Written about in 1999;
Stroke is the wrong term to use
The
term ‘stroke’ is obscurantist, reductionist, and redundant. It has
connotations that are unhelpful to both the general public and the
medical profession. Better terms exist that either do not
pretend to be a diagnosis (eg, ‘brain attack’), or that have some
pathophysiological significance. ‘Stroke’ should be consigned to the dustbin of medical usage.
And 13 years later we might get some definition. We are working with sloths but that would denigrate sloths.
http://stroke.ahajournals.org/content/early/2013/05/07/STR.0b013e318296aeca
Abstract
Despite the global impact and advances
in understanding the pathophysiology of cerebrovascular diseases, the
term “stroke”
is not consistently defined in clinical
practice, in clinical research, or in assessments of the public health.
The classic
definition is mainly clinical and does not
account for advances in science and technology. The Stroke Council of
the American
Heart Association/American Stroke Association
convened a writing group to develop an expert consensus document for an
updated
definition of stroke for the 21st century.
Central nervous system infarction is defined as brain, spinal cord, or
retinal
cell death attributable to ischemia, based on
neuropathological, neuroimaging, and/or clinical evidence of permanent
injury.
Central nervous system infarction occurs over a
clinical spectrum: Ischemic stroke specifically refers to central
nervous
system infarction accompanied by overt symptoms,
while silent infarction by definition causes no known symptoms. Stroke
also
broadly includes intracerebral hemorrhage and
subarachnoid hemorrhage. The updated definition of stroke incorporates
clinical
and tissue criteria and can be incorporated into
practice, research, and assessments of the public health.
This is so typical, isn't it, Dean? Mine was an aneurism, not to be confused with a hemorrhage. Yet in the article you quote, aneurism isn't even mentioned.
ReplyDeleteBTW, thanks for visiting my blog.
An aneurysm is an abnormal widening or ballooning of a portion of an artery due to weakness in the wall of the blood vessel. A hemorrhage might be when one of these explode.
DeleteExactly. The blood clot was these in the left side of my brain. It did not burst. Through blood thinners, the medical staff took care of it. Unfortunately, this wasn't done until 19 hours after I had the aneurism (can be spelled with a 'y' or an 'i'). If I had received treatment sooner, chances are that I would have had full recovery or just minor weakness.
Deletethat would denigrate sloths.
ReplyDeleteThat made me laugh.
If I can't make someone laugh or scream in anger each day, I haven't succeeded
Delete