Stroke - Symptoms, Causes & Treatment

A stroke occurs when blood supply to part of the brain is interrupted or reduced, depriving brain tissue of oxygen and nutrients. Brain cells begin to die within minutes.

Overview

Stroke is a leading cause of death and disability worldwide. India has a stroke prevalence of approximately 84-262 per 100,000 population, and the incidence is rising.

Stroke is a medical emergency. Fast treatment (within the golden hour) can minimize brain damage and potential complications. Knowing the signs of stroke can save lives.

Symptoms of Stroke

  • HeadachePrimary

    A headache is pain or discomfort in the head, scalp, or neck. Most headaches are not serious and can be treated with lifestyle changes and medication.

  • Numbness and TinglingPrimary

    Numbness and tingling (paresthesia) is an abnormal sensation of prickling, "pins and needles," or loss of feeling in a body part.

  • DizzinessPrimary

    Dizziness is a feeling of lightheadedness, unsteadiness, or a sensation that the room is spinning. It is a common symptom that can have many underlying causes.

  • Blurred Vision

    Blurred vision is a loss of sharpness in eyesight, making objects appear out of focus and hazy. It can affect one or both eyes.

  • Difficulty Swallowing

    Difficulty swallowing (dysphagia) is when it takes more effort or time to move food or liquid from the mouth to the stomach.

  • Memory Loss

    Memory loss is unusual forgetfulness that goes beyond normal aging. It can affect short-term memory, long-term memory, or both.

Causes of Stroke

Blocked artery (ischemic stroke — 85% of cases)

Leaking or bursting blood vessel (hemorrhagic stroke)

Temporary disruption of blood flow (transient ischemic attack)

Blood clots from the heart (atrial fibrillation)

Atherosclerosis of brain arteries

High blood pressure damaging blood vessels

Treatment for Stroke

Emergency clot-busting medication (tPA — within 4.5 hours)

Mechanical thrombectomy (clot removal)

Blood pressure management

Surgery for hemorrhagic stroke

Anticoagulants and antiplatelet drugs

Rehabilitation (physical, occupational, speech therapy)

Addressing underlying risk factors

Prevention

Control high blood pressure

Manage atrial fibrillation

Quit smoking

Control diabetes

Maintain healthy cholesterol

Exercise regularly

Eat a healthy diet

Limit alcohol

Maintain a healthy weight

Risk Factors

High blood pressure (most important risk factor)

Atrial fibrillation

Diabetes

High cholesterol

Smoking

Obesity

Previous stroke or TIA

Family history

Age over 55

Excessive alcohol use

When to See a Doctor

Call emergency services IMMEDIATELY if you notice: Face drooping, Arm weakness, Speech difficulty (remember FAST). Also seek emergency care for sudden severe headache, sudden confusion, trouble seeing, trouble walking, or sudden numbness.

Need help with Stroke?

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Which Doctor to Consult for Stroke

If you are experiencing symptoms of stroke, you may want to consult a specialist in one of these areas:

FAQS

Stroke FAQs

Common questions about stroke.

FAST stands for: Face drooping (one side of the face droops or is numb), Arm weakness (one arm is weak or numb), Speech difficulty (speech is slurred or hard to understand), Time to call emergency services immediately.

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