Strokes occur due to problems with the blood supply to the brain: either the blood supply is blocked, or a blood vessel within the brain ruptures, causing brain tissue to die. A stroke is a medical emergency, and treatment must be sought as quickly as possible.
Knowing the signs of a stroke is the first step in stroke prevention. A stroke, sometimes called a “brain attack,” occurs when blood flow to an area in the brain is cut off. The brain cells, deprived of the oxygen and glucose needed to survive, die. If a stroke is not caught early, permanent brain damage or death can result.
How Does a Stroke Occur?
There are two types of stroke.
- Ischemic stroke is similar to a heart attack, except it occurs in the blood vessels of the brain. Clots can form in the brain’s blood vessels, in blood vessels leading to the brain, or even in blood vessels elsewhere in the body and then travel to the brain. These clots block blood flow to the brain’s cells. Ischemic stroke can also occur when too much plaque (fatty deposits and cholesterol) clogs the brain’s blood vessels. About 80% of all strokes are ischemic.
- Hemorrhagic (heh-more-raj-ik) strokes occur when a blood vessel in the brain breaks or ruptures. The result is blood seeping into the brain tissue, causing damage to brain cells. The most common causes of hemorrhagic stroke are high blood pressure and brain aneurysms. An aneurysm is a weakness or thinness in the blood vessel wall.
Symptoms of stroke
Watch for these signs and symptoms if you think you or someone else may be having a stroke. Note when your signs and symptoms begin, because the length of time they have been present may guide your treatment decisions:
- Trouble with speaking and understanding. You may experience confusion. You may slur your words or have difficulty understanding speech.
- Paralysis or numbness of the face, arm or leg. You may develop sudden numbness, weakness or paralysis in your face, arm or leg, especially on one side of your body. Try to raise both your arms over your head at the same time. If one arm begins to fall, you may be having a stroke. Similarly, one side of your mouth may droop when you try to smile.
- Trouble with seeing in one or both eyes. You may suddenly have blurred or blackened vision in one or both eyes, or you may see double.
- Headache. A sudden, severe headache, which may be accompanied by vomiting, dizziness or altered consciousness, may indicate you’re having a stroke.
- Trouble with walking. You may stumble or experience sudden dizziness, loss of balance or loss of coordination.
Preventing a Stroke
Up to 50% of all strokes are preventable. Many risk factors can be controlled before they cause problems.
Controllable Risk Factors for Stroke:
- High blood pressure
- Atrial fibrillation
- Uncontrolled diabetes
- High cholesterol
- Excessive alcohol intake
- Carotid or coronary artery disease
Uncontrollable Risk Factors for Stroke:
- Age (>65)
- Gender (Men have more strokes, but women have deadlier strokes)
- Race (African-Americans are at increased risk)
- Family history of stroke
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