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the brain. Hypertension is the most important cause; it damages the blood vessel lining, endothelium, exposing the underlying collagen where platelets aggregate to initiate a repairing process which is not always complete and perfect.
Decreased O2 supply Stimulation of mitochondria Production of lactic acid Change in pH level (acidic) Anaerobic environment Decreased production of ATP by neurons Decreased depolarization Increase cellular death
Infarction
Occipital lobe; anterior and medial portion of temporal lobe, thalamus involvement
Paralysis of foot/leg; impaired gait; problems in decision making or performing acts voluntarily; slowness of thought; urinary incontinence; cognitive and affective disorders
Contralateral hemiplegia (face and arm); aphasia; homonymous hemianopsia; altered consciousness; left- right confusion
Homonymous hemianopsia and other visual defects like color blindness; loss of central vision and visual hallucinations; memory deficits; loss of sensory modalities; spontaneous pain; aphasia
Oculomotor nerve palsy; visual disturbance such as diplopia; dystaxia; vertigo; dysphagia