HomeMy WebLinkAboutZurich Herald, 1956-02-23, Page 7MMhat 17 A Stroke?
We read or hear about strokes
*knout every day and the word
fe rifies us. A friend or neigh-
bor may be stricken, a public
figure suffers one. Franklin, D.
Roosevelt died of a stroke; so
did, supposedly, Russia's Stalin,
New York's famous Jimmy
Walker and many others.
To most persons the word
means sudden, bludgeoning
heath --a man or woman in the
prime of life complains of a
blinding headache, slumps to
the floor in a coma and never
awakens. Or, at best, it signi-
ittes a lifetime of hopeless para-
lysis.
This is by no means the cor-
net picture. It is true that
stroke - known medically as
apoplexy or cerebral accident
-- is the third of the Big Three
killers, following heart disease
ain•d cancer. It takes nearly 170, -
UCO American lives each year,
which is four times as many as
both diabetes and tuberculpsis,
combined.
But it is also true that de-
alpite popular misconception, the
slaajority of victims not only
eurvive attacks but are actually
able to live normal, useful lives
thereafter, writes Lester David'
iia CORONET.
Dr. Irving S. Wright, a former
president of the American Heart
Association and one of the na-
tion's foremost authorities on
heart and blood -vessel diseases,
asserts: "In a very large pro-
portion of cases, individuals who
leave suffered strokes make
complete recoveries and are able
^ao return to comfortable and
)productive life."
In addition, medical science is
now discovering that the out-
look for paralyzed persons is
lar from hopeless. In many
centers throughout the U.S.,
doctors have been performing
Itaear-miracles of rehabilitation.
At the New York University
--Bellevue Medical Center in
New York, Drs. Howard A.
Rusk and Joseph G. Benton con-
ducted a rigorous course of
raining with about 1,000 par-
tially -paralyzed persons, and
rtecently reported that fully 92
per cent were discharged from
Within six to eight weeks. All
these people were able to
meet the needs of daily living
wad at least 40% of them were
capable of returning to sant
form of work.
Here are eight of the most
frequently asked questions
about strokes, and the answers:
1. What, actually, is a stroke?
There are two main types,
and each is literally an accident
occurring within the brain.
One form is cerebral hemor-
rhage, in which an artery rup-
tures, suddenly spills blood into
the brain and deprives vital
areas of their normal blood sup -
The second form is cerebral
thrombosis, or the blocking of
anartery by a clot which also ,
cuts off the necessary blood
supply to brain cells.
Brain tissues cannot live more
than a few minutes without the
oxygen supplied by blood. Un-
like skin, they have no power
to grow back. Thus the impor-
tant centers, those master
switchboards which control all
senses and bodily functions,
break down from the abrupt
stoppage.
When large quantities of
blood are forcedinto the sub-
stance of the brain, as in the
case of a massive hemorrhage,
the delicate cells and fibres are
destroyed and death can come
within days or even hours. In
other cases, paralysis can oc-
cur in varying degrees of severi-
ty to facial, arm and leg muscles.
2. Why does stroke cause
paralysis?
There is a definite parallel be-
tween a stroke victim and a
city devastated by flood. When
rampaging waters overrun an
area, they sever communications
lines - bridges collapse, tele-
graph and telephone wires are
swept away, roads become im-
passable.
So, too., with the human body
when an artery breaks down or
dammed -up blood pours
through the walls of a vessel.
Communication lines -' in this
case the nerve pathways -
leading from the brain are
flooded and perhaps destroyed
completely by. blood which has
suddenly been diverted from
its normal course.
The severity and location of
the paralysis depend on how
much of the brain has been in-
jured, and *here. If the left
eese
E'S GOT HIS NUMBER - When i. L. Goldenstein got his first
I;eet cif license plates in 1919, he liked the number so much that
he requested and got 1t every year since. He's shown above,
Baa his garage beside his collection of plates - complete from
11919 through 1956. This year's plate with the favorite num-
her Is being carried on his son's car, however, as Goldenstein
has decided to pass on the family "heirloom."
dee
saa
seaelleeeetele
UNPOPULAR VERDICT - Cuba's Kid Gavilan (left), former wel-
terweight champ, is despondent as he moves through a crowd
of supporters after losing a 10 -round decision to Great Britain's
Peter Waterman in London. In the stormiest scene in modern
British boxing history, many of the 10,000 fans jumped on
chairs and booed the decision, which newsmen at ringside
had scored for Gavilan.
side of the brain is damaged, -
the muscles on the right side of
the body will be affected, and
vice versa. This is because the
nerve pathways cross over in
their passage through the brain.
3. What are the immediate
warning signs of a stroke?
Many victims experience
headache, dizziness, ringing in
the ears, numbness of the limbs
and nausea for several days or
just a "few minutes before the
attack.
4. How can you recognize a
stroke victim?
If it is a cerebral hemorrhage,
the individual will lose con-
sciousness 'suddenly, in most
cases complaining of a violent
headache before collapsing. The
face may become waxy -white,
but more generally it is flushed.
Breathing is labored- the lips
are blown out and the cheeks
flap with each expiration of
atir.
In most cases there is definite
evidence of paralysis. For ex-
ample, the pupils of oneseye
may be more contracted than
the other and the face may be
lopsided. In addition, the limbs
may be more rigid or loose on
one side.
An attack of cerebral throm-
bosis is less dramatic. The in-
dividual often wakes to find an
arm, leg or even an entire side
fuseless, or there may be an un-
explained difficulty in speaking.
It is possible that the patient
will gradually lapse into a co-
ma.
5. 7't at first aid measures
should you take for a stroke
victim?
Summon a doctor, of course;
and gently - very gently - turn
the patient on his back and
raise his head and shoulders en
pillows or a folded coat, Loosen
the clothing about his neck and
chest.
Don't try to rouse the patient.
Don't carry him upstairs and
put him to bed. Any but the
slightest movements may in-
crease the escape of blood com-
ing from the ruptured. vessel,
6. Are strokes always major,
dramatic attacks?
No. There are `little strokes,"
i grat soul
prcfcr
dcration
S'1 'N'e,CA
B.C.-.A.D.65 )
the 3-kuse of Seagrctn
4 • • r s •
1
• s o
;Ven who thr`k of tomorrow practice moderation today
no more than oozing in' the
brain, when victims are una-
ware anything has happened.
Sometimes a little stroke causes
slight but confusing changes in
character: A person with a fine
memory finds himself forgetting
things; an orderly individual
loses interest in neatness; a
friendly one turns quarrelsome.
Little strokes, points out Dr.
Wright, do not necessarily pro-
duce serious consequences, but
they should be regarded as
danger signals calling for at-
tention by a doctor. He may
be able to suggest treatment
which will reduce the possibility
of a major cerebral accident
later on.
7. What causes strokes?
The chief culprits are high
blood pressure, hardening of the
arteries, or both. If the water
pipes of your house are old and
corroded, even the normal
pressure of the water might
cause them to burst. If the pipes
are old and the water comes
charging through at a particu-
larly high pressure, the pipes
will probably burst sooner.
8...Can anything be done to
prevent a stroke?
Yes, and the rules apply es-
pecially to persons past middle
age. Although strokes are not
uncommon before 45, the large
majority of victims are in the
older age groups. The primary
injunction is to keep the blood
pressure from soaring.
If it is too high: avoid excite-.
ment, stay home nights instead
of going to parties, keep weight
"down, get eight hours or more
sleep nightly and take time for
a rest period every day.
If it is normal but you are
middle-aged or older, are over-
weight or have a family history
of high blood pressure: have a
regular medical checkup. A
great deal can be done to avoid
complications before they have
a chance to develop.
Strokes come without warn-
ing, but the conditions that
bring thele about have been
telegraphed to you long before.
Don't miss the message.
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ISSUE '1 195E