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Two Types of Strokes

Medically reviewed by Sandeep Dhanyamraju

Stroke kills 6 million people worldwide each year. Some people who have had at least one kind of stroke remain disabled. The prognosis directly depends on the speed of medical care. That’s why it is so important to know how the disease reveals itself and how to behave correctly in this situation.

There are two types of strokes: ischemic and hemorrhagic. 

  • Ischemic stroke is caused by a blood clot that blocks blood flow to the brain.
  • Hemorrhagic stroke is caused by a ruptured blood vessel in the brain.

Two types of stroke can cause serious health problems, so it is vital to understand the difference between them. Lone Star Neurology has decided to keep our patients safe and tell you more about the different types of strokes. Read on to find out the first symptoms of a stroke and how to avoid the problem.

 

What Is an Ischemic Stroke?

Ischemic stroke is a cerebral blood circulation disorder accompanied by an acute onset. The pathology develops because of the disruption or complete cessation of blood supply to a section of the brain. It leads to softening of its tissues and infarction of the affected area. Cerebral vascular ischemia is one of the leading causes of death worldwide. Such a stroke occurs six times more often than the hemorrhagic lesion.

 

Causes that may provoke ischemic lesion of cerebral arteries and veins:

  • Myocardial infarction;
  • High or low blood pressure;
  • Atrial fibrillation;
  • Diabetes mellitus;
  • Disorders of lipid metabolism.

Risk factors for different types of strokes include older age, hereditary predisposition to vascular accidents, and lifestyle features.

Symptoms of ischemic stroke

Symptoms of ischemic stroke do not arise as quickly as symptoms of hemorrhagic brain damage. Its manifestations:

  • Drowsiness, deafness;
  • Brief fainting;
  • Headache, dizziness;
  • Nausea and vomiting;
  • Pain in the eyes, which increases with movement;
  • Cramps;
  • Sweating, hot flashes, dry mouth.

Depending on which area of the brain is affected, there are different neurological manifestations of ischemia. Lower and upper extremities are affected to a greater or lesser degree, there is paresis of the tongue and face, and visual or auditory function is impaired.

 

What Are the Types of Ischemic Strokes?

Four pathogenetic subtypes of ischemic stroke are distinguished: atherothrombotic (due to atherosclerosis of large arteries), cardioembolic, lacunar (due to perforating artery occlusion), the stroke of other established etiology.

  • If small blood vessels in the brain have been affected by the stroke, this subtype of stroke is called a lacunar stroke. This subtype of stroke accounts for 25% of all ischemic strokes.
  • Suppose large cerebral vessels were affected by the stroke. This subtype of stroke is called atherosclerotic or atherothrombotic. Such strokes account for a quarter (25%) of all ischemic strokes.
  • A separate subtype of stroke is cardioembolic stroke. A blood clot causes it in the heart or aorta that has reached the brain and blocked blood flow to the brain.
  • Rare or cryptogenic subtypes of stroke are distinguished separately. Various congenital abnormalities provoke them, destruction of vessel walls, increased blood clotting, etc.

 

TIA

A transient ischemic attack (TIA) is when symptoms are similar to an ischemic stroke. A TIA usually causes severe damage and lasts briefly, up to a few minutes.

These symptoms may often be called a micro stroke, but from the body’s side, it is a warning that you need to change something in your life.

 

Since a TIA is like a stroke warning, most symptoms disappear within an hour. TIA symptoms may resemble those found in the early stages of ischemic stroke:

  • Weakness, numbness, or paralysis of the face, arm, or leg, usually on one side of the body
  • Slurred or distorted speech or difficulty understanding others
  • Blindness in one or both eyes or double vision
  • Dizziness or loss of balance or coordination

There may be more than one TIA over some time. For the first symptoms, we recommend you go to the hospital to rule out the risk of strokes.

 

Read about the best foods that prevent stroke in our other article.

 

What Is a Hemorrhagic Stroke?

What is a hemorrhadic stroke

A hemorrhagic stroke is bleeding into the cranial cavity. The most common cause of a ruptured vessel is high blood pressure. Of the two kinds of strokes, this one is much less common than ischemic stroke. Other triggering factors include:

  • Aneurysm;
  • Malformation of the cerebral vessels;
  • Vasculitis;
  • Systemic connective tissue diseases;
  • Taking certain medications;
  • Amyloid angiopathy.

The onset of the pathology is acute; most often, the manifestation occurs against a background of high blood pressure. The person has severe headaches and dizziness accompanied by vomiting or nausea. This condition quickly changes to deafness and loss of consciousness, up to the development of a coma. Seizures are also possible.

 

Neurological symptoms manifest as memory loss, impaired sensitivity, and speech function. On the opposite side of the lesion, one side of the body loses the ability to function normally. It affects not only the muscles of the trunk but also the face.

This kind of stroke is hard to bear. It manifests as a rupture of blood into the ventricles of the brain.

The patient develops symptoms of meningitis, and convulsions occur. They quickly lose consciousness.

The following three weeks after a stroke are considered the most difficult. During this time, cerebral edema progresses. It is the leading cause of death in patients. 

Beginning in the fourth week, in survivors, the symptoms of the lesion take on a reversed course. From this time, patients can assess the severity of the brain lesion. These determine the degree of disability to assign to patients.

 

For more detailed information about stroke, read about 5 types of stroke in our LoneStar blog.

 

What Are the Types of Hemorrhagic Strokes?

Depending on the form of bleeding, there are:

  • Intracerebral. Bleeding in the substance of the brain.
  • Subarachnoid. Forms a hematoma in the cavity between the meninx serosa and meninx vasculosa.
  • Subdural. Bleeding in the space between the meninx serosa and meninx fibrosa of the brain.
  • Epidural. Accumulation of blood between the inner surface of the skull and the meninx fibrosa.

 

According to the localization of the focus of the lesion, stroke is distinguished:

  • Left-sided. The emotional sphere is affected. Problems with logic, speech, and lethargy are characteristic. Movement in the extremities may be impaired.
  • Right-sided. Symptoms occur on the side opposite the focus. Motor functions are affected.

 

Lone Star Neurology Can Help You

As you can see, two types of strokes are severe and detrimental to a person’s health. If you care about yourself and don’t want to have a stroke, come to Lone Star Neurology, for a body checkup. We have leading specialists who are professionals in their field. We will do everything we can to ensure you don’t have a stroke.

Lone Star Neurology has several clinics, so see which clinic is closest to you and make an appointment as soon as possible to prevent you from having a stroke.

 

FAQs

  • How do you tell if a stroke is ischemic or hemorrhagic?

If you have a stroke, you cannot understand what type of stroke you have. In any case, it is better to see a doctor at the first sign.

  • What is the most severe type of stroke?

Hemorrhagic stroke is much more dangerous than ischemic stroke. More often than not, people are left disabled after a Hemorrhagic stroke, and some cannot survive the disease.

  • How severe is an ischemic stroke?

Any kind of stroke is dangerous to a person’s health. Ischemic stroke is not as hazardous as a hemorrhagic stroke but can also cause serious consequences.

  • What are the warning signs of a TIA?

Warning symptoms of TIA are:

  • Weakness, numbness, or paralysis of the face, arm, or leg, usually on one side of the body;
  • Slurred or distorted speech or difficulty understanding others;
  • Blindness in one or both eyes or double vision;
  • Dizziness or loss of balance or coordination.

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Lone Star Neurology
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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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