Stroke: three letters and lives that often rock. One in six people will have a stroke in their lifetime. Stroke is one of the leading causes of death in the world while one-third of those affected will still have a permanent disability.
Getting up after a stroke
But it is also often forgotten that 80 million people around the world are crossing this hurdle and proving that it is possible to enjoy life through proper care and support. ” The management of stroke has evolved considerably in recent years and health actors must now ensure that individuals do not become sick,” says Pr Serge Timsit, president of the SFNV (French Neuro-Vascular Society), head of the neurology department at the University Hospital of Brest. This is also the meaning of the World Stroke Organization’s (WSO) global campaign on World Stroke Day, October 29, 2018. The theme #UpAgainAfterStroke is explicit: getting up after a stroke.
Women leading the victims
Young people, adults, seniors, men, women … Everyone can be confronted. The SFNV wants to alert: ” We are all concerned! “. Some populations, however, remain priority targets. This is particularly the case for women since stroke remains the leading cause of death, before breast cancer, with 18,000 deaths per year. The association pill, smoking and migraine with aura (migraines with visual disturbances, sensitive, aphasic) is particularly dangerous. Pregnancy, menopause, hormone replacement therapy, depression, psycho-social stress … all factors that explain their overexposure to men. Another category at major risk: seniors. 75% of the victims are over 65, and stroke is the second leading cause of dementia. However, the death rate for the elderly has declined since 2008, while the youngest have seen a slight increase.
Children more and more concerned
Nearly 25% of strokes occur before age 65, and the number of patients between 35 and 64 years in hospital increases each year. On the dock: high blood pressure, diabetes, obesity, tobacco and alcohol. Drugs and air pollution should also join them shortly. Infants are also concerned since this disease is one of the main causes of infant mortality. If stroke is rare in children under 18, it is still possible (article in link below). However, in more than one case out of two, it is not immediately diagnosed. In question, symptoms different from those of the adult: school difficulties, epilepsy, psychomotor retardation, unilateral paralysis … It is the first cause of acquired handicap of the child. 75% of survivors will have a physical disability and / or a deterioration of intellectual abilities.
Despite these alarming numbers, the main risk factors are preventable. The keys to fight the disease: adapted prevention and rapid care. The knowledge of the first symptoms is then essential: paralysis, weakness or numbness of a part or the half of the body, deformation of the mouth, difficulties to speak, loss of the vision of an eye, disturbances of the balance, of coordination or gait, headache of high intensity and unusual … “The more stroke is managed early in a hospital with a neurovascular unit, the better it can be treated, says the SNFV. Since 2003, thrombolysis and, since 2015, thrombectomy, are two treatments that have significantly reduced the risk of sequelae .
23rd days of the SNFV
Many doctors and healthcare professionals involved in the care of stroke patients will meet on the occasion of the 23rd edition of the SFNV (link below), from November 15 to 17, 2018, at the Palais des congrès, in Issy-les-Moulineaux (92). On the agenda for these three days: scientific interventions by French and international specialists. In parallel, the SNFV organizes from October to November conferences and information actions accessible to the general public throughout France. All mobilized to fight the stroke?