Very early imaging with a DWI MRI will show changes in the fluid balance in the brain. Other potential signs of a stroke include swelling, active bleeding, and a blood clot. An old stroke will look different on medical imaging scans than a recent stroke, consisting of small white spots that indicate damaged tissue.
Although conventional MRI sequences most often do not show evidence of stroke in the acute phase, conventional MRI may show signs of intravascular thrombus, such as absence of flow void on T2-WI, vascular hyperintensity on FLAIR, and hypointense vascular sign on gradient-recalled echo (GRE) sequence.
Like a CT scan, a stroke MRI takes multiple images of the inside of the head using sophisticated x-rays and computers. Unlike a CT scan, which takes several hours to reveal any blockages of blood flow, an MRI can uncover any brain damage within an hour of the onset of the stroke symptoms.
An MRI can sometimes show the site of the TIA, especially if it's done soon after it happens.
Symptoms to Watch For
You likely won't know for certain that you have suffered a silent stroke without receiving a brain scan like an MRI or CT scan. After a silent stroke, a brain scan can show small white spots that indicate the presence of lesions.
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.
Standard MRI images (T1 and T2) are good at detecting vasogenic edema that is present in the subacute phase of stroke and is seen at greater than 24 hours to several days.
Some of the most common stroke mimics are seizures, migraine, fainting, serious infections and functional neurological disorder (FND).
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.
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.
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.
A person's life expectancy after a mini stroke reduces by around 4% in the first year following the attack in comparison to people who have not had one. In the following 9 years, life expectancy reduces by 20%. These statistics come from a 2019 review .
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.
A transient ischemic attack (TIA) is a temporary period of symptoms similar to those of a stroke. A TIA usually lasts only a few minutes and doesn't cause permanent damage. Often called a ministroke, a TIA may be a warning.
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).
Blood clots in or on the brain can only be confirmed through an MRI or CT scan.
A person who experiences a TIA may have a 10-20 percent risk of having a full stroke in the next seven days depending on the cause, Streib said. The American Stroke Association confirms that 9 to 17 percent of people who have had a TIA have a stroke within 90 days.
Regardless of the size of your stroke, it's important to participate in rehabilitation in order to maximize your chances of recovery. With a rigorous therapy regimen, most mild stroke survivors can achieve a full recovery, or get very close to one.
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.
A mild stroke can be an indicator that a more serious stroke is on its way. Compared to the general population, people who have suffered a mild stroke are five times more likely to have an ischemic stroke in the next two years. Patients who have experienced a mild stroke should follow up with their doctor regularly.