1. HEMİPLEGİA Sensory Motor Cognitive Course
Cerebro Vascular Event - Hemiplegia
Dr. Öğr. Gör. Gülşah Kınalı

2. Cerebro Vascular Event
Hemiplegia is a vascular syndrome which is characterized by neuromuscular dysfunction in one half of the body due to pathological changes in the cerebral circulation.
SVO
Inflammation due to decreased blood flow to brain tissue due to reasons such as SVO, tumor, arterial infarction, bacterial endocarditis!....
Hemiplegia is a finding, so the result!...

3. Risk factors Major Risks Age --- increases both risk and risk
Hypertension, non - treatable
Substance addiction
Cardiac diseases (CAD) ** Risk in treatment
Diabetes
Transient Ischemic Attack

4. Know these diseases? Remember?
Congestive heart failure
Atrial fibrillation
Sinus Syndrome
Know these diseases? Remember?

5. Congestive Heart Failure

6. Atrillar Fibrillation

7. Sinus Arrhythmia

10. Anatomy and Etiology
Clinical manifestations of CVO vary depending on whether the anterior or posterior circulation of the brain is affected.
Anterior Circulatory Ischemia
Posterior Circulatory Ischemia
Hemiparazi - more than post
ataxia
Hemianestez
Bilateral or hemianesthesia
Monocular blindness
Vertigo
Facial numbness
hemiparesis
Lower facial weakness
Dysarthria, dysphagia
Aphasia
Syncope and dizziness
Headache
Dizartri - less than post.
Tinnitus
Loss of visual field
diplopia

11. Pathogenesis thrombolytic **** Embolitic **
Lakuner * initially creates TIAHemorajik*****
ischemic
Hemorrhagic

12. Clinical Findings of Vascular Lesions
Middle cerebral artery
Anterior Cerebral Artery
Posterior cerebral artery
Internal carotid artery
Basillar artery
Anterior superior cerebellar artery
Anterior inferior cerebellar artery
Vertebral artery

13. Prognosis Flask --- Spastic --- Normal Tonus
Full paralysis - synergy - voluntary movements

14. Treatment Acute Care Conventional Method.
Neurophysiological approaches

15. Complications
Lower extremity
Upper extremity
General Medical

16. History of Neurological Approaches
PNF: Diagonal and sipiral thought of active and passive patterns have emerged and developed over time. Stretching effect and resistant work are important.
Brunstrom: Firstly, motor synergies are created by utilizing pathological reflexes. Used in sensory stimulation and repositioning.
Bobath: To eliminate the spasticity is the primary use for this purpose.
Sensory Integration- Ayres: It argues that sensory and perceptual impairment causes functional liming. Space, shape perception, dyspraksi, tactile, auditory language probe. And it works on vestibular disorder, it is used in business dealings.

17. AFTER STROKE TREATMENT
There are some exciting approaches to the treatment of stroke (nine-plasmon activator)
However, it should be noted that the most important approach is prevention of stroke!

18. Primary Protection Hyperlipidemia - Stanins
Atrial fibralation - Warfarin
Aspirin for myocardial infarction and other vascular conditions
For carotid stenosis, carotid endorocytosis can be used as preventive surgery.

19. Secondary Protection
The target is people who have had TIA. -antitrombolytic drugs, surgical methods and endovascular treatments. Angioplasty, stents etc oplast.

20. Emergency Approach in Stroke

21. Emergency Treatment - Stroke
*Prevent loss of functionality of the penumbra area.
Is the airway open?
Is fever and blood pressure normal?
Nasal mask if oxygen saturation is insufficient
If the nasal mask is inadequate, should be intubated and provided with mechanical ventilator assistance

22. Surgical treatment in stroke
In acute stroke, the surgical option may not be chosen very quickly, because the sudden correction of blood flow may increase the damage.
Carotid endorectomy
Endovasicular ring if torn vein
Closure may be required for aneurysms with stable neurological status, and open brain surgery for unstable patients.