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Stroke 

Chapter:
Stroke
Author(s):

Manoj Sivan

, Margaret Phillips

, Ian Baguley

, and Melissa Nott

DOI:
10.1093/med/9780198785477.003.0028
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date: 11 July 2020

The World Health Organization defines stroke as: ‘Rapidly developing signs of focal (or global) disturbance of cerebral function, lasting more than 24 hours or leading to death, with no apparent cause other than that of vascular origin’. This definition may be a little outdated with modern imaging techniques commonly diagnosing pathology at a very early stage or diagnosing old ‘silent’ infarcts. This chapter describes the epidemiology and different types of stroke and the diagnosis, prognosis, and secondary prevention of stroke are discussed. Stroke rehabilitation settings are then described, as well as the initial multidisciplinary team assessment, principles of stroke rehabilitation, and predictors of poorer functional prognosis. Rehabilitation for impairment of different functions are covered, describing upper and lower limb impairment, dysphagia and nutrition, speech impairments, visual impairments, and unilateral spatial neglect. The final section is on discharge planning.

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