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.
The scans were independently interpreted by four experts, who had no other patient information. Based only on the MRI scans, experts accurately diagnosed acute strokes 83 percent of the time. Using the CT scans, however, they were right just 26 percent of the time.
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.
Tests will be done to rule out a stroke or other disorders that may cause the symptoms: You will likely have a head CT scan or brain MRI. A stroke may show changes on these tests, but TIAs will not. You may have an angiogram, CT angiogram, or MR angiogram to see which blood vessel is blocked or bleeding.
A brain CT scan can show bleeding in the brain or damage to the brain cells from a stroke. This test can also reveal other brain conditions that may be causing the patient's symptoms.
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.
Usually, a silent stroke is discovered unexpectedly on a brain CT or brain MRI. These imaging tests can easily distinguish past strokes from recent strokes.
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.
A CT scan of the head is usually one of the first tests used for a stroke. A CT scan can show bleeding in the brain or damage to brain cells. The CT scan also can find other problems that can cause stroke symptoms. Magnetic resonance imaging (MRI).
Tests to diagnose stroke include the following: Computed tomography (CT) uses X-rays to take clear, detailed pictures of your brain. It is often done right after a stroke is suspected. A brain CT scan can show if there is bleeding in the brain or damage to the brain cells from a stroke.
Conclusion. A CT scan that is negative for an initial intracranial bleed, does not rule out a subsequent severe intracranial bleed, even in a healthy patient who is not on anticoagulation or antiplatelets.
People who have mild strokes may feel like they've dodged a bullet since physical symptoms—blurred vision, difficulty speaking and weakness or numbness on one side of the body—usually disappear in a few minutes. Remember, if you notice any signs of a stroke in anyone young or old, seek immediate medical attention.
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.
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.
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).
Benefits and risks of blood-thinning medication
Taking blood-thinning medication is often one of the main ways you can reduce your risk of a stroke if you have had a stroke or TIA, or have a heart condition.
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.
For this reason, the 60 minutes after the onset of stroke symptoms are known as “the golden hour.” If treatment can be initiated within this brief window, the patient's outcome is likely to be better.
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.
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.
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.