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- What is a stroke?
- Recognizing stroke symptoms and signs early - FAST
- What are FAST stroke symptoms and signs?
- What are other signs and symptoms of stroke in men and women?
- What are the signs and symptoms of a mini-stroke (TIA, transient ischemic attack)
- What should I do if someone is exhibiting signs and symptoms of a stroke?
- Which specialties of doctors treat strokes?
What is a stroke?
A stroke occurs when the blood supply to an area of the brain is cut off. The symptoms depend upon the region of the brain that is affected by the loss of blood supply and can include changes in sensation or motor control.
Symptoms of a stroke also depend on how much of the brain tissue is deprived of blood supply. For example, someone who had a mild stroke may experience temporary weakness of an arm or leg, but those with a more severe stroke may be permanently paralyzed on one side of their body or be unable to speak. If the blood supply is not quickly restored, either on its own or via medical treatment, the effects may be permanent.
Some people fully recover completely from strokes, but over 2/3 of stroke survivors are left with some type of disability.
Recognizing stroke symptoms and signs early - FAST
Acting fast is critical if you suspect that someone may be having a stroke. Immediate treatment of a stroke can minimize long-term effects of the stroke and can even help reduce a person's risk of death from stroke.
FAST is an acronym that can help you quickly recognize the warning signs and symptoms of stroke. You can even download a FAST app from the webpage of the American Stroke Association to help you remember these signs.
What are FAST stroke symptoms and signs?
Use FAST to remember and recognize the following signs and symptoms of stroke:
- F: Face drooping. Ask the person to smile, and see if one side is drooping. One side of the face may also be numb, and the smile may appear uneven.
- A: Arm weakness. Ask the person to raise both arms. Is there weakness or numbness on one side? One arm drifting downward is a sign of one-sided arm weakness.
- S: Speech difficulty. People having a stroke may slur their speech or have trouble speaking at all. Speech may be incomprehensible. Ask the person to repeat a simple sentence and look for any speech abnormality.
- T: Time to call 9-1-1! If a person shows any of the symptoms above, even if the symptoms went away, call 9-1-1 and get the person to a hospital immediately.
What are other signs and symptoms of stroke in men and women?
While these are the hallmark symptoms of stroke, a stroke can cause disruption of any function of the nervous system. Symptoms of stroke typically occur on one side of the body and come on suddenly. With a transient ischemic attack (sometimes called a mini-stroke) the symptoms appear and may go away on their own. In any case, it is essential to get the affected person to a hospital as soon as possible to enable prompt treatment.
Other possible signs and symptoms of stroke include the sudden onset of:
- Weakness or paralysis of any part of the body.
- Numbness or a "pins and needles" sensation anywhere in the body.
- Gait disturbances (trouble walking) or loss of balance and coordination
- Vision changes, blurred vision, or trouble with eyesight in one or both eyes
- Severe headache that usually is unlike headaches in the past
- Inability to speak, slurred speech, or inability to understand speech
- Loss of sensation in any part of the body
- Memory loss
- Behavioral changes
- Muscle stiffness
- Difficulty swallowing
- Involuntary eye movements
What are the signs and symptoms of a mini-stroke (TIA, transient ischemic attack)
The symptoms of a TIA or mini-stroke are the same as those of a stroke as listed above. With a mini-stroke, the symptoms go away on their own. Any symptoms of a stroke can occur during a mini-stroke.
What should I do if someone is exhibiting signs and symptoms of a stroke?
Remember to think and act FAST (Face drooping; Arm weakness; Speech difficulty; and Time to call 911!) if you see someone who may be having these symptoms. Don't delay and call 9-1-1 immediately. You may help save a life or reduce the chance of long-term disability.
Which specialties of doctors treat strokes?
A person who is having a stroke is typically cared for in an emergency department, and initially seen by a specialist in emergency medicine. Doctors that are typically involved in the care of patients with stroke can include neurologists, endovascular surgical neuroradiology (ESNR) specialists, interventional radiologists (IR), interventional cardiologists (IC), and critical care specialists.
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"Spot a Stroke FAST: Stroke Warning Signs and Symptoms." American Heart Association.
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CT Scan vs MRI
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MRI (magnetic resonance imaging) is a procedure that uses strong magnetic fields and radiofrequency energy to make images of parts of the body, particularly, the organs and soft tissues like tendons and cartilage.
Both CT and MRI are painless, however, MRI can be more bothersome to some individuals who are claustrophobic, or suffer from anxiety or panic disorders due to the enclosed space and noise the machine makes.
MRI costs more than CT, while CT is a quicker and more comfortable test for the patient.
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Polycythemia (High Red Blood Cell Count)
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- Unintended weight loss
- Gouty arthritis, usually in big toe
- Shortness of breath
- Feeling pressure or fullness on the left side of the abdomen where the spleen is located.
- Vision problems
- Heavy bleeding from minor cuts
- Bleeding from the gums
- Redness in the face
- A burning feeling in the hands and feet
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REFERENCE: NIH. National Heart, Lung, and Blood Institute. "What Causes Polycythemia Vera"? Updated: Mar 20, 2011.
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Stroke Symptoms and Treatment
A stroke is an interruption of the blood supply to part of the brain caused by either a blood clot (ischemic) or bleeding (hemorrhagic).
Symptoms of a stroke may include:
- double vision or vision loss,
- difficulty speaking or understanding speech.
A physical exam, imaging tests, neurological exam, and blood tests may be used to diagnose a stroke. Treatment may include administration of clot-busting drugs, supportive care, and in some instances, neurosurgery. The risk of stroke can be reduced by controlling high blood pressure, high cholesterol, diabetes, and stopping smoking.
Stroke vs Mini-Stroke TIA Comparison
A stroke or "brain attack" occurs when a blood clot or artery ruptures within the brain. The rupture or clot causes brain cell damage or death. A mini-stroke (TIA, transient ischemic attack) is caused by brain cells that dysfunctional over a short period. Stroke and mini-stroke warning signs of stroke and mini stroke are the same, and include, speech problems, weakness, numbness, and facial droop.
Side effects of stroke may be permanent and you may never regain full function of the parts of the body affected. Mini-stroke side effects usually resolve within minutes to a couple of days. A transient ischemic attack (min-stroke) is a precursor for stroke because 40% of individuals who have a mini-stroke will have a stroke within a year. Treatment of stroke depends upon the type and parts of the body affected.
Transient Ischemic Attack (TIA, Mini-Stroke)
When a portion of the brain loses blood supply, through a blood clot or embolus, a transient ischemic attack (TIA, mini-stroke) may occur. If the symptoms do not resolve, a stroke most likely has occurred. Symptoms of TIA include: confusion, weakness, lethargy, and loss of function to one side of the body. Risk factors for TIA include vascular disease, smoking, high blood pressure, high cholesterol, and diabetes. Treatment depends upon the severity of the TIA, and whether it resolves.