Treatment for strokes depends on the type of stroke you’ve had. Ischemic strokes are when an artery is blocked and is the most common kind. Hemorrhagic stroke is when there is bleeding in the brain.
- Emergency medication — treatment must start within 4.5 hours of having a stroke and clot-busting drugs are given through the vein. You may be given intravenous injection of tissue plasminogen activator (tPA) which dissolves blood clots and restores the blood flow.
- Emergency endovascular procedures — intra-arterial thrombolysis is when a catheter is inserted through an artery in your groin to your brain to give tPA directly to the area of the stroke. Doctors might use a device into the blocked blood vessel to trap and remove the clot.
- Carotid endarterectomy — doctors will remove plaque in order to stop the likelihood of another stroke. In this procedure the plaque is removed from the arteries along the sides of your neck to your brain.
- Angioplasty and stents — doctors will put a balloon into your carotid arteries in your neck from your groin. The balloon is inflated and broadens the narrow artery, then a stent is inserted to support the open artery.
- Emergency measures — if you take blood thinners you might be given drugs or transfusions to counteract them. Once the bleeding on your brain stops, you will receive supportive care until your body can absorb enough blood.
- Surgical clipping — a tiny clap is placed at the base of the aneurysm in order to stop the blood flow. It’ll keep the aneurysm from bursting and can stop it bleeding again.
- Coiling (endovascular embolization) — a catheter is inserted into an artery through your groin into your brain with X-ray imaging. Detachable coils are put into the aneurysm. The aneurysm is filled with the coils and blocks blood flow and clots the blood.
- Surgical AVM removal — in order to reduce the risk of rupture and hemorrhagic stroke, a surgeon might take a smaller AVM.
- Stereotatic radiosurgery — to repair vascular malformations doctors will use a minimally invasive treatment including multiple light beams of focused radiation.
After a stroke, care is ultimately about focusing on your recovery and getting you to back to independent living. Depending on which side of the brain the stoke was on the way you are affected will be different. If the stroke was on the right side, movement and sensation in your left side of your body is affected. If the stroke was on the left side, the right side of your body will be affected. You will most likely receive treatment within a rehabilitation centre.