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|00000000| 05 00 0c 00 36 01 9b 02 | 74 03 36 04 41 6e 20 69 |....6...|t.6.An i|
|00000010| 6e 66 61 72 63 74 69 6f | 6e 20 28 73 74 72 6f 6b |nfarctio|n (strok|
|00000020| 65 29 20 6f 63 63 75 72 | 73 20 77 68 65 6e 20 61 |e) occur|s when a|
|00000030| 20 62 6c 6f 6f 64 20 76 | 65 73 73 65 6c 20 74 68 | blood v|essel th|
|00000040| 61 74 20 73 75 70 70 6c | 69 65 73 20 61 20 70 61 |at suppl|ies a pa|
|00000050| 72 74 20 6f 66 20 74 68 | 65 20 62 72 61 69 6e 20 |rt of th|e brain |
|00000060| 62 65 63 6f 6d 65 73 20 | 62 6c 6f 63 6b 65 64 20 |becomes |blocked |
|00000070| 6f 72 20 6c 65 61 6b 61 | 67 65 20 6f 63 63 75 72 |or leaka|ge occur|
|00000080| 73 20 6f 75 74 73 69 64 | 65 20 74 68 65 20 76 65 |s outsid|e the ve|
|00000090| 73 73 65 6c 20 77 61 6c | 6c 73 2e 20 54 68 69 73 |ssel wal|ls. This|
|000000a0| 20 6c 6f 73 73 20 6f 66 | 20 62 6c 6f 6f 64 20 73 | loss of| blood s|
|000000b0| 75 70 70 6c 79 20 72 65 | 73 75 6c 74 73 20 69 6e |upply re|sults in|
|000000c0| 20 74 68 65 20 64 65 61 | 74 68 20 6f 66 20 74 68 | the dea|th of th|
|000000d0| 61 74 20 61 72 65 61 20 | 6f 66 20 74 69 73 73 75 |at area |of tissu|
|000000e0| 65 2e 20 49 6e 66 61 72 | 63 74 69 6f 6e 73 20 76 |e. Infar|ctions v|
|000000f0| 61 72 79 20 69 6e 20 74 | 68 65 69 72 20 73 65 76 |ary in t|heir sev|
|00000100| 65 72 69 74 79 20 77 69 | 74 68 20 6f 6e 65 20 74 |erity wi|th one t|
|00000110| 68 69 72 64 20 6f 66 20 | 74 68 65 20 63 61 73 65 |hird of |the case|
|00000120| 73 20 72 65 73 75 6c 74 | 69 6e 67 20 69 6e 20 64 |s result|ing in d|
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|00000140| 20 49 6e 66 61 72 63 74 | 69 6f 6e 73 20 77 69 6c | Infarct|ions wil|
|00000150| 6c 20 72 65 73 75 6c 74 | 20 69 6e 20 77 65 61 6b |l result| in weak|
|00000160| 6e 65 73 73 20 61 6e 64 | 20 6c 6f 73 73 20 6f 66 |ness and| loss of|
|00000170| 20 73 65 6e 73 61 74 69 | 6f 6e 20 20 6f 6e 20 74 | sensati|on on t|
|00000180| 68 65 20 6f 70 70 6f 73 | 69 74 65 20 73 69 64 65 |he oppos|ite side|
|00000190| 20 6f 66 20 74 68 65 20 | 62 6f 64 79 2e 20 50 68 | of the |body. Ph|
|000001a0| 79 73 69 63 61 6c 20 65 | 78 61 6d 69 6e 61 74 69 |ysical e|xaminati|
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|000001c0| 72 65 61 20 77 69 6c 6c | 20 72 65 76 65 61 6c 20 |rea will| reveal |
|000001d0| 61 62 6e 6f 72 6d 61 6c | 20 70 75 70 69 6c 20 64 |abnormal| pupil d|
|000001e0| 69 6c 61 74 69 6f 6e 2c | 20 6c 69 67 68 74 20 72 |ilation,| light r|
|000001f0| 65 61 63 74 69 6f 6e 20 | 61 6e 64 20 6c 61 63 6b |eaction |and lack|
|00000200| 20 6f 66 20 65 79 65 20 | 6d 6f 76 65 6d 65 6e 74 | of eye |movement|
|00000210| 20 6f 6e 20 74 68 65 20 | 6f 70 70 6f 73 69 74 65 | on the |opposite|
|00000220| 20 73 69 64 65 2e 20 49 | 66 20 74 68 65 20 69 6e | side. I|f the in|
|00000230| 66 61 72 63 74 69 6f 6e | 20 6f 63 63 75 72 73 20 |farction| occurs |
|00000240| 6f 6e 20 74 68 65 20 6c | 65 66 74 20 73 69 64 65 |on the l|eft side|
|00000250| 20 6f 66 20 74 68 65 20 | 62 72 61 69 6e 2c 20 73 | of the |brain, s|
|00000260| 70 65 65 63 68 20 77 69 | 6c 6c 20 62 65 20 73 6c |peech wi|ll be sl|
|00000270| 75 72 72 65 64 2e 20 52 | 65 66 6c 65 78 65 73 20 |urred. R|eflexes |
|00000280| 6d 61 79 20 62 65 20 61 | 67 67 72 61 76 61 74 65 |may be a|ggravate|
|00000290| 64 20 61 73 20 77 65 6c | 6c 2e 00 44 49 41 47 4e |d as wel|l..DIAGN|
|000002a0| 4f 53 49 53 2e 20 20 43 | 41 54 20 61 6e 64 20 4d |OSIS. C|AT and M|
|000002b0| 52 49 20 73 63 61 6e 6e | 69 6e 67 20 77 69 6c 6c |RI scann|ing will|
|000002c0| 20 73 68 6f 77 20 61 20 | 64 61 6d 61 67 65 64 20 | show a |damaged |
|000002d0| 61 72 65 61 20 69 6e 20 | 74 68 65 20 62 72 61 69 |area in |the brai|
|000002e0| 6e 2c 20 73 68 6f 77 69 | 6e 67 20 74 68 61 74 20 |n, showi|ng that |
|000002f0| 74 68 65 20 73 79 6d 70 | 74 6f 6d 73 20 77 65 72 |the symp|toms wer|
|00000300| 65 20 6e 6f 74 20 63 61 | 75 73 65 64 20 62 79 20 |e not ca|used by |
|00000310| 61 20 74 75 6d 6f 72 2c | 20 73 75 62 64 75 72 61 |a tumor,| subdura|
|00000320| 6c 20 68 65 6d 61 74 6f | 6d 61 20 6f 72 20 6f 74 |l hemato|ma or ot|
|00000330| 68 65 72 20 62 72 61 69 | 6e 20 64 69 73 6f 72 64 |her brai|n disord|
|00000340| 65 72 2e 20 54 68 65 20 | 62 6c 6f 63 6b 61 67 65 |er. The |blockage|
|00000350| 20 77 69 6c 6c 20 61 6c | 73 6f 20 61 70 70 65 61 | will al|so appea|
|00000360| 72 20 6f 6e 20 74 68 65 | 20 61 6e 67 69 6f 67 72 |r on the| angiogr|
|00000370| 61 6d 2e 00 41 20 73 74 | 72 6f 6b 65 20 70 61 72 |am..A st|roke par|
|00000380| 61 6c 6c 65 6c 73 20 73 | 6f 6d 65 20 73 79 6d 70 |allels s|ome symp|
|00000390| 74 6f 6d 73 20 6f 66 20 | 61 6e 65 75 72 79 73 6d |toms of |aneurysm|
|000003a0| 73 2c 20 74 75 6d 6f 72 | 73 20 61 6e 64 20 6d 69 |s, tumor|s and mi|
|000003b0| 67 72 61 69 6e 65 73 2c | 20 62 75 74 20 77 69 74 |graines,| but wit|
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|000003d0| 66 66 65 72 65 6e 63 65 | 73 2e 20 42 65 20 63 61 |fference|s. Be ca|
|000003e0| 72 65 66 75 6c 20 74 6f | 20 63 6f 6d 70 61 72 65 |reful to| compare|
|000003f0| 20 61 6c 6c 20 72 65 73 | 75 6c 74 73 20 6f 66 20 | all res|ults of |
|00000400| 65 78 61 6d 69 6e 61 74 | 69 6f 6e 20 62 65 66 6f |examinat|ion befo|
|00000410| 72 65 20 64 65 63 69 64 | 69 6e 67 20 6f 6e 20 61 |re decid|ing on a|
|00000420| 20 63 6f 75 72 73 65 20 | 6f 66 20 74 72 65 61 74 | course |of treat|
|00000430| 6d 65 6e 74 2e 00 54 52 | 45 41 54 4d 45 4e 54 2e |ment..TR|EATMENT.|
|00000440| 20 20 49 6e 20 74 69 73 | 73 75 65 20 6c 6f 73 73 | In tis|sue loss|
|00000450| 65 73 20 74 68 61 74 20 | 61 72 65 20 6e 6f 74 20 |es that |are not |
|00000460| 69 6d 6d 65 64 69 61 74 | 65 6c 79 20 66 61 74 61 |immediat|ely fata|
|00000470| 6c 2c 20 74 68 65 20 62 | 65 73 74 20 63 6f 75 72 |l, the b|est cour|
|00000480| 73 65 20 6f 66 20 61 63 | 74 69 6f 6e 20 69 73 20 |se of ac|tion is |
|00000490| 74 6f 20 6d 61 6b 65 20 | 65 76 65 72 79 20 65 66 |to make |every ef|
|000004a0| 66 6f 72 74 20 74 6f 20 | 72 65 73 74 6f 72 65 20 |fort to |restore |
|000004b0| 69 6d 70 61 69 72 6d 65 | 6e 74 73 20 74 68 72 6f |impairme|nts thro|
|000004c0| 75 67 68 20 70 68 79 73 | 69 63 61 6c 20 74 68 65 |ugh phys|ical the|
|000004d0| 72 61 70 79 2c 20 73 70 | 65 65 63 68 20 74 68 65 |rapy, sp|eech the|
|000004e0| 72 61 70 79 20 61 6e 64 | 20 65 78 65 72 63 69 73 |rapy and| exercis|
|000004f0| 65 2e 20 54 68 65 20 64 | 65 67 72 65 65 20 6f 66 |e. The d|egree of|
|00000500| 20 72 65 63 6f 76 65 72 | 79 20 77 69 6c 6c 20 76 | recover|y will v|
|00000510| 61 72 79 20 70 61 74 69 | 65 6e 74 20 74 6f 20 70 |ary pati|ent to p|
|00000520| 61 74 69 65 6e 74 2e 20 | 41 76 6f 69 64 20 65 78 |atient. |Avoid ex|
|00000530| 74 72 65 6d 65 20 65 6d | 62 61 72 72 61 73 73 6d |treme em|barrassm|
|00000540| 65 6e 74 20 62 79 20 6e | 6f 74 20 70 65 72 66 6f |ent by n|ot perfo|
|00000550| 72 6d 69 6e 67 20 73 75 | 72 67 65 72 79 20 6f 6e |rming su|rgery on|
|00000560| 20 61 6e 20 6f 74 68 65 | 72 77 69 73 65 20 6e 6f | an othe|rwise no|
|00000570| 72 6d 61 6c 20 62 72 61 | 69 6e 2e 00 20 74 6f 20 |rmal bra|in.. to |
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