Stroke in Geriatric Population

Abstract

This chapter describes how a stroke or ‘brain attack' occurs when blood circulation to the brain fails. Although first recognized 2400 years ago by Hippocrates, the father of medicine, advances in treatment are made only in the last few decades. After a stroke, 8 out of 10 patients develop paralysis on the side of body opposite the side of brain damaged. There are other symptoms to look for such as drooping of face to one side, slurred or confused speech, sudden visual disturbance, sudden giddiness and imbalance or sudden severe headache. Incidence of stoke increases with age and elderly people are more likely to have more severe stroke. In addition, elderly people will have multiple comorbidities which make management more difficult. After a disabling stroke, easing back to life requires a positive attitude to overcome difficulties. A physiotherapist can help restore the strength and reduce stiffness of muscles. Regular follow up with a physician or neurologist, taking medicines as prescribed is important to improve the outcome and prevent the recurrence of stroke.