A stroke keeps blood from reaching the brain and leads to brain tissue damage. About 10% of people who experience a stroke eventually develop severe pain that is called post-stroke pain, central pain, or thalamic pain (after the part of the brain typically affected).
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.
After a stroke, around 30% of survivors experience pain. This is most likely to happen soon after a stroke, but can also develop sometime later. Types of post-stroke pain include muscle and joint pain such as spasticity and shoulder pain. Headaches are more common soon after a stroke but should reduce over time.
The typical stroke does not cause pain. As a result, an individual experiencing a stroke may attempt to shrug it off and refuse help. If this happens, try to urge the individual to seek help anyway. Stroke is one of the leading causes of death worldwide and a leading cause of long-term disability.
A stroke can be completely painless. Because stroke doesn't typically hurt, many people delay seeking treatment. The most important thing to remember is “time is brain.”
Medical experts often use the NIH Stroke Scale to determine the severity of a stroke. Patients that score between 21 and 42 (the highest possible score) are considered to have suffered a massive stroke.
The main thing to remember is that even a massive stroke doesn't involve pain aside from the sudden headache. The numbness and weakness on one side of the body don't hurt, the vision problems aren't painful and the trouble with balancing and walking isn't painful.
One common post-stroke symptom is a neurological condition called pseudobulbar affect, or PBA for short. It causes uncontrollable laughing and crying, even in situations when it's completely inappropriate. And even though 53% of stroke survivors have reported PBA symptoms, less than 20% have heard of this disorder.
How Does a Stroke Impact Life Expectancy? Despite the likelihood of making a full recovery, life expectancy after stroke incidents can decrease. Unfortunately, researchers have observed a wide range of life expectancy changes in stroke patients, but the average reduction in lifespan is nine and a half years.
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.
The most severe strokes can leave a person unable to respond, or in a sleep-like state. This is sometimes called unconsciousness or coma, and it means that important parts of the brain are not working well. Coma is a worrying sign, as it may mean that the stroke is severe enough that the person may not survive.
Cognitive symptoms like memory problems and trouble speaking. Physical symptoms such as weakness, paralysis and difficulty swallowing. Emotional symptoms like depression and impulsivity. Heavy fatigue and trouble sleeping.
They happen when a blood clot blocks the flow of blood and oxygen to the brain. These blood clots typically form in areas where the arteries have been narrowed or blocked over time by fatty deposits (plaques). This process is known as atherosclerosis.
A stroke occurs when the blood supply to your brain is cut off. Brain cells that don't receive oxygen die, which impacts your ability to function normally. A "massive" stroke simply means that a large portion of your brain was denied blood, according to Healthline.
During the first few days after your stroke, you might be very tired and need to recover from the initial event. Meanwhile, your team will identify the type of stroke, where it occurred, the type and amount of damage, and the effects. They may perform more tests and blood work.
Most patients regain the ability to walk within the first 6 months or, when mobility has been severely affected, within the first 2 years following their stroke. Experts can agree that the chances of recovering function after stroke increase with the intensity of rehabilitation.
After a stroke, you may have difficulty speaking. It may also be difficult to understand others when they speak or gesture to you. Reading and writing may be difficult. Your speech pathologist will work with you to develop a rehabilitation program.
Inappropriate behaviour
This can happen after a stroke for a number of reasons. If you lose the ability to read social situations you won't know what's expected of you, so you may stand too close to other people, interrupt them when they're talking or not respond to their body language.
Less than 50% of people who have a massive stroke will survive for five years, with less than 10% being survivors of massive hemorrhagic strokes. Almost all survivors will have varying levels of disability that is either physical, cognitive, or functional in nature.
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.
Hemorrhagic strokes are particularly dangerous because they cause severe symptoms that get worse quickly. Without fast medical attention, these strokes often cause permanent brain damage or even death.
A hemorrhagic stroke happens when an artery in the brain leaks blood or ruptures (breaks open). The leaked blood puts too much pressure on brain cells, which damages them.