Do a neurological exam. This test checks how well your nervous system is working to show whether you have had a stroke. In this exam, the doctor will ask you questions, test your reflexes, and ask you to do simple actions. Each part of the exam tests a different part of your brain.
A vascular neurologist specializes in diagnosing, treating and managing conditions of cerebrovascular disease, which are conditions that affect the blood vessels in the brain and spinal cord. Stroke is the most common cerebrovascular disease – hence the “stroke doctor” nickname.
A brain CT scan can show if there is bleeding in the brain or damage to the brain cells from a stroke. Magnetic resonance imaging (MRI) uses magnets and radio waves to create pictures of your brain. An MRI may be used instead of—or in addition to—a CT scan to diagnose a stroke.
Brain scans and tests
You should have a brain scan soon after symptoms start, within an hour of arriving at hospital if possible. The scan can show whether the stroke is due to a clot or a bleed. There are two main types of scan used: A computed tomography or CT scan.
An MRI can also detect old strokes for decades after they happen. The fastest type of MRI is diffusion-weighted imaging (DWI). It measures shifts in fluid in the brain and can detect a stroke soon after its onset. An MRI can also detect evidence of past strokes.
Weakness, numbness or paralysis in the face, arm or leg, typically on one side of the body. Slurred or garbled speech or difficulty understanding others. Blindness in one or both eyes or double vision. Vertigo or loss of balance or coordination.
You will likely have a head CT scan or brain MRI. A stroke may show changes on these tests, but TIAs will not.
Strokes may not be seen on a CT scan for several reasons. It can sometimes take several hours for the brain to appear abnormal after the onset of stroke. The affected region may also be a part of the brain that CT scans do not image well, such as the cerebellum or the brainstem.
Any irregularities or causes for concern show up in a CT scan approximately six to eight hours after the onset of the first signs of a stroke. During a CT scan, the patient may be intravenously injected with dyes, which will highlight any abnormal areas in the scan, giving doctors a clearer view of the head.
Blood tests for stroke. There is no blood test that can diagnose a stroke. However, in the hospital, your doctor or nurse may do a series of blood tests to learn the cause of your stroke symptoms: Complete blood count (CBC).
Some of the most common stroke mimics are seizures, migraine, fainting, serious infections and functional neurological disorder (FND). Once the person is diagnosed, they can have treatment or support to manage their symptoms.
They can provide ongoing care and support to stroke survivors and help them regain as much function as possible. In addition, neurologists can help identify any lingering effects of stroke and provide advice on how to manage them.
After your diagnosis, your physician or neurologist will likely refer you to a cerebrovascular neurosurgery practice, where they will perform an examination and diagnostic tests to evaluate the underlying cause and severity of your mini stroke.
Our study has revealed that according to neurologists, the most consistent predictors for a diagnosis of TIA include negative symptoms (loss of motor, sensory, or visual function) and speech disturbance.
The CT scan is the gold standard for identifying a stroke and differentiating between an ischemic stroke and a hemorrhagic stroke (Mink & Miller, 2011).
However, it does involve many of the same signs and symptoms as a stroke. A person experiencing a TIA might feel sudden weakness or numbness on one side of the body, have slurred speech, have trouble seeing or talking, and feel confused. The person may experience a combination of these symptoms at the same time.
These brief episodes are transient ischemic attacks (TIA), sometimes called “mini-strokes.” They still should be taken seriously, because they tend to be signs of underlying serious conditions that can lead to a full stroke, even possibly in the few days following a TIA event if not evaluated and treated for a TIA.
Call 9-1-1 immediately if any of these signs of stroke appear: Numbness or weakness in the face, arm, or leg; Confusion or trouble speaking or understanding speech; Trouble seeing in one or both eyes; Trouble walking, dizziness, or problems with balance; severe headache with no known cause.
A person's life expectancy after a mini stroke reduces by around 4% in the first year following the attack in comparison to people who have not had one. In the following 9 years, life expectancy reduces by 20%. These statistics come from a 2019 review .
Other possible symptoms
sudden vision loss, blurred vision or double vision. vertigo. being sick.
A “mini-stroke" may not cause permanent brain damage, but it's a warning sign that you could be at risk for a debilitating—or deadly—stroke. Approximately one in three American adults has experienced a symptom consistent with a “mini-stroke,” sometimes called a transient ischemic attack (TIA).
Some people have strokes without realizing it. They're called silent strokes, and they either have no easy-to-recognize symptoms, or you don't remember them. But they do cause permanent damage in your brain. If you've had more than one silent stroke, you may have thinking and memory problems.