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Samenvatting CVA

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Samenvatting CVA ( blz. 280 ).

HET CVA
Het CVA ( Cerebrovasculair accident betekent ongeluk in de vaten van de hersenen.
CVA is een acute verstoring van de cerebrale circulatie door
- een bloeding
- of infarct.

Hersenweefsel krijgt geen bloed, zuurstof en voedingsstoffen en raakt beschadigd of sterft af.
De ernst zijn afhankelijk van:
- De grootte
- De plaats

TIA: als de neurologische verschijnselen binnen 24 uur zijn verdwenen.

OORZAAK
Herseninfarct:
- Atherosclerose
- Trombose
- Embolie

BLOEDING
Het stuk gaan van een bloedvat door een te hoge bloeddruk of een aneurysma of een aangeboren
afwijking.

Factoren die een CVA vergroten:
- Roken
- Stress
- Overgewicht
- Weinig lichaamsbeweging

Onderliggende oorzaken zoals:
- Diabetes
- Hartziektes
- Hypertensie
- Vaatlijden
- Stollingsstoornissen
- Hoog cholesterol gehalte

De omvang, locatie en oorzaak van een CVA bepalen de mate en de ernst van de
ziekteverschijnselen. Bij een CVA in de hersenstam treden op:
- Bewustzijnsstoornissen
- Stoornissen in het gevoel en motoriek
- Visusklachten

CVA in de kleine hersenen:
- Coördinatiestoornissen

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