Stroke

Using a Stroke Treatment Unit (Stroke Unit), the cause of a stroke can be quickly identified and treated in the acute phase. The brain functions are closely monitored and complications are recognized, treated and / or avoided. An individual therapy adapted to the stroke patient can be immediately initiated. An interdisciplinary team works closely together.

The following symptoms occurring individually or in combination may signify of a stroke:

  • Sudden visual disturbance (loss of vision)
  • Dizziness, sudden gait disorder, balance or coordination disorder
  • Sudden numbness in the arm or leg or face or a whole half of the body
  • Sudden paralysis or weakness in the arm or leg or face or a whole half of the body
  • Sudden confusion, speech, writing or understanding disorder
  • Sudden strong headache

A stroke can be a life-threatening emergency as well as an emergency that threatens physical and cognitive integrity and should therefore be traeted as soon as possible in an appropriately equipped clinic. For this reason, the emergency service number 112 should be called immediately. The emergency care is provided by a specially trained team already in the central emergency room. In the case of an appropriate indication, immediate medication for the dissolution of the blood clot (in the case of vascular occlusion) is initiated already in the emergency admission. Further treatment is carried out in the Stroke Unit. When specific intervention is necessary, e.g. with an indication for the mechanical removal of a larger blood clot from a brain vessel, we have connections to the appropriately equipped clinics.

Types of stroke

  • Cerebral infarction: The most frequent form of stroke (about 85% of cases) is caused by a sudden blood circulation insufficiency of brain tissue caused by occlusion or severe narrowing of blood vessels.
  • Cerebral hemorrhage: Rare form of stroke (about 15% of cases) occurring as the result of bleeding inside the skull. In a narrower sense, this means hemorrhage in the brain area (intracerebral hemorrhage), in a wider sense also hemorrhages in the area of the brain-covering meninges (subarachnoid, subdural or epidural hemorrhage).
  • Cerebral venous thrombosis: Thrombosis (clot formation) in the brain veins. It can result in a cerebral infarction or cerebral haemorrhage.
  • Vasculitis: The inflammation (usually arterial) of the brain-supplying vessels located in the brain or outside the skull, it is a rare cause of cerebral infarction or cerebral haemorrhage.
  • Atherosclerotic stenoses of brain-supplying vessels: Atherosclerosis is a progressive vascular disease that causes deposits of blood fats, thrombi, connective tissue and lime in the vessel walls. It is one of the most common causes of cerebral infarction.
  • Embolism of thrombi from the heart resulting in a so-called pre-fibrillation: We perform the necessary rapid diagnosis in cooperation with the Department of Cardiology.
  • Microangiopathy: Another common cause of small-scale cerebral infractions is diabetes, which leads to a progressive damage of the smallest cerebral vessels (microangiopathy) leading to the occlusion in the case of long-standing inadequate glucose control.
  • Tearing of vessels: Vascular tears commonly happen in younger people, e.g. through exaggerated relaxation, stretching, and increasingly popular twisting excercises with correspondingly anatomical or connective tissue dispositions of the cerebral vessels (dissection) with the risk of developing strokes.