Cerebrovascular Disorders: A Case Study

Cerebrovascular disorders was first described in 2400 years ago and after that it got so many different names like apoplexy ,cerebrovascular attack, cerebrovascular accident, cerebral attack.(1) It is the third Leading cause to death in United States and also the main cause of long term disability.(2) Each year cerebral accident involves almost 795000 individuals in America and it is a vascular defect which starts suddenly and lasts more than 24 hours and remains a neural defect.(3)Cerebrovascular disease relates to any blood vascular damage and is the third cause of death after heart diseases and cancer in united states.(4)Cerebral attack is one of disabilities and mortality factors all over the world and cause more than 5 million deaths

Besides, ischemic attacks are thrombotic and 20% are embolic. Although more than 25% of hemorrhagic attacks are due to subarachnoid hemorrhages but epidural and subdural hematoma do not lead to cerebral attacks (10) .Acute ischemic attack is a severe medical emergency and short term and long term survival is a key to estimating hospital capability in taking care of situation (11). Several studies took place in signs, epidemiology and cerebrovascular disorders therapy and they were mostly In internal neurology wards instead of intensive care units. A study conducted in Taiwan in 2012 comparing risk factors and subtype of attacks and its outcomes between patients 65 years old and younger and older and finally led to the point which good management despite of risk factors could be helpful in younger patients (12).Another study in 2014 revealed in patients over 80 years old attacks occur more severe and they already have predisposing factors but you could still expecting proper relief after attack(13).KnopfL and his colleagues revealed the efficacy of presence of an ICU neurologist would have better results and it is more documentation subarachnoid hemorrhages comparing to intracerebral hemorrhages which have poor outcome regardless to presence of a neurologist in neurology