Unseen Strokes: Understanding The Hidden Symptoms

can you have a stroke without realising

It is possible to have a stroke without knowing it. These are known as silent strokes and they occur when the blood supply to a part of the brain is cut off, depriving it of oxygen and damaging brain cells. They are usually discovered by chance when a person undergoes a brain scan for an unrelated problem. Silent strokes can cause permanent brain damage and increase the risk of a major stroke in the future. They are often mistaken for signs of ageing, such as changes in mood, memory problems, and difficulty getting around.

Characteristics Values
Name Silent Stroke, Asymptomatic Cerebrovascular Infarction
Symptoms No symptoms or unrecognised symptoms, such as:
– Slight memory problems
– Lack of balance
– Loss of muscle movement
– Changes in mood or personality
– Issues with cognitive skills and ability
Diagnosis Brain scans (MRI or CT)
Risk Factors High blood pressure, heart disease, diabetes, high cholesterol, smoking
Prevention Exercise, healthy diet, reducing cholesterol, limiting salt intake, maintaining a moderate weight

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Silent strokes are usually identified by chance

Silent strokes are typically identified by chance when a person undergoes a brain scan for another reason, such as headaches, cognitive issues, or dizziness. Doctors may then notice signs of a past silent stroke, such as white spots or lesions on the brain scan, indicating areas where brain cells have stopped functioning.

Silent strokes, by nature, are hard to recognize as they occur in parts of the brain that do not control visible functions like speaking or moving. They usually have no symptoms, and when symptoms do occur, they are often subtle and dismissed as signs of aging or other health issues.

However, silent strokes can still cause significant brain damage, and multiple silent strokes can increase the risk of a major stroke and vascular dementia. Therefore, it is important to be aware of even slight memory or mobility issues and consult a doctor if any changes are noticed.

According to the American Heart Association, around 25% of people over the age of 80 will experience one or more silent strokes. Additionally, in a broad study from 1998, it was estimated that approximately 11 million people in the United States experienced a silent stroke, far outnumbering the 770,000 symptomatic strokes that occurred in the same year.

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They can cause permanent brain damage

Silent strokes are small strokes that occur in parts of the brain that do not cause visible symptoms. However, they can still cause significant brain damage and increase the risk of a major stroke. Silent strokes happen when the blood supply to a part of the brain is cut off, depriving the brain of oxygen and damaging brain cells. This can lead to permanent brain damage.

The brain is a complex organ, and each part of the brain has a specific function or ability. When an area of the brain is damaged by a stroke, the corresponding function or ability may be impaired. For example, the cerebrum controls movement, feeling, chewing, swallowing, cognitive ability, awareness of surroundings, and bowel and bladder control. A stroke in the cerebellum can affect balance and coordination, while a stroke in the brainstem can impact vital functions such as heartbeat, blood pressure, and breathing.

The damage caused by silent strokes is cumulative, and multiple silent strokes can lead to vascular dementia. The risk of having a symptomatic stroke in the future is also doubled. Some of the symptoms of vascular dementia include emotional issues, changes in walking, difficulty in making decisions, and loss of bowel and bladder control.

The effects of a stroke depend on its type, severity, location, and number. Large strokes can be fatal, while smaller strokes in certain parts of the brain can also cause death. The brain is highly vulnerable to oxygen deprivation, and if brain cells go too long without oxygen, they will die, leading to permanent brain damage.

While there is no way to reverse the permanent damage caused by silent strokes, healthy parts of the brain may compensate for the damaged areas. Additionally, rehabilitative therapy can help individuals regain lost abilities due to stroke.

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They can be more damaging than strokes with obvious symptoms

Silent strokes are small strokes that occur in parts of the brain that do not cause visible symptoms. However, they can be more damaging than strokes with obvious symptoms.

Silent strokes occur when the blood supply to the brain is cut off, damaging brain cells in the process. They are called silent strokes because they either have no recognisable symptoms or the symptoms are so subtle that they are often dismissed or mistaken for signs of ageing. For instance, a person may experience slight memory or mobility issues, or changes in mood, which they may not consider to be connected to a stroke.

Despite the lack of noticeable symptoms, silent strokes can cause permanent damage to the brain. This damage is cumulative, and if a person has had several silent strokes, they may begin to notice neurological symptoms such as memory problems or difficulty concentrating. According to the American Stroke Association, silent strokes also double the risk of having a symptomatic stroke in the future.

In addition, researchers have confirmed that having multiple silent strokes puts a person at risk for vascular dementia, also known as multi-infarct dementia. Symptoms of vascular dementia include emotional issues, changes in walking gait, getting lost in familiar places, trouble making decisions, and losing bowel and bladder control.

Therefore, it is important to be aware of the signs of a silent stroke and to seek medical attention if any of these signs are present. Early detection and management of risk factors can greatly reduce the likelihood of experiencing a silent stroke.

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They can lead to vascular dementia

Vascular dementia is a general term describing problems with reasoning, planning

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They are preventable

Yes, it is possible to have a stroke without knowing it. These are called silent strokes, and they occur when the blood supply to a small area of the brain is cut off, but they do not control any visible functions like speaking or moving. They can also be transient ischemic attacks (TIAs) or ministrokes, which have symptoms that only last a few minutes to hours.

While you cannot completely prevent a stroke from happening, there are several things you can do to lower your risk. Here are some strategies to prevent strokes:

  • Manage your blood pressure: High blood pressure is the biggest contributor to stroke risk. Work with your doctor to develop a plan to lower your blood pressure if it is elevated. This may include lifestyle changes, such as reducing salt intake, eating a healthy diet, and getting regular physical activity.
  • Maintain a healthy weight: Obesity increases your risk of having a stroke. Losing weight can help lower your risk.
  • Control cholesterol levels: High cholesterol can increase your chances of having a stroke. Lowering your cholesterol levels can help reduce this risk.
  • Eat a healthy diet: Choose healthy foods and drinks that are low in saturated fats, trans fats, and cholesterol. Eat plenty of fresh fruits and vegetables, whole grains, and low-fat dairy.
  • Get regular physical activity: Physical activity can help you maintain a healthy weight and lower your cholesterol and blood pressure levels. Aim for at least 30 minutes of moderate-intensity activity per day.
  • Avoid smoking: Smoking greatly increases your risk of having a stroke. If you don't smoke, don't start. If you do smoke, quitting will lower your risk.
  • Limit alcohol intake: Drinking too much alcohol can raise your blood pressure. Men should have no more than two drinks per day, and women should have no more than one.
  • Treat atrial fibrillation: Atrial fibrillation is an irregular heartbeat that can cause clots to form in the heart, leading to a stroke. If you have this condition, work with your doctor to get it treated.
  • Control blood sugar: Having high blood sugar can damage blood vessels over time, making clots more likely to form. Monitor your blood sugar and use diet, exercise, and medication to keep it within the recommended range.

By following these strategies and working with your healthcare team, you can significantly lower your risk of having a stroke.

Frequently asked questions

A silent stroke is a type of stroke where the person does not exhibit any recognisable symptoms like facial drooping, arm weakness, or slurring. It can happen while the person is awake or sleeping and can cause permanent brain damage.

Silent strokes are more common than classic strokes. According to the American Heart Association, about 25% of people over the age of 80 will experience one or more silent strokes.

Silent strokes are usually detected by chance, when a person undergoes a brain scan for an unrelated problem and signs of an old stroke are found.

Silent strokes usually have no symptoms at all. However, when symptoms do occur, they are often subtle and can include slight memory problems, difficulty getting around, or changes in mood and personality.

If you suspect you've had a silent stroke, you should contact a doctor as soon as possible. Silent strokes are a risk factor for future strokes and can lead to progressive brain damage.

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