A man from Oklahoma is suffering from a severe stroke



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Josh Hader, 28. (Rebecca Hader / Courtesy of Rebecca Hader)

Josh Hader's neck was bothering him – again. He had felt this discomfort for a few weeks and recently thought that light stretching could bring relief.

"I went to stretch it," said the 28-year-old Washington Post, "and as I used my hand to apply a little more pressure than I'd probably have had," he said. I heard a sound. "

Less than an hour later, Hader would be in an emergency room in a hospital unable to walk and suffering from what doctors had told him was a "serious stroke" caused by a ruptured an artery of the neck that had formed a clot.

"He could have died," said Vance McCollom, a physician at Mercy Hospital in Oklahoma City, who treated Hader. KOCO this week.

McCollom said that Hader had torn his spinal artery, one of the main arteries of the neck that rises into the brain. A tear in the vertebral artery, or dissection, is known to cause strokes that can affect young people 20 to 30 years of age. It has nothing to do with a person's health, Kazuma Nakagawa, a stroke neurologist, told The Post. Nakagawa, medical director of the Comprehensive Stroke Center at Queen's Medical Center in Honolulu, said, "Although it is rare that a neck breakdown causes a tear, this is not unusual."

"People just need to know that sudden neck pain can potentially be the starting point for a stroke," Nakagawa said.

On March 14, Hader stated that he was working at his home in Guthrie, Oklahoma State, when he felt the familiar pain in his neck and tried to relieve it.

"It was not me who put my head in my neck trying to get him out as much as I could," he said. "He just broke up."

Almost immediately after hearing the pop, Hader's left side began to get numb.

Building on his experience as a former police officer, Hader said that he had quickly checked if his face was falling off, one of the telltale signs of an accident. cerebrovascular. The muscles on his face all seemed to be working well, so he concluded that he must have pinched a nerve and fetched bags of ice.

That's when Hader said he realized something was wrong.

"When I went to the kitchen, I could literally walk only at an angle of about 45 degrees," he said. "I literally could not walk right. He walked almost straight to the left.

In a few minutes, his father-in-law had to arrive to take him to the hospital, Hader said. His state of health has deteriorated considerably. By the time they reached the emergency room about half an hour away, Hader could not walk at all and needed a wheelchair.

After a CT scan, there was no bleeding in the brain, Hader explained. A doctor confirmed that he was a stroke victim and had to receive a drug called tissue plasminogen activator, or tPA, which dissolves blood clots.

"I remember attending the hearing of the doctor who had said that he had 12 minutes left to administer the tPA," said Hader. "That's where everything went home."

He continued, "I always wanted to be incredulous. But everything broke down, as "Nope, this happens".

His wife, Rebecca, told The Post that she also could not believe that her husband had a stroke. She said that she always told him not to break his neck.

"I thought it must be something else," she said. "He is too young. It was too weird. Throughout my trip to the hospital, I thought it was a stroke. "

Hader stated that he had been transported to Mercy Hospital where he stayed several days in the intensive care unit before being transferred to a rehabilitation center.

"I was terrified," said Rebecca Hader. "He said that he had never been afraid to die. I made it all the more worrying that he was going to die. "

I just wanted to make a more "formal" update. I am still in the icu but I recover. It ended up being a torn artery …

Posted by Josh Hader on Saturday March 16th, 2019

Hader not only survived, but through physical therapy, he was up and walking in a few weeks.

"In the last two weeks or so, I have been able to help a lot more at home, doing regular chores or helping to take care of our 1 year and 5 year old children," he said. "Before that, I was rather useless."

Hader stated that although he does not lose any cognitive or speech ability, he still has balance problems, a difficulty in controlling his left arm and a lack of sensation in the right arm and leg, among other symptoms persistent.

Nakagawa said that Hader's situation could have been much worse.

"They are actually very deadly," Nakagawa said about the type of stroke seen by Hader.

The vertebral arteries of the neck join in the brain to become the basilar artery, which plays a vital role in the supply of blood to the brainstem, Nakagawa said.

"The brainstem is the heart and the soul of the brain," he said. "Without that, our brain just does not work."

If a tear in the vertebral artery touches the basilar artery, Nakagawa says that this stroke can be fatal, cause coma or leave a person in a permanent vegetative state. In 2016, model Katie May, 34, died of a stroke after speaking to the chiropractor for a pinched neck nerve, CBS News reported. An autopsy revealed that May's vertebral artery was torn as a result of "neck manipulation," according to HuffPost.

Hader said that he had discovered the seriousness of his situation only after visiting a vascular specialist a few weeks ago.

"He put his fingers together and said," You were so close to coma, "said Hader.

Both Haders said that they never knew that cracks in the neck could cause a stroke. Nakagawa said he had encountered a few cases, but that he was rare. Experts in the stroke community still do not know why some people's arteries tear apart while others do not, but they "have the intuition" that this might have a connection with the 39 integrity of blood vessel walls, which differs from one person to the other. I said.

According to Nakagawa, "99.9% of the time, you're pulling your neck and all is well."

Hader, however, said that his days spent jumping on the neck are over.

"I still wake up from time to time with envy, and I have to stop myself," he said. "It's always a fight, but I definitely do not want to break my neck."

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