An ischemic stroke is a medical emergency caused by a blockage in a blood vessel supplying blood to the brain. This blockage is often caused by blood clots or fatty deposits inside the blood vessel. The blocked blood flow in an ischemic stroke may also be caused by a disease that narrows the arteries over time.
The effects of an ischemic stroke can be severe and life-threatening. Brain cells begin to die within minutes of the stroke, and if blood flow is not restored quickly, brain damage or death may occur. Symptoms of an ischemic stroke include facial drooping, limb weakness on one side, and slurred speech.
While an ischemic stroke does not involve the brain exploding, it is a serious condition that requires immediate medical attention to prevent permanent damage or death.
Characteristics | Values |
---|---|
Type of stroke | Ischemic stroke |
Description | Blockage in a blood vessel supplying blood to the brain |
Synonyms | Brain ischemia, cerebral ischemia |
Prevalence | Most common type of stroke, accounting for about 85-87% of all stroke cases |
Cause | Blockage caused by blood clots or fatty deposits inside the blood vessel |
Risk factors | Age, clotting and bleeding disorders, congenital heart defects, heavy alcohol misuse, abdominal and visceral fat, family history of stroke, previous strokes |
Symptoms | Facial drooping, limb weakness on one side, slurred speech, dizziness, loss of coordination, vision problems, headache |
Treatment | Thrombolytic drugs, endovascular mechanical thrombectomy, blood sugar management, blood thinners, oxygen, stroke rehabilitation |
Prevention | Lifestyle changes, avoiding risky behaviours, managing health conditions and risk factors |
What You'll Learn
What are the signs of an ischemic stroke?
An ischemic stroke is a medical emergency caused by a blockage in a blood vessel that supplies blood to a region of the brain. It is important to recognise the signs of an ischemic stroke and seek immediate medical attention to improve the chances of recovery. Here are the key signs and symptoms to look out for:
- Drooping of the face or mouth on one side: This can include drooping muscles or eyelids, and an uneven smile.
- Weakness or paralysis: Numbness or weakness on one side of the face or in one arm or leg. This may also cause difficulty raising both arms.
- Speech difficulties: Slurred speech or difficulty understanding speech.
- Dizziness and loss of balance: Loss of coordination, vertigo, or trouble walking.
- Vision problems: Blindness in one eye, blurry vision, double vision, or loss of vision in one or both eyes.
- Headache: A sudden, severe headache with no known cause.
It is important to act FAST (Face, Arms, Speech, Time) when recognising the signs of a stroke. If you observe any of these symptoms in yourself or others, don't wait to seek help. Call emergency services immediately.
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What are the causes of an ischemic stroke?
An ischemic stroke is a medical emergency caused by a blockage in a blood vessel that supplies blood to a region of the brain. This blockage may be caused by a blood clot or by atherosclerosis, a disease that causes the arteries to narrow over time.
Blood clots may be caused by an irregular heartbeat, such as arrhythmia, problems with the heart valve, infection of the heart muscle, hardening of the arteries, blood-clotting disorders, inflammation of the blood vessels, or a heart attack.
Atherosclerosis occurs when plaque builds up on the inner walls of the arteries, causing them to harden and narrow, which limits blood flow to tissues and organs. This can happen in any artery in the body, including those in the brain and neck.
In rare instances, ischemic strokes can also be caused by low blood pressure (hypotension), which reduces blood flow to the brain. This usually occurs in conjunction with narrowed or diseased arteries.
Ischemic strokes can have various symptoms, including:
- Drooping of the face or mouth on one side
- Weakness or paralysis in one or more limbs, often on one side of the body
- Speech difficulties, such as slurred speech
- Dizziness and loss of balance or coordination
- Vision problems, such as blindness in one eye or double vision
- Sudden, severe headache with no known cause
It is important to note that strokes are medical emergencies, and immediate care is essential to improve the chances of recovery and prevent permanent damage.
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How is an ischemic stroke treated?
The treatment for an ischemic stroke depends on the severity of the stroke and how long it has been since the first symptoms were noticed. The first goal of treatment is to restore blood flow to the affected area of the brain. This can be done through intravenous (IV) tissue plasminogen activator (tPA), a medication that breaks up blood clots. This treatment is most effective when given within 4 hours of the first symptoms. If tPA is not an option, blood clots may be removed with surgery. This mechanical clot removal can be performed up to 24 hours after the onset of stroke symptoms.
Long-term treatments may include the use of aspirin or an anticoagulant to prevent further clots. If the ischemic stroke is caused by a condition such as high blood pressure, cholesterol, or atherosclerosis, treatment for those conditions is indicated. For example, a healthcare professional may recommend a stent to open an artery narrowed by plaque or statin use to lower cholesterol levels.
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What are the effects of an ischemic stroke?
Ischemic strokes are a medical emergency caused by a blockage in a blood vessel that supplies blood to the brain. They are the most common type of stroke, accounting for about 87% of all stroke cases. The blockage is often caused by blood clots or fatty deposits inside the blood vessel.
The effects of an ischemic stroke are serious and vary depending on the region of the brain affected. Here are some of the possible effects:
- Facial drooping or paralysis on one side of the face
- Weakness or paralysis in the limbs, often affecting one side of the body more than the other (hemiparesis)
- Speech difficulties, such as slurred speech or aphasia (inability to produce or understand language)
- Dizziness and loss of balance or coordination
- Vision problems, including blindness in one eye, blurry vision, or double vision
- Headache
- Chest pain or palpitations
- Numbness or weakness in the face, arm, or leg
- Trouble walking
It's important to note that not all symptoms occur with every stroke, and sometimes they may come and go. Immediate medical attention is crucial to improving the chances of recovery and preventing further damage to the brain.
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How can the risk of an ischemic stroke be reduced?
Ischemic strokes are caused by a blockage in a blood vessel that supplies blood to the brain. They are the most common type of stroke, accounting for about 87% of all stroke cases. The blockage is often caused by blood clots or fatty deposits inside the blood vessel.
- Maintain a healthy weight: Excess abdominal and visceral fat can increase your risk of ischemic stroke.
- Manage alcohol consumption: Heavy alcohol misuse can increase your risk of ischemic stroke.
- Quit smoking: Smoking is the top preventable risk factor for stroke. Quitting smoking is a powerful way to reduce your risk.
- Manage health conditions: Uncontrolled high blood pressure, diabetes, coronary artery disease, and high blood cholesterol are all risk factors for stroke. Managing these conditions effectively can help lower your risk.
- Address circulatory conditions: Circulatory conditions such as clotting and bleeding disorders, congenital heart defects, and irregular heartbeats can increase the risk of developing blood clots or fatty deposits, which are the main cause of ischemic strokes.
- Control cholesterol: High cholesterol can contribute to atherosclerosis, the narrowing of arteries that can lead to ischemic strokes.
- Healthy diet: Eating a balanced diet can help maintain a healthy weight and lower your risk of high cholesterol and other risk factors.
- Physical activity: Increasing physical activity can improve your overall health and reduce your risk of stroke.
- Address family history: If you have a family history of stroke or a personal history of stroke or heart attack, your risk of ischemic stroke may be higher. Work with your healthcare provider to develop a plan to mitigate your risk.
- Monitor blood pressure: High blood pressure is a significant risk factor for ischemic stroke. Regularly monitoring your blood pressure and taking steps to control it can help reduce your risk.
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Frequently asked questions
An ischemic stroke is a medical emergency caused by a blockage in a blood vessel that supplies blood to a region of the brain. It is the most common type of stroke, accounting for about 85% of all cases.
The symptoms of an ischemic stroke include:
- Facial drooping or numbness
- Weakness or paralysis in one or more limbs, usually on one side of the body
- Speech difficulties, such as slurred speech or aphasia
- Dizziness and loss of balance or coordination
- Vision problems, such as blurred or double vision
- Sudden, severe headache
Ischemic strokes are usually caused by blood clots or fatty deposits (atherosclerosis) blocking blood vessels in the brain. Other causes include infected tissue in the bloodstream, fat emboli, and blood clots in the heart.
The treatment for ischemic stroke focuses on restoring blood flow to the affected area of the brain as quickly as possible. This can be done through medication, such as thrombolytic drugs, or mechanical thrombectomy, where a catheter is used to remove the clot.