Munson Health
 
Cerebellar Stroke

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by Stahl RJ

(Stroke, Cerebellar)

 

Risk Factors

Certain factors increase your risk of stroke but can not be changed, such as:
  • Race—People of African American, Hispanic, or Asian/Pacific Islander descent are at increased risk.
  • Age: Older than 55 years of age
  • Family history of stroke
Other factors that may increase your risk can be changed such as:
Certain medical condition that can increase your risk of stroke. Management or prevention of these conditions can significantly decrease your risk. Medical conditions include:
Risk factors specific to women include:
  • Previous pre-eclampsia
  • Use of birth control pills, especially if you are over 35 years old and smoke
  • Long-term use of hormone replacement therapy
  • Menopause
  • Pregnancy—due to increased risk of blood clots
 

Symptoms

Symptoms of a cerebellar stroke come on suddenly and may include:
If you or someone you know has any of these symptoms, call for emergency medical services right away. Brain tissue without blood flow dies quickly. Early care can decrease damage.
 

Diagnosis

Your doctor may also order tests that create detailed images of blood vessels. These test will help see which blood vessels may be creating the problem:
Blood tests can also help identify clotting problems in the blood. Your doctor may also examine the fluid that surrounds your brain and spine.
 

Treatment

Immediate treatment is needed to:
  • Dissolve or remove a clot (for ischemic stroke)
  • Stop bleeding (for hemorrhagic stroke)

Surgery

For an ischemic stroke, the doctor may do surgery to:
  • Reroute blood supply around a blocked artery
  • Remove fatty deposits from a carotid artery ( carotid artery endarterectomy )
  • Widen and keep open a carotid artery ( angioplasty and stenting )
  • Remove the clot or deliver clot-dissolving medicine
A catheter may also be passed through the blood vessels to the blocked area. The catheter can help remove the clot or deliver medicine directly to the area.
For a hemorrhagic stroke, the doctor may:
  • Remove a piece of the skull to relieve pressure on the brain ( craniotomy )
  • Place a clip or a tiny coil in an aneurysm to stop it from bleeding

Rehabilitation

A rehabilitation program focuses on:
  • Physical therapy—to regain as much movement as possible
  • Occupational therapy—to assist in everyday tasks and self-care
  • Speech therapy—to improve swallowing and speech challenges
  • Psychological therapy—to improve mood and decrease depression
 

Prevention

Many of the risk factors for stroke can be changed. Lifestyle changes that can help reduce your chance of getting a stroke include:
  • Exercise regularly.
  • Eat more fruits, vegetables , and whole grains . Limit dietary salt and fat .
  • Stop smoking .
  • Increase your consumption of fish.
  • Drink alcohol only in moderation (1-2 drinks per day).
  • Maintain a healthy weight.
  • Check blood pressure frequently . Follow your doctor's recommendations for keeping it in a safe range.
  • Take aspirin if your doctor says it is safe.
  • Keep chronic medical conditions under control. This includes high cholesterol and diabetes.
  • Talk to your doctor about the use of a statins. These types of drugs may help prevent certain kinds of strokes in some people.
  • Seek medical care if you have symptoms of a stroke, even if symptoms stop.
  • Stop the use of recreational drugs (eg, cocaine, heroin, amphetamines).
 

RESOURCES

American Heart Association
http://www.americanheart.org

National Stroke Association
http://www.stroke.org

 

CANADIAN RESOURCES

Health Canada
http://www.hc-sc.gc.ca

Heart and Stroke Foundation of Canada
http://ww2.heartandstroke.ca

 

References


Furie KL, Kasner SE, Adams RJ, et al. Guidelines for the Prevention of Stroke in Patients With Stroke or Transient Ischemic Attack: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke . 2010 October 21. Available at: http://stroke.ahajournals.org/cgi/reprint/STR.0b013e3181f7d043v1 . Updated October 21, 2010. Accessed September 4, 2012.


Hemorrhagic stroke. American Heart Association American Stroke Association website. Available at: http://www.strokeassociation.org/STROKEORG/AboutStroke/TypesofStroke/HemorrhagicBleeds/Hemorrhagic-Strokes-Bleeds%5FUCM%5F310940%5FArticle.jsp . Accessed June 6, 2013.


Hemorrhagic stroke. National Stroke Association website. Available at: http://www.stroke.org/site/PageServer?pagename=HEMSTROKE . A Accessed September 4, 2012.


Intracerebral hemorrhage. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated March 21, 2013. Accessed June 6, 2013.


Ischemic stroke. American Heart Association American Stroke Association website. Available at: http://www.strokeassociation.org/STROKEORG/AboutStroke/TypesofStroke/IschemicClots/Ischemic-Strokes-Clots%5FUCM%5F310939%5FArticle.jsp . Accessed June 6, 2013.


Long term management of stroke. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated April 30, 2013. Accessed June 6, 2013.


Stroke (acute management). EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated May 2, 2013. Accessed June 6, 2013.


Nueroimaging for acute stroke. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated May 15, 2013. Accessed June 6, 2013.


Signs and symptoms. National Stroke Association website. Available at: http://www.stroke.org/site/PageServer?pagename=SYMP . A Accessed September 4, 2012.


Stroke (acute management). EBSCO Publishing DynaMed website. Available at: http://www.ebscohost.com/dynamed . Updated August 30, 2012. Accessed September 4, 2012.


Subarachnoid hemorrhage. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed/what.php . Updated January 22, 2013. Accessed June 6, 2013.


Jensen M, St. Louis E. Management of acute cerebellar stroke. Archives of Neurology website. Available at: http://archneur.ama-assn.org/cgi/reprint/62/4/537.pdf . Published April 2005. Accessed June 11, 2013.


2/7/2014 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance: Bushnell C, et al. AHA/ASA Guideline for the Prevention of Stroke in Women. Stroke. 2014 Feb 6. [Epub ahead of print]

 

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