These are the long-term consequences
In the best possible case, the symptoms of the stroke will completely disappear. Neurological rehabilitation often follows inpatient treatment. There, physiotherapy and other supportive measures are available to those affected.
Unfortunately, however, it is not always the case that all symptoms regress. After a stroke, there is the possibility that brain tissue has permanently disappeared. Therefore, there is a possibility that the symptoms that occurred under a stroke of the cerebellum may remain permanently.
In the course of a cerebellar infarction, brain swelling (brain edema) can develop within hours to days. This is particularly dangerous in the area of the cerebellum and can lead to a narrowing of the brain stem due to an increase in intracranial pressure. Untreated, this is a life-threatening condition. Therefore a stay in an intensive care unit is necessary.In this case, cerebral edema is treated by draining cerebral fluid from the skull (ventricular drainage) or, if the brain stem is threatened with constriction, by opening the skull bone (craniotomy) so that the pressure is reduced again.
This is the cure for a stroke of the cerebellum
A stroke of the cerebellum is primarily treated no differently than a stroke in other areas of the brain. After admission, examination, blood collection and imaging of the affected person in the emergency room, further treatment is carried out. If the affected person is admitted to the neurological emergency room within 4.5 h after the onset of symptoms, a special therapy for a stroke, known as lysis therapy, can be performed.
Here, a certain blood thinner (rt-PA) is injected into the vein, depending on the body weight of the affected person. If the affected person comes later than 4.5 h after the onset of symptoms, if there are contraindications or if the symptoms have already completely disappeared, the affected person no longer benefits from this treatment. Then a basic therapy of the stroke is carried out.
This includes thrombosis prophylaxis (usually in the form of abdominal injections), adjustment of electrolytes, blood sugar, blood pressure and body temperature. In addition, thrombocyte aggregation inhibitors such as ASS or clopidogrel and drugs to lower blood lipids such as statins are often prescribed. It is also important to determine the cause of a stroke of the cerebellum.
For this reason, various examinations are carried out during inpatient treatment. The heart is examined and the blood vessels are examined, in addition, various blood tests are usually carried out. The causes of a stroke are often due to a rhythm disturbance of the heart (atrial fibrillation) or vascular changes such as arteriosclerosis. Healing after a stroke
All articles in this series: