Brain stem stroke5/28/2023 ![]() ![]() ![]() Stroke is second only to myocardial infarction as a cause of death. This is more than breast cancer deaths (336 deaths per day) and lung cancer deaths (194 deaths per day). According to 2017 figures, around 401 people die from strokes each day. Every 3.59 minutes, someone in the United States dies from a stroke. How many people die from strokes every day in the US?Īccording to 1999 figures, around 795,000 new or recurring strokes occur each year. Survival rates are higher if there is no previous history of stroke or TIA, if the patient does not have any other risk factors such as high blood pressure or diabetes, and if treatment with aspirin, anticoagulants, or both is started immediately after the diagnosis has been made.ĭeath within three months occurs mainly because of complications resulting from damage to the brain and spinal cord. Younger patients do better than older ones. Overall survival after brain stem stroke is about 11.7%. Risk factors for death include age over 60 years, history of previous stroke or TIA, presence of certain conditions such as atrial fibrillation or heart failure, and being male. The remaining 20% may survive with severe disability or less. Most survivors of brain stem stroke are disabled.Ībout 80% of people who suffer a brain stem stroke will die within a month of the onset of symptoms. Only 5.8% of people who suffer a brain stem stroke will survive longer than three months, and only 11.7% will live more than a year. Survival after brain stem stroke is poor. © 2000 Lippincott Williams & Wilkins, Inc.5.8 percent of these people had a recurrent stroke in the posterior circulation during the first three months, and 9.8 percent had one within a year. The incidence of dysphagia was relatively high in our study population. Follow-up interviews showed that 88% of the 27 patients who were contacted had resumed full oral intake 4 mo after the onset of stroke. There was a correlation between the detection of aspiration by modified barium meal video-fluoroscopy and the development of aspiration pneumonia. ![]() The incidence of aspiration pneumonia was 11%. Statistical analyses revealed a significant association between poor outcome and disease involving the medulla, the presence of a wet voice during the initial swallowing test, and a delay or absence of the swallowing reflex. A total of 79% of the dysphagic individuals depended on tube feeding at the initial evaluation 22% of all individuals could not resume oral intake at discharge. Results:Ī total of 81% of the patients had dysphagia at the time of initial clinical swallowing evaluation, which was performed 10-75 days after the onset of stroke. Follow-up interviews were conducted via telephone to learn the general medical condition and feeding status of the patients 7-43 mo after hospital discharge. Information on the patients' clinical features, feeding status, and the results of clinical and videofluoroscopic swallowing examinations were obtained through chart review. We retrospectively reviewed the medical records of 36 patients who were admitted because of brainstem stroke. This study was conducted to delineate the incidence and outcome of dysphagia among hospitalized patients who were referred for rehabilitation because of brainstem stroke. ![]()
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