography (CT) and cerebral CT angiography. Brain CT angiography showed that the right middle cerebral artery M1 segment was occluded. The patient, who was evaluated by the neurology clinic, was taken to the interventional radiology unit for endovascular treatment.
Results and Conclusion: Rapid recognition of acute stroke patients and early initiation of their treatment is extremely important for the mortality and morbidity of patients. In addition, identifying risk factors (such as atrial fibrillation, vascular malformation) and identifying treatable causes can reduce the frequency of the disease. Early treatment after the disease develops is life-saving.
Keywords: atrial fibrillation, stroke, thrombectomy