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Baptist Health Care
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Accredited by the Joint Commission on Accreditation of Healthcare Organizations

What Causes a Stroke? - pt.1

   Causes of ischemic stroke

An ischemic stroke is caused by a blood clot that blocks blood flow to the brain. Blood clots either develop in narrow arteries supplying blood to the brain or travel from the heart or elsewhere in the body to an artery that supplies the brain.

  Click to see an example of an ischemic stroke

Blood clots are usually the result of other problems in the body affecting normal flow of blood, such as:
  • Hardening of the arteries (atherosclerosis). This is caused by high blood pressure, diabetes, and high cholesterol.
  • Atrial fibrillation or other irregular heart rhythms.
  • Certain heart valve problems including having an artificial heart valve, a repaired heart valve, heart valve disease such as mitral valve prolapse or narrowing (stenosis) of a heart valve.
  • Infection of the heart valves (endocarditis).
  • A patent foramen ovale a congenital heart defect.
  • Blood-clotting disorders.
  • Inflammation of blood vessels (vasculitis).
  • Heart attack.
Low blood pressure, also called hypotension, may also cause an ischemic stroke. Though not common, low blood pressure results in reduced blood flow to the brain and may develop as a result of narrowed or diseased arteries, a heart attack, a large loss of blood or a severe infection.

Surgeries such as endarterectomies, or other procedures that are used to treat narrowed carotid arteries, such as angioplasty, may ultimately cause a blood clot to break loose and result in a stroke.

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What Causes a Stroke? - pt.2

   Causes of hemorrhagic stroke

A hemorrhagic stroke is caused by bleeding inside the brain, called intracerebral hemorrhage, or bleeding in the space around the brain, called subarachnoid hemorrhage. Bleeding inside the brain may be a result of long-standing high blood pressure. Bleeding in the space around the brain may be caused by a ruptured aneurysm or uncontrolled high blood pressure.

Other causes of hemorrhagic stroke are less common, but include:
  • Inflammation in the blood vessels, which may develop from conditions such as syphilis or tuberculosis.
  • Blood-clotting disorders such as hemophilia.
  • Head or neck injuries resulting in damage to head or neck blood vessels.
  • Radiation treatment for cancer in the neck or brain.
  • Cerebral amyloid angiopathy, a degenerative blood vessel disorder.

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Baptist HealthCare provides this information for general, educational and informational purposes. Always contact your personal physician for medical advice and information. Content contained in our online Stroke Care Center has been gathered from an online health library
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