Stroke treatment with gradual fibrotomy

Editado el 06 de Septiembre del 2021 a las 19:05:31 por Rafael Corro

Stroke, thrombosis or embolism are some of the diseases that affect to the brain more frequently. Basically, it’s a problem from the blood vessels that transport blood to the brain. It is called cerebral hemorrhage if it is a stroke in a vessel of the brain, or ischemic type or cerebral infarction if it is an artery that is blocked by the presence of a clot.  

Although it usually comes unexpectedly and many of the risk factors are not modifiable, there are some factors such as smoking, high cholesterol levels, excessive alcohol consumption, diets rich in salt or heart disease that need attention for proper stroke prevention.

When a patient suffers from a stroke, the brain acquired damage could be irreparable and leave severe sequels that can affect the quality of life of the patient. After a stroke, a one-third of the patients approximately recover, another one-third survive but with sequels and the other one-third pass away.

Early detection is important and is largely the key to avoiding later sequelae. There are some symptoms to detect a stroke:

  • Sudden onset loss of strength in face, arm and/or leg on one side of the body.
  • Sudden onset sensory disorder, “corking or tingling” sensation of the face, arm and/or leg on one side of the body.
  • Loss of sight total or partial, in one or both eyes.
  • Sudden alteration of speech, difficulty in expressing oneself.
  • Sudden onset headache with unusual intensity and without an apparent cause.
  • A feeling of intense vertigo, imbalance, instability or even a sudden fall may occur, but they are accompanied by any of the symptoms described above.

The first few hours after the onset of symptoms are key; the faster you act, the more likely you are to recover and the less likely you are to be left with sequelae or die. On the other hand, current treatment for stroke only works for the first three hours after the first symptoms appear. Once this time interval has elapsed, the treatment loses effectiveness.
After the stroke, there may be physical sequels which, depending on the case, must be treated at a multidisciplinary level. The work of your neurologist, rehabilitation doctor, physiotherapists, speech therapist, occupational therapist are fundamental for an adequate rehabilitation.

How can gradual fibrotomy help in the treatment of stroke?

Gradual fibrotomy, being a type of surgery at a muscular or myofascial level, cannot help recovery at the very first. After a period of recovery and work done by the patient, the problems of lack of balance, equine foot, difficulties in walking or manipulation reach a point of stagnation, it is possible to successfully intervene the patient.

Gradual fibrotomy may be useful to maximize the progress of other stroke rehabilitation techniques. The treatment of the equine foot, will give stability to the patient, intervening the muscles involved and with fibrosis stablished. In this case the objective of gradual fibrotomy is to achieve the improvement or disappearance of the equine foot, with a minimum risk and a low level of trauma.

We could say the same of other sequels, a lack of knee extension treated with gradual fibrotomy, will allow greater stability, with the treatment of the adductor or hamstring muscles. The objective of gradual fibrotomy in this case is to allow a greater range of movement in patients who have suffered a stroke. In the case of upper limbs, gradual fibrotomy is effective in improving manipulation and extension of the arm or shoulder. As it is microsurgery, the level of trauma is minimal and recovery times are short. The gradual fibrotomy allows to treat the facial muscles, allowing the improvement of the swallowing, the speech and even the own expression.

The advantages of this type of surgery are the same as for other patients. Gradual fibrotomy has a very low level of trauma, the instruments used are specifically designed for this surgical technique and are very small in size. It does not require subsequent immobilization and recovery is very fast compared to other types of surgery.

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