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Overview

Stroke - Symptom, Treatment And Causes

What happens in Stroke?

Stoke happens when the blood supply to the brain is either reduced or interrupted. When this condition happens, the brain cells do not get adequate oxygen or nutrients which causes the tissues in the brain to die.As being said, strokes occur due to impaired blood supply to the brain. So it happens either the blood supply channel has been blocked or some blood vessel in the brain has ruptured.

There are mainly three types of stroke:

  • Ischemic stroke
  • Hemorrhagic stroke and
  • TIA (Transient Ischemic Attack)

Ischemic Stroke

This is the most common form of stroke, which account for more than 85% of strokes all across the globe. This type of stroke is a result of blocked or narrowed arteries, which sends blood to the brain. Arterial stenosis (narrowing) subsequently results in severe, reduction in blood flow to the brain.The block in arteries often happens because of blood clots. These clots can either get formed inside the main arteries that connect to the brain, or even in the narrowing arteries that are within the brain. These clots are mostly formed by fatty deposits within the arteries, which are medically known as plaque.

Hemorrhagic stroke

This kind of stroke happens mainly due to leaking or bursting arteries that spilled blood inside the brain. The leaked blood from the arteries puts pressure inside the brain and damages the cerebral tissues. Blood vessels during a hemorrhagic stroke can burst in the middle of the brain or near the surface of the brain cells, leaking blood into the cellular space between the brain and the skull.Hemorrhagic stroke can happen because of conditions such as trauma, hypertension, weakening in the vessel walls (aneurysm) or because of blood thinning medications like heparin and others.Intracerebral hemorrhage is the most prevalent type of hemorrhagic stroke. Subarachnoid hemorrhage, which is less common is the next type that happens during a stroke. In this case bleeding happens in the area the area between the brain and the thin tissue that separates it from the cranial bones, medically referred as the subarachnoid space.

TIA (Transient Ischemic Attack)

TAIs are a little different from the other two forms of strokes. In this case the blood flow to the brain gets interrupted for a very brief period of time as it happens in ischemic strokes. TAIs are often caused by small blood clots in the arteries.However, nevertheless TAIs are also considered as medical emergencies, since they can be real warnings for future strokes. It has been found left untreated TAI patients have major strokes within a period of one year after getting affected with TAI.

Since it’s an absolute medical emergency, call a doctor immediately, if found that you or anyone near you has been identified with symptoms of stroke.

Treatable by medical professional Require medical diagnosis Lab test sometimes required Short-term: resolves within days to weeks
Symptoms
Splitting headache, possibly along with vomiting and altered consciousness. Confusion in speaking and understanding. Numbness particularly on one side of the face, leg or arms. Trouble seeing with one or both the eyes. Lack of coordination, dizziness and difficulty in walking.

Popular Health Tips

Did You Know The Risk Of Stroke Is Higher In Young Pregnant Woman?

MS - Obstetrics & Gynaecology, Fellowship in Fetal Medicine
Gynaecologist, Amritsar
Did You Know The Risk Of Stroke Is Higher In Young Pregnant Woman?

Older women usually face more complications when it comes to pregnancy when compared with younger women. There are other genetic and environmental factors apart from age which may also lead to a host of complications, in many cases. However, recent studies show that younger women are twice as likely to get strokes during pregnancy when compared with older women. Women between 16 to 35 years of age get more strokes during pregnancy than older women. This usually happens during and after the pregnancy, and there are many reasons for the same, many of which are still under research and medical examination.

While the reason for such strokes occurring is unknown, doctors suggest that pre-eclampsia is one of the reasons. It usually occurs because of high blood pressure during pregnancy. The third trimester or the post-partum stage is when the risk of these strokes increases. According to the latest study, the risk of stroke was two times higher in women between 16 and 24 years of age, whereas in women between 25 and 34, there was a 60% chance. In women above 35 years of age, the risk was comparatively minimal.

There are many kinds of complications that may occur during pregnancy if the pregnant lady is under stress or does not take care of her body in a proper manner. Pregnancy might boost the risk of strokes in younger women because of the following reasons:

  1. High blood pressure
  2. Diabetes
  3. Chances of blood clot formation increase during pregnancy are high. This is so that women do not bleed excessively while they deliver. Therefore, there is a major shift in blood flow during or right after delivery. This can cause a stroke. In younger women, this seems to be more common.
  4. More hormonal changes in younger women increase the chances of a stroke.
  5. Older women are healthier overall than younger women.
  6. Many of the younger women these days go through a number of hormonal problems like polycystic ovary disorder (PCOD) because of which they face a lot of complications and weakness.
  7. Hereditary weakness
  8. Lesser haemoglobin levels compared to older women
  9. Difference in the daily diet

Some of the stroke symptoms include weakness, dull face, weakness in the body, especially arms and legs, severe headaches and difficulty in speaking. Therefore, pregnant women and those around them need to understand the stroke signs and symptoms so that when required, they could take the necessary measures if required. Moreover, doctors should be aware of the fact that younger women are at a higher risk for strokes than older women, particularly if they have pre-eclampsia. They should, therefore, be watched more carefully, especially the weeks during and after they are supposed to give birth.

In case you have a concern or query you can always consult an expert & get answers to your questions!

2584 people found this helpful

Stroke - Can You Prevent It From Happening?

M.Ch - Neuro Surgery, DNB (Orthopedics)
Neurosurgeon, Hyderabad
Stroke - Can You Prevent It From Happening?

Lifestyle changes and unhealthy habits take a toll on one’s physical and mental health resulting in many diseases. One such disease that is growing common is the stroke that occurs due to a sudden interruption of blood supply to the brain. As with any lifestyle disease, the chances of having a stroke can be reduced as well. Knowing the risk factors and taking appropriate measures can prevent you from a stroke attack.

Read on to know the seven effective ways to prevent you from a stroke.

  1. Opt for a healthy lifestyle: While smoking leads to an increased risk of suffering from a stroke, excessive consumption of alcohol not only triggers irregular heartbeats, but also high blood pressure, which can be a solid reason behind having a stroke. Therefore, leading a healthy lifestyle free from smoking and alcohol can help in preventing strokes.
  2. Manage conditions: Whether it is diabetes or any other kind of illness which directly or indirectly give rise to the risk of having a stroke, dealing with one's underlying conditions is important. In case one is diagnosed with such a condition that can be responsible for a stroke, he or she must make it a point to keep that condition under control.
  3. Lose weight: Obesity is often known to increase the complexities associated with a stroke such as diabetes and high blood pressure. Therefore, for those who are overweight, losing a few pounds can be really helpful in preventing the chances of having a stroke.
  4. Keep blood pressure in check: High blood pressure often causes a stroke, if not controlled. It is referred to as the biggest contributor in causing a stroke by many. Lowering the high blood pressure or bringing it to normal levels can indeed be a great way of preventing a stroke.
  5. Exercise regularly: Exercise not only contributes to lowering the blood pressure, but also helps to maintain body weight while ensuring the overall fitness of the body. Some light hand exercises or regular walking combined with proper diet can do wonders in preventing a stroke.
  6. Have a proper sleep at night: Spending sleepless nights may increase the risk of stroke. Therefore, one must make it a point to maintain the necessary amount of sleep at night that can help in reducing stress and anxiety, while decreasing the chance of heart diseases as well as a stroke.
  7. Never ignore the palpitations: Ignoring the palpitations is the last thing one can want to do, if he or she is willing to prevent the chances of suffering a stroke. Feelings of lightheadedness or shortness of breath, chest pain and abnormal heart beats can be warning signs for a stroke. Therefore, you must pay proper attention to these and deal with appropriate medications.

An otherwise healthy person can stay away from stroke by continuing a healthy lifestyle and following the tips mentioned above. However, if you have suffered a stroke earlier, then it becomes imperative to follow these tips along with supervised medical care.

In case you have a concern or query you can always consult an expert & get answers to your questions!

1943 people found this helpful

7 Signs You Are Having A Stroke!

MBBS, MD (Gen. Medicine), DM (Cardiology)
Cardiologist, Delhi
7 Signs You Are Having A Stroke!

Stroke is a condition known to all for its deadly impact. Even if the affected person survives, the after-effects can be immensely debilitating right from affecting movement to speech. Being informed, you can protect yourself and your loved ones from both ischemic and hemorrhagic stroke. Here are the common signs of stroke that you should be aware of:

  1. Numbing of arms and legs: Many people wake up and find that their arms and legs are numb and they tend to assume that it is due to compression of the nerve. But the actual reality is that the flow of blood through the arteries running up to the spine is reduced, and it has led to weakness or numbness on either side of the body.
  2. Double vision and blurriness: Vision problems can also be a strong indicator of stroke even though most people think it is due to long hours of work or aging. When you see two images of the same object, it doesn’t have to mean that you are reading too much. It could mean that the blood vessel in charge of supplying oxygen to the eyes has been disrupted or blocked.
  3. Slurred speech: Some medicines, particular painkillers can cause speech issues. But this is not the case always; if it is not a side effect that you typically experience after taking painkillers, you should consult a healthcare expert without any delay. 
  4. Confusion and trouble over thinking and articulating: When you find yourself in a state where you cannot recall the right word to explain the right thing, you may rest assured that it is an issue stemming from the stroke. If you find yourself to struggle thinking or finding a word very commonly, then you are heading for big trouble.
  5. Balance problems: Some people have balance issues, and they think it is due to the dose of alcohol, but experts say it is crucial to identify whether this assumption is correct. You will never have delayed balance problems, and therefore, you cannot blame a drink that you had last day. So, if you have balance issues without any identifiable reason, it is advisable to call a doctor.
  6. A headache that becomes intolerable at times: Headaches can be a sign of a migraine but in case you are not prone to this ailment, then the debilitating headache could indicate a stroke. Migraine headaches can also mean stroke since both of them have similar signs and symptoms.
  7. Fatigue that won’t let you stay upright: If you are not doing any physically strenuous job but still feel tired most of the time, it could be a warning sign of stroke. If it continues for over a week, it is recommended that you consult an expert immediately.

Equipped with this knowledge, stay aware and pay attention to the indications your body gives to take care of yourself. If you wish to discuss about any specific problem, you can consult a Cardiologist.

1694 people found this helpful

High Blood Pressure - 8 Ways You Can Control it At Home!

DM Cardiology
Cardiologist, Delhi
High Blood Pressure - 8 Ways You Can Control it At Home!

Blood pressure readings above 140/90 are classified as hypertension or high blood pressure. Hypertension causes straining of blood vessels and an interruption in the blood flow. There are no specific symptoms, but prolonged hypertension can lead to a heart stroke.

Listed below are a few ways to reduce high blood pressure:

  1. Limit your salt intake: The sodium content in salt disrupts the balance of fluids in your body, leading to high blood pressure. To avert hypertension, cut down on your daily salt intake to a maximum of one tablespoon.
  2. Indulge in physical exercise: If you are suffering from pre-hypertension (mild hypertension), it can be avoided or controlled by engaging in physical exercise such as brisk walk, swimming or playing a sport. Exercising regularly can lower blood pressure levels by 5 mmHg (millimetres of mercury).
  3. Bask in the sun: Exposure to sunlight alters the nitric oxide levels in your blood which leads to reduction in blood pressure. Thus, soaking up the sun can prove to be a great way to avoid a stroke in future.
  4. Add ginger and cardamom to your diet: The two spices, ginger and cardamom, provide required warmth to your body and help in stabilising the circulation of blood in your body and help in bringing down blood pressure levels.
  5. Add more green vegetables to your diet: Green vegetables, preferably the leafy ones, are rich in nutrients such as magnesium, iron and folate which help in maintaining the blood circulation that is essential for combating high blood pressure.
  6. Switch to decaf coffee: If you can’t give up coffee entirely, switch to decaf beverages as caffeine is responsible for tightening your blood vessels which leads to increased stress and blood pressure levels.
  7. Start drinking tea: Herbals teas such as chamomile, ginger, green tea and hibiscus tea contain herbal properties which soothe your blood vessels and nourish the blood flow. Herbal teas also help in hydration and rejuvenation of fluids in your body.
  8. Update your playlist: Music is proven to be therapeutic and updating your playlist with soothing Sufi, Celtic or Instrumental tunes can help you relax your mind and combat stress related blood pressure spikes. If you wish to discuss about any specific problem, you can consult a cardiologist.
3990 people found this helpful

Stroke Management - How Physiotherapy Can Help Manage Pain?

MDT(Mc Kenzie) , P.G-Dietitian, N.D.T-( Neuro Development Technic ), Physiotherapist
Physiotherapist, Mumbai
Stroke Management - How Physiotherapy Can Help Manage Pain?

Stroke survivors often suffer from medical complications such as chronic pain. Medical literature estimates that an average of 30-40 percent patients suffer from chronic pain after 4-6 months of the stroke, while an estimated 10-20 percent of patients suffer chronic pain after 12-16 months of the stroke. Shoulder pain is believed to affect almost 72 percent of post-stroke survivors. While there could be a lot of reasons for chronic pain, the best course of action is to rightly identify the underlying cause of the pain and get treated for the same. 

Understanding the different type of pains post stroke surgery

 

 

  1. Central post-stroke painCentral post-stroke pain or CPSP was once believed to be triggered by thalamic injury. The perception has now changed in the medical community. It is now believed that CPSP is the result of a lesion in the pathway of spino-thalamo-cortex. An approximate 8 percent of stroke patients get affected by this type of pain. The pain is often intense in nature and can affect an entire side of the body with a burning sensation.
  2. Complex regional pain syndrome: Complex regional pain syndrome or CRPS is a kind of pain that is neuropathic in nature. It is estimated that an average of 12-30 percent of all stroke patient experience this pain within 1-5 months of the stroke. Limited range of motion, spasticity is believed to be the cause of CRPS. In terms of pain intensity, CRPS can be divided into 3 phases: 
    • Stage 1 of the pain can last for 1-6 months with possible implications of hypersensitivity, edema, intense pain and hyperhidrosis. 
    • Stage 2 of the pain is characterized by a decreased flow of blood into the limb
    • Stage 3 is the last stage where a patient can witness a loss of function. The treatment can be frustrating as it requires a multi-dimensional approach. Anticonvulsants and gabapentin are frequently prescribed by doctors to deal with this pain.
  3. Hemiplegic shoulder pain: This is the pain that can crop up due to the biochemical changes in the upper extremity of the body. Causes of shoulder pain post-stroke include adhesive capsulitis, rotator cuff injury, glen humeral subluxation, etc. While exercise proves to be most effective to treat this condition, for stroke patients it becomes a liability. Electrical stimulation has shown promise of treating this condition.
  4. Femur fracture: A stroke survivor has an increased risk of suffering from femur fracture due to the significant decrease in bone mass. Since the bone mass decreases, the weight-bearing capacity of the limbs decreases, thereby increasing the chance of a fall. Femur fracture can lead to intense pain, weakness, tenderness, shortening of the limb, etc. It requires routine fracture and pain management medication along with supporting bandages to recover from this condition.

Popular Questions & Answers

My grandpa is 60 years old. Two months ago he suffered with brain stroke. Quickly he is taken to hospital and doctors gave an anti clot injection worth 50000rs. He came back to normal by that day evening. My question is what steps he should take to prevent getting a stroke again? What to eat and what not to eat? Is it possible for any damage to his brain due to his first stroke? Do brain cells die during a stroke? He is a smoker cum alcoholic occasionally. Both are occasional not regular.

MCh, Strokology fellowship
Neurosurgeon, Mumbai
Your Dr. have prescribed blood thinner medicines which should be taken regularly. Healthy lifestyle is most important. Less fatty, less refined carbs, less salt, more fruits and green leafy vegetables. Raw garlic is good option. Regular exercise and yoga. Don't think about brain cells and damage which already occurred. Quit tobacco. Regular check ups with your doctor.
1 person found this helpful

My dad Is suffering from acute ischemic stroke Since 3 Day's. I've Taken All Other Necessary Test Including CT Scan. Currently My Doctor Said He Will Be Fine After Taking Prescribe Meds Within 1 To 3 Months. Now I Want Suggestion And Necessary Treatment From You All. Help Me Out It Will Be A Great Favour.

Mch neurosurgery, M S surgery
Neurosurgeon, Udaipur
Acute ischaemic stroke iusually diagnosed clinically with confirmation by MRI brain with diffusion weighted image. One should always rule out all the possible causes of stroke to treat any potentially treatable cause for decresement in chances of restroke. The ischemic stroke has very good recovery rate of proper and regular treatment is taken. The time for recovery may very from few months to a whole year. The recover is also from 50 to 90 percent in various factors.

Hi. My father faced stroke and because of there is problem of right side of the body. What's treatment required after stroke?

Mch Neuro Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery, International Clinical Fellowship
Neurosurgeon, Mumbai
It'll depend whether the stroke if hemorrhagic or ischemic. Once the acute period is over, treatment focus is on neuro rehab.

Hello doctor. Patient is suffer from brain stroke and age is 78 years old. I would like to know what are the recovery chances.

M.Ch - Neuro Surgery
Neurosurgeon, Gandhidham
hello Laxmi... it depends on where in the brain he is having stroke and in general older the age slower is the recovery. And overall recovery is not predictable in any patient but looking at the scan one might presume the possible recovery.

I am 23 years and have excess of body heat which causes me allergy and puss formation in my body. And even I have asthma how can I control my body high temperature.

MD,DNB
Pulmonologist,
You need to exercise regularly and remember doing a warm up before doing exercise and cool down after your exercise. This will help you drain excess energy and controlling your asthma symptoms also.

Table of Content

What happens in Stroke?

There are mainly three types of stroke:

Play video
Stroke: Causes, Symptoms

Hi this is Dr. Amit. I am MPT in neuro. I have my clinic physio-health plus. So today I am going to discuss about Stroke. Today, these days the stroke patients are more common. For stroke what is the main cause, is stress. Because of hypertension patients got stroke. They have blood clot in their brain. It closes the blood brain barrier and reach to the brain and they damage the part of the brain. So most of the people get paralysis attacks, right hemi, left hemi, and for these patients we have a complete rehabilitation center here.

So for the hand rehabilitation, leg is recovered earlier and arm is not recovered. Because the main reason for that why arm is not recovering? Because we people, the patient mostly, they are not using their arm while working. They just concentrate on their working. The first need of the patient is the working. They need to go to the bathroom, they need to go to the other area, and they need to work first, then everybody is going working on the arm rehabilitation. So what are the limitations on the arm? There is an internal rotation of the shoulder, flexion of the elbow, the wrist is going in the flexion, so need to correct that posture. So if the patient is not first involved in the movement we won t get any better treatment. So first of all the patient should need to involve in the treatment, involve in the therapy then only we can cure that. So first of all there is a movement of the shoulder. Shoulder movements? What are the lacking movements?

There is shoulder flexion first of all. There is lack of shoulder flexion in the movement. The patient, if we ask the patient to flex the shoulder they will raise outside. There is more abduction on the shoulder. Second is elbow extension. So elbow extension won t be there. Most of the cases there are elbow extension but mostly their elbow is in the flexion portion. Then wrist extension is lacking, finger extension is lacking and thumb abduction is lacking. So we are working on these movements only. There are some misconceptions that the patients of hemi they are not recovered mainly the arm is not recovered completely. But it is not like that, so we can recover the patient with the arm, hand rehabilitation also, we are working on that.

So please contact me on lybrate.com. You can contact at any time.
Play video
Stroke Warning Signs And Symptoms
I am Dr. Vivek Kumar talking to you and working as director of neurology at Max hospital broken and Vaishali friends.

I want to discuss some important facts about brain stroke. Do you know that brain stroke is this 2nd leading cause of death in India and the most common cause of lifelong disability. Every 6 seconds someone somewhere dies because of rains in India more than 15 lakh deposit. Sir Thomas Roe and almost as high as 6 lakhs do not survive or developed lifelong disability but the good thing is that the treatment options are there and we can treat patients we can save life and Salvage or prevent disability so it is important to know what is brain stroke.

Brain strokes are of two types number 1 is ischemic stroke which is due to blockage of an artery supplying to an area of brain as a result area of brain doesn't receive adequate oxygen or nutrient and starts to die and ultimately leads to develop inform 85% of brain stroke are because of ischemic stroke 2nd commonest causes brain hemorrhage in which artrey supplying to interior gets rupture that is known as brain hemmorage and 15% of patients of brain strokes but how to identify stroke what are the symptoms of brain stroke there are 5 ways in which a brain stroke patient can present.

Number one Sudden weakness and numbness of one part of the body sudden weakness of and one side of the line side of the leg number 2 sudden speech disturbance inability to speak difficulty in in what generation sudden inability to understand so the person may appear confused and is not be able to understand her speak what is being asked when so this is the second commonest presentation sudden inability to see from one or both the eyes number 4 disturbance in balance sudden walking difficulty Achanak Kisi Ko chalne mein dikkat ho jana Apna balance Banane mein dikkat ho jana Yeh Bhi brain stroke symptoms ho sakta hai.

What is commonest presentation is sudden unexplained headache achanak sir dard ho jiska pehle kabhi Koi karan woh bhi brain stroke ki wajah se ho sakta hai yeah 5 main symptoms hote hain jis tarah brain stroke present kar sakta hai uska khayal rakhna chahiye agar kisi ko brain stroke hua aur ye 5 symptoms mein se ek symptom hota hai toh hame kya karna chahiye now stroke is an emergency if an artery gets blocked every minute millions of cells die and later the treatment the more the cell death happens therefore it is an emergency time is brain so earlier the treatment better is the outcome so what are the treatment options now there is a treatment called clot busting treatment which is known as thrombolytic therapy which can be started in first four and half hours kisiko kabhi agar kisi Ko brain stroke hua hai aur woh 4 ghante ke undergo hospital 5 star hai aise centre mein jahan pe stroke care ki facility to wahan pe CT karane ke baad brain mein koi bleeding ya leakage nahi hai brain hemorrhage nahi hai to aise patients mein jisko hum estimate stroke kehte hain SAP SAT score thrombotic treatments se thik kiya ja sakta hai.

Yeh treatment hum sade char ghante ke andar jata hai aur jitna jaldi de diya jaan sake aisa nahi ki sade char ghante ka cutoff hai tu sade char ghante ke andar jisko bhi humne treatment denge usko fibre jyada hoga kitni jaldi yeh treatment denge utna fayda hoga better outcome tu hai sabse aasan aur accha treatment hai aur hum usko de sakte hain dusra treatment hai jisko hum mechanical thrombectomy kehte hain Jockey 6 ghante ke andar diya ja sakta hai jis ke dwara tar dwara angiography kiya jata hai konsi artery kis jagah pe blockage hai woh dekha jata hai ayush jagah se clot ko extract kar liya jata hai ek retrievable stand dwara toh usko hum mechanical thrombectomy kehte hain isme best result jitni jaldi kiya ja sake usse better response aata hai.

Pahale Chaar ghante ke andar sabse accha response Aata Hai lekin kuch selected patient score MRI ya CT perfusion dwara select Karke Hum 24 ghante ke andar Yeh ilaj kar sakte hain now if you want to know detail about what is brain stroke best way in which we can treat the patients of brain stroke it is better to come to my clinic which is Kumar neurology centre located at Mahagun mansion market at Indirapuram you can come over you can discuss in detail about what is brain stroke how we can fight successfully from this life threatning disease.

Thank you.
Play video
Stroke (Brain Attack)
How to Save Yourself From Stroke?
Play video
Super Foods That Fight PCOS
Usually one relates to reducing fatty and fried food to fight PCOS , however one needs to beware of superfoods that can be used here. Finding a balance between glucose levels and hormones can be tricky and its important to strike this balance.
Play video
Lifestyle Diseases
There are many such lifestyle diseases which can be controlled by making certain simple changes in lifestyle. Risk of heart disease, stroke, obesity, diabetes and arthritis can be controlled to a great extent if one avoids alcohol , smoking and drugs.
Having issues? Consult a doctor for medical advice