StrokeBereich

StrokeBereich is a term used in neurology to denote the brain region affected by a stroke, encompassing both the irreversibly damaged tissue and the surrounding area with reduced perfusion. The exact StrokeBereich depends on the stroke type and the vascular territory involved, and it informs both symptoms and prognosis.

In ischemic stroke, the StrokeBereich typically comprises a core infarct and a surrounding penumbra—tissue that is hypoperfused but potentially salvageable with timely reperfusion. In hemorrhagic stroke, the StrokeBereich refers to the hematoma and the edema surrounding it, which can contribute to mass effect and secondary injury.

Imaging plays a central role in delineating the StrokeBereich. Magnetic resonance imaging with diffusion-weighted sequences identifies the core, while perfusion imaging reveals the penumbra. Computed tomography protocols (including CT perfusion and CT angiography) similarly map tissue at risk and the responsible vessel occlusion, guiding treatment planning.

Clinically, the size and location of the StrokeBereich influence deficits, prognosis, and rehabilitation needs. Acute management aims to limit tissue loss by restoring blood flow when feasible, using intravenous thrombolysis within the appropriate time window and mechanical thrombectomy for eligible large-vessel occlusions. Supportive care, blood pressure management, and secondary prevention strategies follow.

Etymologically, StrokeBereich is a German compound meaning stroke area. While not a formal term in all international guidelines, it is used in educational materials and clinical discussions to describe the affected brain tissue and its implications for outcome and therapy.