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What is the difference between a thrombotic vs. hemorrhagic stroke?

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Final answer:

The difference between thrombotic and hemorrhagic strokes is that thrombotic strokes are caused by blood clots obstructing blood flow, while hemorrhagic strokes are due to bleeding in the brain from a ruptured vessel. Ischemic strokes are more common and potentially treatable with medications, whereas hemorrhagic strokes are less common but often more severe and may require surgery.

Step-by-step explanation:

Difference Between Thrombotic and Hemorrhagic Stroke

The main difference between a thrombotic stroke and a hemorrhagic stroke lies in how the blood supply to the brain is compromised. A thrombotic stroke occurs when the blood flow to the brain is obstructed due to a clot forming in an artery, leading to ischemia. This can happen due to emboli like blood clots or fat deposits, vessel wall thickening, or hypovolemia. In contrast, a hemorrhagic stroke happens when a blood vessel ruptures within the brain, leading to bleeding that can cause additional pressure on the brain tissue and disrupt blood flow. The accumulated blood can also result in edema.

Ischemic strokes, which include thrombotic strokes, are more common and can be treated with clot-busting drugs such as recombinant tissue plasminogen activator (rtPA) if applied within a critical time window. Meanwhile, hemorrhagic strokes, though less common, tend to be more severe and often require surgical intervention to relieve pressure on the brain.

Both types of stroke can lead to the death of brain cells and can result in symptoms such as the inability to move, feel, or see on one side of the body, difficulties with speech, memory problems, confusion, and dizziness. A severe headache is particularly associated with hemorrhagic strokes. Treatment and rehabilitation are critical to recovery, and they often involve physical, occupational, and speech therapy.

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