Stroke

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Stroke facts

  • A stroke occurs when part of the brain loses its blood supply and stops working. This causes the part of the body that it controls to stop working as well.
  • A stroke is also called a cerebrovascular accident or CVA.
  • Ischemic strokes occur when a blood vessels becomes occluded. This may be due to a gradual narrowing or because a blood clot travels or embolizes to stop blood flow.
  • A hemorrhagic stroke describes bleeding into brain tissue, most often because of uncontrolled high blood pressure.
  • A stroke is a medical emergency. The patient or family needs to call 9-1-1 (activate EMS) to access emergency care.
  • From onset of symptoms, there is only a 3 to 4 1/2 hour window to use clot-busting drugs (thrombolytics) to try to restore blood supply to the affected part of the brain.
  • Remember FAST: Face drooping, arm weakness, speech difficulty, time to call 9-1-1.
  • A transient ischemic attack or a TIA, describes a stroke that resolves usually within minutes. This is a warning sign that a stroke may occur in the near future.
  • People at risk for stroke include those who have high blood pressure, high cholesterol, diabetes, and those who smoke. People with heart rhythm disturbances are also at risk.

What is a stroke?

A stroke, also known as a cerebrovascular accident or CVA, occurs when part of the brain loses its blood supply and the part of the body that the blood-deprived brain cells control stops working. This loss of blood supply can be ischemic because of lack of blood flow, or hemorrhagic because of bleeding into brain tissue. A stroke is a medical emergency because strokes can lead to death or permanent disability, plus there are now opportunities to treat ischemic strokes but that treatment needs to be started in the first few hours after the signs of a stroke begin. The patient, family, or bystanders, should call 9-1-1 and activate emergency medical services immediately should a stroke be suspected.

A transient ischemic attack (TIA or mini-stroke) describes an ischemic stroke that is short-lived where the symptoms resolve spontaneously. This situation also requires emergency assessment to try to minimize the risk of a future stroke. By definition, a stroke would be classified as a TIA if all symptoms resolved within 24 hours.

Medically Reviewed by a Doctor on 2/4/2015

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Stroke signs and prevention

Stroke Symptoms and Signs

According to The U.S. National Institute of Neurological Disorders and Stroke, these are the five major signs of stroke:

  1. Sudden numbness or weakness of the face, arm or leg, especially on one side of the body. The loss of voluntary movement and/or sensation may be complete or partial. There may also be an associated tingling sensation in the affected area.
  2. Sudden confusion, trouble speaking or understanding. Sometimes weakness in the muscles of the face can cause drooling.
  3. Sudden trouble seeing in one or both eyes
  4. Sudden trouble walking, dizziness, loss of balance or coordination
  5. Sudden, severe headache with no known cause