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Stroke signs and symptoms

Ramin Ansari MD
Medically reviewed by Ramin Ansari
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Ramin Ansari MD
Medically reviewed by Ramin Ansari

Stroke is an acute disorder of cerebral circulation. It occurs when the blood vessels in the brain are blocked or ruptured. The blood supply to the cerebral hemispheres is disrupted, neurons starve and die.

Stroke is of two main types: ischemic strokes and hemorrhagic stroke. Most often, it is ischemic in more than 80% of cases. It begins due to the narrowing and blockage of the blood vessels in the brain. Blood clots and foreign bodies (including air bubbles from injections) that enter the bloodstream contribute to circulatory disorders. Lack of oxygen and nutrition causes brain cell death.

Hemorrhagic stroke and subarachnoid hemorrhage are accompanied by the release of blood from the vascular bed. Hemorrhage can be caused by rupture of the vessel or thinning of its wall. Hemorrhagic stroke always develops very quickly, in a matter of minutes. There is a sharp pain in the head, comparable to the blow of a dagger. The patient loses consciousness; vomiting may begin, and a hematoma forms in the brain tissue, which squeezes the nearest sections. A large hematoma often requires surgical removal.

In all cases, it is necessary to restore the normal nutrition of the neurons as soon as possible; this will stop their further death, help to transfer the disease more easily, and recover faster. You need to know its signs and symptoms to recognize a stroke in time.

Stroke sign and symptoms

There are specific signs and symptoms by which one can assume a pathology of the cerebral circulation and a possible stroke. When they appear, you need to call an ambulance because the count goes for minutes immediately. The main stroke signs and symptoms are:

  • Disturbance or confusion of consciousness when a person does not understand where they are.
  • Loss of consciousness, even for a few moments.
  • Headache, which may be accompanied by nausea and vomiting.
  • Weakness in the limbs (left or right only).
  • Impaired sensitivity of the arms and legs.
  • Unconnected slurred speech.
  • Dizziness.
  • Visual disturbances (blurred vision, narrowing of the visual fields, strabismus).

In a state of an apoplectic stroke, a person develops a state of shock; there may be increased drowsiness or unexplained agitation. The sense of balance is disturbed, the sick person begins to stumble out of the blue and fall.

With some stroke signs and symptoms, a person cannot reach the collarbone with their chin. It is caused by muscle spasms in the back of the head. Such spasms occur with cerebral hemorrhage.

Any asymmetry is an alarming sign. Suppose weakness is in one-half of the body if the visual impairment is in one eye; this is because stroke usually affects only one of the body’s hemispheres. And body functions are affected diagonally about the lesion. If you notice any of the listed stroke signs and symptoms, call an ambulance.

Express diagnostics of stroke sign and symptoms

Express diagnostics of stroke sign and symptoms

There is a simple technology to identify a stroke. Anyone can identify signs of the disease based on the mnemonic technique, Smile, Speak, Raise.

First of all, let the patient try to smile. With a stroke, this will not work; the smile will be crooked, and one corner of the mouth remains down. Instead of a smile, at best, there will be a crooked grin. Let your loved one say any simple phrase. An alarming sign if they cannot speak the correct words or speech has become slurred.

Then you need to raise two hands in front of you. With a stroke, one of them will not lift well or even move to the side.

Risk factors

Improper lifestyle, unhealthy diet, and bad habits can cause a stroke.

Stroke sign and symptoms are provoked by:

  • Atherosclerosis.
  • Smoking.
  • Hypertension.
  • Diabetes mellitus.
  • Alcohol.
  • Drugs.
  • Overweight.
  • Sedentary lifestyle.
  • Elderly age.

Those who have had the disease several years ago are more likely to have a stroke. Repeated strokes are much harder to bear.

Transient ischemic attacks are especially worth mentioning among the risk factors. They are also known as micro strokes. A transient ischemic attack has a temporary nature and the same symptoms as a stroke. A person has a headache, dizziness, one side of the body becomes numb, and speech is impaired. Short-term loss of consciousness may occur. The main difference is that the manifestations of a micro stroke disappear without external traces during the day.

If signs of a micro stroke appear, you should consult a doctor, even if symptoms disappear after 10 minutes. The fact is that almost half of the patients develop a full-fledged stroke over the next five years.

Men get sick and die more often than women, especially before the age of 60. The risk of the disease increases after age 30. Most cases of stroke occur over the age of 45, more than 60% after 65 years.

The combination of several signs and symptoms significantly increases the risk of stroke. Without waiting for the last blow, it is essential to carry out prevention and monitor your health. It is better not to treat such a complex disease as a stroke but to prevent its development.

First aid for stroke

First aid for stroke

Even if not all signs are present, you need to call a doctor as soon as possible and describe what symptoms the patient has.

  1. Before the arrival of an ambulance, the patient is comfortably laid, loosening all belts, buttons, and fasteners. You should raise the headboard 30 degrees, and their neck should be in line with their back.
  2. The patient is not given food or drink so as not to provoke nausea.
  3. If vomiting begins, the head must be tilted to the side. It is necessary to ensure that vomit does not enter the respiratory tract. You can clean your mouth with a rolled-up handkerchief or bandage.
  4. It is essential to provide the patient with peace and fresh air.
  5. Monitor your breathing carefully. If breathing becomes irregular or completely disappears, you should start artificial respiration and chest compressions.

Indirect cardiac massage requires 60-70 pressures per minute for an adult. Every 15 clicks, you should take two quick breaths if one person performs resuscitation. Or one breath for 4-5 clicks if resuscitation is done together.

The criterion for the correctness of cardiopulmonary resuscitation is the pulsation of the carotid artery in the neck and the elevation of the chest at the moment of inhalation.

For a stroke survivor, prompt hospitalization is mandatory. Only in a hospital setting can detailed diagnostics, computed tomography, and intensive therapy be prescribed.

After the patient is discharged, long-term rehabilitation awaits. Healthy brain cells can take over the functions of the lost ones. The most important thing here is regular training, preferably under the guidance of a specialist. Specific exercises will be required to restore body mobility and classes with a speech therapist to restore normal speech.

 

Human health is very fragile, and the heart and brain are the most crucial organs. Any pathology in them is very dangerous. Treating the disease at home increases the risk of complications.

A person can only be saved if the necessary medical assistance is provided within a few hours. Optimally no more than 2-4 hours. Therefore, it is so important to identify a stroke before the arrival of a doctor.

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Edward Medina
Edward Medina
15:34 30 Jun 22
Just such an amazing staff that makes you feel like part of their family. I’ve been going there for over 5 years now... and each visit I get the very best care and treatments that I have ever received in the 20+ years that I’ve been dealing with severe debilitating migraines. Since i started seeing them the number of my migraines has dropped from 15-20 a month to 2-3 every 3 month. I highly recommend them …they will change your life!read more
Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been prepared.read more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well together.read more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your business.read more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any cookies.read more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going there.read more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my treatment.read more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to finish.read more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 stars.read more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his staff.read more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best treatment.read more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my doctor.read more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding solutions.read more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
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