A stroke is a life-threatening medical emergency that occurs when there is an interruption in blood flow to the brain, resulting in brain cells dying due to a lack of oxygen. It is crucial to recognise the signs of a stroke as immediate medical attention is critical to prevent permanent damage or death. While facial drooping is a common symptom, occurring in up to 60% of first-time strokes, it is possible to experience a stroke without this specific symptom. Other signs to look out for include a sudden loss of balance, vision changes, arm weakness, and speech difficulties. If any of these symptoms are present, it is vital to call emergency services right away as time is of the essence in treating strokes.
Characteristics | Values |
---|---|
Balance | Loss of balance |
Eyesight change | Blurred vision, diplopia (double vision), or a sudden loss of eyesight |
Face drooping | Drooping, numbness, or an inability to smile on one side of the face |
Arm weakness | Weakness or numbness in one arm |
Speech difficulty | Inability to speak normally, slurred speech, or the inability to repeat a simple sentence correctly |
Time | Time to call 911 |
What You'll Learn
A stroke is a medical emergency requiring immediate attention
A stroke is a medical emergency that requires immediate attention. It occurs when there is an interruption in the blood supply to a part of the brain, resulting in brain cells dying due to a lack of oxygen. This can happen when blood vessels are blocked or due to bleeding in the brain. As a result, the functions managed by the affected area of the brain are lost or damaged.
The signs of a stroke can be identified using the acronym BE FAST or F.A.S.T. Here's what each letter stands for:
B: Balance
Be aware of any sudden loss of balance.
E: Eyesight change
Watch for blurred vision, double vision, or a sudden loss of eyesight.
F: Face drooping
Look for drooping, numbness, or an inability to smile on one side of the face. Facial drooping occurs when a stroke interferes with blood flow to the areas of the brain that control facial muscles.
A: Arm weakness
Check for weakness or numbness in one arm. Ask the person to raise both arms; if they have one-sided weakness, one arm will drift downward.
S: Speech difficulty
Look for an inability to speak normally, slurred speech, or difficulty choosing the right words.
T: Time to call emergency services
If any of the above symptoms are present, call emergency services immediately. Every minute counts, and early treatment improves survival rates and lowers disability rates.
While the above signs are the most common indicators of a stroke, other symptoms may include:
- Severe headache with no known cause
- Numbness or weakness in the face, arm, or leg, especially on one side of the body
- Confusion, trouble speaking or understanding speech
- Trouble seeing in one or both eyes
- Dizziness, loss of balance or coordination, or trouble walking
It is important to note that a stroke can occur without facial drooping, and even if the symptoms seem subtle, it is crucial to seek immediate medical attention.
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Facial drooping is a common symptom of a stroke
A stroke is a sudden interruption or severe reduction of blood supply to the brain, caused by a blocked or ruptured blood vessel. This interruption deprives brain tissue of oxygen and nutrients, causing brain cells to start dying within minutes. Ischemic strokes, the most common type, are caused by blocked blood vessels, while hemorrhagic strokes are caused by ruptured blood vessels.
Facial drooping is often accompanied by other symptoms, including:
- Trouble smiling
- Drooling
- Slurred speech
- Paralysis on one side of the face
- Inability to close the eye
- Numbness on one side of the body or face
- Weakness in the arms and legs on one side
If you or someone near you experiences facial drooping or other stroke symptoms, it is important to seek immediate medical attention. Quick treatment is essential to prevent permanent damage or death. To recognize the warning signs of a stroke, remember the acronyms BE FAST or F.A.S.T:
- B: Balance – Be aware of any sudden loss of balance.
- E: Eyes – Watch for any vision loss, blurred vision, double vision, or a sudden loss of eyesight.
- F: Face – Look for drooping, numbness, or an inability to smile on one side of the face.
- A: Arm – Check for weakness or numbness in one arm.
- S: Speech – Look for an inability to speak normally, slurred speech, or difficulty choosing the right words.
- T: Time – If any of these symptoms are present, call 911 or your local emergency number immediately.
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Other symptoms of a stroke include arm weakness and speech difficulty
A stroke is a life-threatening medical emergency that occurs when there is an issue with blood flow to the brain. It is crucial to recognise the signs and symptoms of a stroke and seek immediate medical attention to prevent permanent damage or death.
The F.A.S.T. acronym is a widely recognised and easy-to-remember checklist for identifying the most common symptoms of a stroke:
- F: Face Drooping – Numbness or weakness on one side of the face, often identified by an uneven smile.
- A: Arm Weakness – Weakness or numbness in one arm, noticeable when trying to raise both arms and one arm drifts downward.
- S: Speech Difficulty – Slurred or strange speech, difficulty in choosing the right words, or garbled speech.
- T: Time to call 911 – Stroke is an emergency, and every minute counts. Call emergency services immediately and note the time when any symptoms first appear.
Other symptoms of a stroke include:
- Numbness or weakness in the face, arm, or leg, especially on one side of the body.
- Confusion, disorientation, or trouble understanding speech.
- Loss of vision or double vision in one or both eyes.
- Trouble walking, dizziness, loss of balance, or coordination problems.
- Severe headache with no known cause.
- Nausea and/or vomiting.
- Emotional instability and personality changes.
- Memory loss.
- Passing out or fainting.
It is important to note that these symptoms can vary depending on the affected area of the brain, as different areas control different functions. Additionally, women may experience more subtle signs of a stroke, such as headache, weakness, and changes in thinking, which can sometimes be missed or brushed off.
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Strokes are caused by blocked or ruptured blood vessels in the brain
A stroke is a life-threatening medical emergency that occurs when there is an issue with blood flow to the brain. Strokes are caused by blocked or ruptured blood vessels in the brain, which can lead to a lack of oxygen and permanent brain damage if not treated promptly.
Blocked blood vessels in the brain, also known as ischemic strokes, are the most common type of stroke, accounting for about 80% of all strokes. They occur when something blocks blood vessels in the brain, cutting off blood flow. This can be due to the formation of a clot in the brain (thrombosis) or a fragment of a clot that formed elsewhere in the body that breaks free and travels to the brain (embolism). Small vessel blockages (lacunar strokes) can also occur due to long-term untreated high blood pressure, high cholesterol, or high blood sugar.
On the other hand, ruptured blood vessels in the brain, known as hemorrhagic strokes, make up about 13% of stroke cases. These happen when a weakened blood vessel ruptures and bleeds into the surrounding brain tissue. The two types of hemorrhagic strokes are intracerebral hemorrhage, which occurs within the brain, and subarachnoid hemorrhage, which occurs between the inner and outer layers of the tissue covering the brain.
The symptoms of a stroke can vary depending on the affected area of the brain. However, some common signs include face drooping, arm weakness, speech difficulties, sudden loss of balance, and vision problems. It is important to recognize these warning signs and seek immediate medical attention, as early treatment improves survival rates and lowers the risk of disability.
To remember the key symptoms of a stroke, one can use the acronym BE FAST or F.A.S.T:
- Balance: Watch for a sudden loss of balance.
- Eyes: Look for sudden vision loss or changes in one or both eyes.
- Face: Ask the person to smile and look for a droop on one or both sides of the face.
- Arms: Check for muscle weakness by asking the person to raise both arms; one arm may sag or drift downward.
- Speech: Listen for slurred speech or difficulty in choosing the right words.
- Time: Call for emergency medical help immediately and note the time when the symptoms first appeared.
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Treatments for strokes include medication and surgery
Ischemic Stroke Treatment
Ischemic strokes are caused by blocked blood vessels in the brain, cutting off blood flow. Treatment for this type of stroke may include medicines and medical procedures. The main treatment is a medicine called tissue plasminogen activator (tPA), which breaks up blood clots. tPA must be given within 3 hours of the onset of stroke symptoms, and the sooner treatment begins, the better the chances of recovery. If tPA is not an option, a patient may be given an anticoagulant or blood-thinning medicine, such as aspirin or clopidogrel, to stop blood clots from forming or getting larger.
A thrombectomy is a procedure that can be used to remove the clot from the blood vessel. A surgeon puts a long, flexible tube called a catheter into the upper thigh and threads it to the blocked artery in the neck or brain. Angioplasty and stenting procedures involve inserting a thin tube with a balloon or small mesh tube into the artery. Gently blowing up the balloon or expanding the mesh tube creates space for blood to flow more easily to the brain.
Hemorrhagic Stroke Treatment
Hemorrhagic strokes are caused by bleeding in or around the brain. Treatment for this type of stroke depends on the location and severity of the bleeding. Reducing blood pressure is often a priority to limit bleeding and make it easier for clotting to seal the damaged blood vessel. Surgery may be necessary to relieve pressure on the brain from accumulated blood.
Other procedures for treating hemorrhagic strokes include aneurysm clipping, which involves placing a tiny clamp at the base of the aneurysm to stop blood loss. Coil embolization is another procedure where a tiny coil is pushed through a flexible tube and into the aneurysm, causing a blood clot to form and blocking blood flow.
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Frequently asked questions
The symptoms of a stroke include: weakness of an arm, leg, or both; problems with balance and coordination, vision, speech, communication, or swallowing; dizziness or unsteadiness; numbness in a part of the body; and loss of consciousness.
A mini-stroke, or transient ischemic attack (TIA), is a set of symptoms similar to a stroke but the person recovers within 24 hours. It is caused by a temporary lack of blood to a part of the brain.
There are two main types of strokes: ischemic strokes, which are caused by a blocked blood vessel; and hemorrhagic strokes, which are caused by a ruptured blood vessel.
If you think someone is having a stroke, it is important to get them medical attention as quickly as possible. Remembering the acronym BE FAST can help: Balance, Eyes, Face, Arms, Speech, Time.
The treatment for a stroke will vary depending on the situation. For ischemic strokes, the priority is to restore circulation to the affected areas of the brain. For hemorrhagic strokes, the treatment depends on the location and severity of the bleeding, but often involves reducing blood pressure.