By Jennifer Hay

Stroke: Questions You Have... solutions you wish [Book]

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The procedure appears to be more beneficial for men than for women, however. The 1994 study, published in the May 10, 1995, Journal of the American Medical Association, found that it reduced the risk of stroke in men by 69 percent but in women by only 16 percent. Page 53 Q: Why is that? A: No one is certain. It could be that the women in the study had fewer risk factors to begin with and were simply less likely to suffer strokes. It could also have something to do with the smaller size of women's arteries.

Paraphasiaa partial aphasia in which a person transposes sounds or wordsincorrectly substituting one word or sound for another. It's important to remember that none of these communication problems indicates mental incompetence. In most instances, the stroke survivor knows what he wants to say; he simply cannot connect with the language center of the brain or use his speech muscles. Page 20 Q: That sounds frustrating! Are these communication problems common? A: Yes. According to the National Institute of Neurological and Communication Diseases and Stroke, about half of all strokes result in some sort of speech difficulty.

Fortunately, we know more about the risk factors that can be partially or fully controlled. Partially Controllable Risk Factors Q: What are the partially controllable risk factors? A: The list includes some real heavyweights: TIAs, or ''ministrokes" hypertension atherosclerosis, often signaled by noises, or bruits, in one or both of the carotid arteries various forms of heart disease, including arrhythmias (such as atrial fibrillation) and left ventricular hypertrophy (LVH) Page 44 high levels of cholesterol in the blood blood abnormalities, such as a high red-blood-cell count.

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