It is possible to live a normal life after a stroke, but you will need to actively participate in your rehab. Brain injuries can affect mobility, swallowing, speech and, therefore, your ability to do the vital tasks of daily living. So, you will need help, support, counselling, encouragement, and loving care.
A stroke is a common yet serious medical event that requires significant recovery, and it can impact life expectancy. However, many stroke patients continue to live a fulfilling life long after rehabilitation.
As you begin to recover, you might feel that your behaviour changes or improves. You may start feeling better physically and emotionally. But some changes will be long term. You are still the same person, but a stroke may change the way you respond to things.
By 1 year, 40.3% (95% confidence interval [CI] 37.3%–43.5%) of stroke patients had died, 51.9% (95% CI 48.7%–55.1%) by 2 years, and 72.8% (95% CI 69.4%–76.1%) by 5 years (figure 1A). Median survival was 1.8 years (95% CI 1.6–2.1 years) after stroke.
Even after surviving a stroke, you're not out of the woods, since having one makes it a lot more likely that you'll have another. In fact, of the 795,000 Americans who will have a first stroke this year, 23 percent will suffer a second stroke.
Although just 10% of people fully recover from a stroke, 25% have only minor impairments and 40% have moderate impairments that are manageable with some special care.
Few patients recover fully and most are left with some disability, but the majority exhibit some degree of spontaneous recovery. Doctors and scientists don't fully understand how this happens, because the brain does not grow new cells to replace the ones damaged by the stroke.
A stroke can cause permanent loss of function. The long-term effects of stroke depend on which part of the brain was damaged and by how much. Early treatment and rehabilitation after stroke can improve recovery and many people regain a lot of function.
The short answer is yes; the brain can heal after acute trauma from a stroke or brain injury, although the degree of recovery will vary. The reason the brain can recover at all is through neuroplasticity, sometimes referred to as brain plasticity.
For example, 79% of people survive 2 years, 61% survive 3 years, …, 5% survive 16 years, and only 1% survive 20 years.
The initial recovery following stroke is most likely due to decreased swelling of brain tissue, removal of toxins from the brain, and improvement in the circulation of blood in the brain. Cells damaged, but not beyond repair, will begin to heal and function more normally.
Problems that Occur After a Stroke
Weakness, paralysis, and problems with balance or coordination. Pain, numbness, or burning and tingling sensations. Fatigue, which may continue after you return home. Inattention to one side of the body, also known as neglect; in extreme cases, you may not be aware of your arm or leg.
No two strokes are the same. Some people may feel more like themselves within just a few days, without any lasting physical or cognitive issues. But for others, it may take several months to heal or adjust to any long-term effects.
On average, between 10 and 15 years after stroke, 25% of survivors were moderately-severely disabled, 21% were inactive, 22% had cognitive impairments, 32% were anxious and 38% depressed. Functional, cognitive and psychological outcomes between 10 and 15 years after stroke.
In terms of stroke side effects, by the 5 year mark, many survivors may be able to walk again, with or without assistance. But issues like foot drop and poor hand function may linger for massive stroke survivors. Still, even two stroke survivors who both suffered massive strokes will have very different recoveries.
Changes in your emotions and to your personality are common after stroke. It's very normal to experience strong emotions after stroke, however these emotional reactions usually get better with time. Longer-term emotional and personality changes can be very challenging.
It can be caused by a narrowed blood vessel, bleeding, or a clot that blocks blood flow.
There are two main causes of stroke: a blocked artery (ischemic stroke) or leaking or bursting of a blood vessel (hemorrhagic stroke). Some people may have only a temporary disruption of blood flow to the brain, known as a transient ischemic attack (TIA), that doesn't cause lasting symptoms.
After six months, improvements are possible but will be much slower. Most stroke patients reach a relatively steady state at this point. For some, this means a full recovery. Others will have ongoing impairments, also called chronic stroke disease.
Stress can cause the heart to work harder, increase blood pressure, and increase sugar and fat levels in the blood. These things, in turn, can increase the risk of clots forming and travelling to the heart or brain, causing a heart attack or stroke.
Stroke impacts the brain, and the brain controls our behavior and emotions. You or your loved one may experience feelings of irritability, forgetfulness, carelessness or confusion. Feelings of anger, anxiety or depression are also common.
The first question a stroke survivor should ask:
Did I have a white stroke or a red stroke? Of people who survive a first white stroke, within 1 year 8% will have another one (1), and within 2 years 11% will have a second one (2). In one study, 39% of second strokes were fatal (2).