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Strokes explained

continued from page 9
Surgery
Occasionally, surgery is used to prevent stroke, to treat acute stroke or to repair vascular damage or malformations in and around the brain. There are two prominent types of surgery for stroke prevention and treatment: carotid endarterectomy to prevent ischaemic stroke and surgery to remove or repair vascular malformations or aneurysms to prevent haemorrhagic stroke.

Carotid endarterectomy is a surgical procedure in which a doctor removes fatty deposits (plaque) from the inside of one of the carotid arteries (carotid arteries are located in the neck and are the main suppliers of blood to the brain). This treatment aims at treating underlying atherosclerosis, which is characterised by the build up of plaque on the inside of large arteries. The blockage of an artery by this fatty material is called stenosis.

One useful surgical procedure for treatment of brain aneurysms that cause subarachnoid haemorrhage is 'clipping'. Clipping involves clamping off the aneurysm from the blood vessel, which reduces the chance that it will burst and bleed. Rehabilitation
This is the phase of treatment that begins once your medical condition is stable and continues for months and sometimes years. This process will help you relearn skills that were lost because of the stroke, learn new skills and find ways of coping with whatever disabilities you have been left with.

Many different health professionals will be involved in your rehabilitation, along with the support of your family and friends. Your own attitude to your condition, and your commitment to make the best recovery possible, will go a great way in determining the amount of progress you make.



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