Sudden numbness or weakness in the face, arm, or leg, especially on one side of the body. Sudden confusion, trouble speaking, or difficulty understanding speech. Sudden trouble seeing in one or both eyes. Sudden trouble walking, dizziness, loss of balance, or lack of coordination.
The signs and symptoms of a TIA resemble those found early in a stroke and may include sudden onset of: 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.
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.
The only way to tell the difference between a ministroke and a stroke is by having a doctor look at an image of your brain with either a CT scan or an MRI scan. If you've had an ischemic stroke, it's likely that it won't show up on a CT scan of your brain for 24 to 48 hours. An MRI scan usually shows a stroke sooner.
Most people who have a mini-stroke feel fine after the event. In fact, many people don't even realize they've had one! Symptoms might include weakness, numbness, tingling, vision changes or difficulty speaking. Most symptoms are temporary and dissipate within minutes but sometimes can last up to 24 hours.
You get stroke symptoms because a clot is blocking the blood supply in your brain. When the clot moves away, the stroke symptoms stop. You might feel like you're fine afterwards, but it's vital to get medical help right away.
Get emergency treatment right away. Even if symptoms subside, you should be evaluated at a hospital, since a mild stroke can be a signal that a potentially more serious stroke is on its way.
You do not need to be admitted to hospital because of a TIA, but this is often done because of the absence of an alternative. Many TIA clinics now offer a “one-stop” service for which the patient is assessed, investigated (or investigated before the appointment), and given results at the same session.
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).
If a stroke is suspected, a CT scan is usually able to show whether you have had an ischaemic stroke or a haemorrhagic stroke. It's generally quicker than an MRI scan and can mean you're able to receive appropriate treatment sooner.
Unfortunately, most people don't actually find out they've suffered from a silent stroke until they see a doctor for another condition and are ordered to have an MRI or a CT scan. At that point, their doctor may notice small areas of damage in the brain indicating a silent stroke.
Diagnosis and Tests
The doctor will do some simple quick checks to test your vision, muscle strength, and ability to think and speak. Diagnostic testing consists of either a computed tomogram (CT) or magnetic resonance imaging (MRI) scan of the brain and carotid arteries to determine the possible cause of the TIA.
When stroke occurs, the blood pressure (BP) often rises because of various factors, such as psychological stress, pain, elevated intracranial pressure, urinary retention, and hypoxemia.
In addition to the classic stroke symptoms associated with the FAST acronym, around 7-65% of people undergoing a stroke will experience some form of a headache. People describe a stroke-related headache as a very severe headache that comes on within seconds or minutes.
Even if a major stroke is avoided, repeated mini strokes can have a cumulative negative effect on one's brain health and cognitive function. In severe cases, vascular dementia may result from untreated cerebrovascular events.
It has been found in a study that stress apparently raises the risk of a Stroke or Transient Ischemic Attack (TIA) by 59%. A TIA is a mini-stroke caused by a temporary blockage of blood flow to the brain.
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).
You will likely have a head CT scan or brain MRI. A stroke may show changes on these tests, but TIAs will not.
Computerized tomography (CT) scan – CT scans use a series of X-rays to create a detailed image of your brain. A CT scan can show a hemorrhage, tumor, stroke and other conditions. There are different types of CT scans that your doctor may use depending on your situation.