Identify Stroke Risk Factors

Nonmodifiable stroke risk factors include age, gender, heredity, and ethnicity. There is an exponential increase in incidence of stroke with age, and the majority of strokes occur in persons over 65 years of age. Men have a greater stroke incidence

Cryptogenic Infarction

Despite efforts to arrive at a diagnosis, the cause of infarction in a discouragingly large number of cases remains undetermined. Some cases may be unexplained because no appropriate laboratory studies are performed, while others are due to the improper timing

Small vessel, Lacunar Infarction

Small vessel, Lacunar Infarction These strokes have distinctive clinical syndromes with a small zone of ischemia confined to the territory of a single vessel. They are understood to reflect arterial disease of the vessels penetrating the brain to supply the

Atherosclerotic Infarction

Atherosclerotic Infarction Atherosclerotic plaque at a bifurcation or curve in one of the larger vessels leads to progressive stenosis with the final large artery occlusion due to thrombosis of the narrowed lumen. Arteriosclerotic plaques may develop at any point along

Definition of the Infarct Subtype

There are multiple mechanisms which may lead to brain ischemia. Hemodynamic infarction originates when there is an impediment to normal perfusion usually caused by a severe arterial stenosis or occlusion due to atherosclerosis and coexisting thrombosis. Embolism occurs When a

Stroke. Introduction

Introduction Ischemic stroke continues to have a major impact on the public health of our nation. Ranking among the leading causes of death, stroke is far more disabling than fatal and results in enormous costs measured in both health-care dollars

Varicella and zoster. Conclusion.

In light of these studies, the ACIP and the American Academy of Pediatrics (AAP) formulated a series of recommendations for the routine use of varicella vaccine. Varicella vaccine may be given simultaneously with measles-mumps- rubella vaccine (MMR), but the vaccines

Varicella. Active immunization

In individuals who developed natural varicella after vaccination, the clinical course was much less severe than seen in unimmunized controls. Significant reductions in the number of skin lesions and extent of fever and an increased rate of recovery were seen

Varicella zoster prevention

Passive immunization In 1978, VZIG prepared from the plasma of normal volunteers identified by routine screening to contain high antibody titers to VZV became available. Administration of VZIG to exposed individuals may prevent or reduce the intensity of disease. A

Varicella treatment

Acute, uncomplicated varicella in the young child is managed best by topical antipruritics such as calamine lotion, application of cool compresses, or by oatmeal baths. Children’s fingernails should be kept trimmed. Oral diphenhydramine sometimes is administered to help combat the

Central nervous system complications

CENTRAL NERVOUS SYSTEM Central nervous system complications also are seen in varicella. Cerebellar ataxia is the most common, with an incidence of approximately 1 per 4,000 cases in children younger than 15 years of age. It has an excellent prognosis.

Immunocompromised hosts

Varicella in the immunocompromised host can be severe and life-threatening. Cell-mediated immunity appears to be the most important factor in the prognosis of primary varicella infection, as evidenced by the fact that patients who have pure humoral immune deficiency syndromes