The Montreal Neurological Institute is a world renown research center and hospital specializing in the diseases of the brain. Montrealers are fortunate to be able to have such state of the art care for strokes.
Hemorrhagic Stroke and Rehabilitation for Stroke Survivors
When stroke victims are rushed into emergency suffering from a hemorrhagic stroke, the emergency team must quickly stop the bleeding.
If the patient is taking anti blood clotting drugs such as Coumadin or Plavix the doctors may administer drugs to counteract these drugs or they may order a blood products transfusion. Drugs to lower blood pressure, vasospasms or seizures may also be warranted.
Once the bleeding has stopped bed rest is the recommended therapy until all the blood has reabsorbed. The blood may congregate in one area which is similar to a bruise and sometimes the doctors will surgically remove the blood under the bruise to release the pressure on the brain.
Sometimes surgery is necessary to repair an abnormal blood vessel. These surgical procedures are often used to prevent arteriovenous malformation (AVM) rupture, or spontaneous aneurysms.
The surgeon will place a permanent clamp at the aneurysm to prevent it from rupturing and causing further bleeding.
Coiling (aneurysm embolization)
In this procedure, a coil is inserted into the aneurysm. The coil will prevent the blood from flowing freely over the aneurysm and thus causing another blood clot in the connecting arteries surrounding that aneurysm.
Surgical arteriovenous malformation (AVM) removal
The larger AVM’s sometimes are not accessible, especially if they are buried deep within the brain, however doctors often remove smaller ones when they can reach them. Removing these AVM’s can lower the risk of future brain hemorrhages.
A rehabilitation program for regaining strength and returning brain and bodily functions will be set in motion for the stroke survivor. The focus will be upon getting the patient back to independent living, if possible (depending upon the extent of brain damage). The intensity of the stroke depends upon the location of the stroke within the brain and amount of tissue damaged sustained.
Right side brain damage can cause problems with sensations and movement on the left side of the body.
Left side brain damage can cause problems with movement on the right side of the body, speech, and certain language disorders.