Generally, minor stroke symptoms won't rouse you from sleep. But when people do wake up after a stroke, they notice something is amiss. The symptoms depend on both the severity of the stroke and the region of the brain it damaged.
Strokes can occur at any time, including when you are asleep. It's possible to wake up with stroke symptoms as a result of a stroke that happened while you were asleep.
The problem is that about 25% of strokes occur during sleep. That means for thousands of people in Canada who have a stroke each year, there is no way for doctors to know when it actually started.
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.
Pre-strokes or mini strokes are the common terms used to describe a transient ischemic attack (TIA). Unlike a full blown stroke, a TIA only lasts a few minutes and does not cause permanent damage. Nevertheless it is a warning sign that a possible stroke may be coming in the future.
Some people will experience symptoms such as headache, numbness or tingling several days before they have a serious stroke. One study found that 43% of stroke patients experienced mini-stroke symptoms up to a week before they had a major stroke.
Warning signs of an ischemic stroke may be evident as early as seven days before an attack and require urgent treatment to prevent serious damage to the brain, according to a study of stroke patients published in the March 8, 2005 issue of Neurology, the scientific journal of the American Academy of Neurology.
“If you have an inability to speak words, notice food or liquid falling out of your mouth due to facial droop, you could be having a stroke. If you experience numbness in your face or extremities, can't move an arm or leg or have a sudden onset of double vision or dizziness — those are other possible stroke symptoms.”
Yes, you can have a stroke and not know it. A stroke's effects can be undetectable if the stroke is small or if the tissue damaged does not serve a critical function. Evidence of the stroke would show on a CT scan or an MRI of the brain, but it might not produce symptoms.
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.
What causes wake-up stroke? Dr Bellolio explained that wake up strokes were influenced by circadian or night time changes in blood clotting, hormone levels and neurological function and like cardiac events, strokes were more common in the morning.
Wake-up strokes (WUS) are strokes with unknown exact time of onset as they are noted on awakening by the patients. They represent 20% of all ischemic strokes.
One of the most common stroke mimics is a seizure, which researchers believe account for as many as 20% of all stroke mimics. Other common stroke mimics include migraines, syncope, sepsis, brain tumor and metabolic derangement (low sodium or low blood sugar).
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.
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.
Not all symptoms occur with every stroke, and sometimes they go away and return. Some patients experience symptoms that clear up within only a few minutes, which may be a sign of a transient ischemic attack (TIA). This is known to be one of the early warning signs of a stroke.
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).
If you and your doctor decide that daily aspirin is right for you, your doctor will recommend a dose of aspirin and how often to take it. Low-dose aspirin (81 mg) is the most common dose used to prevent a heart attack or a stroke. A typical schedule is to take aspirin every day.
Drink a lot of water: You should drink at least five glasses of water per day, and this will reduce your risk of stroke by 53%, according to a recent study by Loma Linda University.
Call 911 or emergency medical services if your blood pressure is 180/120 mm Hg or greater and you have chest pain, shortness of breath, or symptoms of stroke. Stroke symptoms include numbness or tingling, trouble speaking, or changes in vision.
Weakness or numbness of the face, arm or leg, usually on one side of the body. Trouble speaking or understanding. Problems with vision, such as dimness or loss of vision in one or both eyes. Dizziness or problems with balance or coordination.
Oftentimes, the area affected by the headache is directly related to where the stroke occurs. For example, a blocked carotid artery can cause a headache on the forehead, while a blockage towards the back of the brain can cause a headache towards the back of the head.
Background and Purpose— Although stroke is strongly associated with hypertension, some individuals with normal blood pressure (BP) experience a stroke.