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Frozen Berries

STROKES DON'T DISCRIMINATE


 

The most common reaction that I get when people find out that Rylan had a stroke in utero is an expression of confusion. When I explain that my son suffered a stroke before he was even born, that expression of confusion turns to one of disbelief. If I had a dime for every time someone has dropped their jaw in complete shock of this revelation, I'd be living the life, saving sea turtles in Tahiti. 

There is this misconception that stroke only happen when you get old. Most people have no idea even what a stroke really is or what exactly occurs in the body when someone has one. 

Stroke is a disease that affects the arteries leading to and within the brain. It is the #5 cause of death AND disability in the United States. 

A stroke occurs when a blood vessel that carries oxygen and nutrients to the brain is either blocked by a clot or ruptures. When that happens, part of the brain cannot get the blood and oxygen it needs, so it and brain cells die. My son had an ischemic stroke in his left temporal lobe. Rylan's stroke was significant and affected the right side of his body. Rylan had his first brain MRI at around 6 months old and since then we have had several brain scans. Because of a special refractory epilepsy MRI performed at Duke University Hospital just this past June, we now have more information about his stroke site, and that the damage from the stroke was more severe than any of us ever realized. We now know that my son's stroke went deeper than first thought- very deep indeed. Deep enough to affect very important functions in our brains. Too deep for any conservative treatments, and so, Rylan will undergo a radical hemispherectomy brain surgery in which the neurosurgeons will remove the entire left hemisphere- the diseased, stroke affected hemisphere, leaving him with only half his brain. This decision was made unanimously by a very wonderful and knowledgeable team of neuro specailists, and for the first time in our lives, we have been told that this could be CURATIVE for my boy! 

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The American Stroke Association is a very good resource and has a wealth of information for anyone facing stroke or facing the life as a caregiver of a loved one affected by stroke. They have an amazing tool kit that you can download and I will provide the link here:

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https://www.stroke.org/en/help-and-support/resource-library/prevention-toolkit#

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As a healthcare worker, an acronym that we are encouraged and expected to know is:

BEFAST:

B= Balance- watch for sudden loss of balance or coordination

E= Eyes- assess for sudden vision loss, or blurred or double vision

F= Face- Notice any facial changes- one side of the face may be drooping or may be numb

A= Arms- find out if there is a loss of feeling in either arm, or if an arm feels "heavy", "weak" or "numb"/"tingly"

S= Speech- Is speech slurred, difficult to understand or is there an inability to talk or loss of verbal communication

T= TIME is TICKING... Early interevntion is KEY!!! Call 9-1-1 IMMEDIATELY if you see ANY of these symptoms- EVEN if they go away.

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BEFAST may not be applicable for perinatal or in utero stroke, but there are also cues and symptoms parents should take not of if they see their baby or child experiencing strange behaviors. I have included a list of what to look for below.

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Sources: International Alliance for Pediatric Stroke 

American Stroke Association

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To learn more or for more info and a list of resources, please visit: Stroke.org

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