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.
Your doctor may test the blood and platelet count and glucose (sugar) levels in your blood to make sure they are stable and to see if a certain medicine can treat your stroke. Your doctor may also do blood tests to see how well your blood is clotting and to look for muscle damage. Electrocardiogram (EKG).
Stroke patients may have a CAT scan or MRI of the brain and blood vessels to the brain to determine what type of stroke it is and whether there are any blocked or narrowed blood vessels.
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. MRIs are also more accurate than CT scans since they are far more sensitive.
An MRI can sometimes show the site of the TIA, especially if it's done soon after it happens. But this is not the main way that a TIA is diagnosed.
An MRI can also detect old strokes for decades after they happen. The fastest type of MRI is diffusion-weighted imaging (DWI). It measures shifts in fluid in the brain and can detect a stroke soon after its onset. An MRI can also detect evidence of past strokes.
Your doctor then will need to do blood tests and imaging tests to figure out which type of stroke you might have had. The most common kind is called ischemic stroke.
Some of the most common stroke mimics are seizures, migraine, fainting, serious infections and functional neurological disorder (FND). Once the person is diagnosed, they can have treatment or support to manage their symptoms.
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.
That raises the question: Is there an early warning test for stroke? Yes and no. A test called the carotid ultrasound can detect the buildup of cholesterol-filled plaque in the carotid arteries in the neck. These arteries deliver blood to the brain.
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. “The real takeaway?
What is Pre-Stroke? Sometimes, there is a smaller, temporary clot that is quickly resolved, though the symptoms will be similar thanks to the effect such clots have on the brain. This is known as a Transient Ischemic Attack (TIA) or “Pre-Stroke,” and often points to a more life-threatening attack on its way.
You will likely have a head CT scan or brain MRI. A stroke may show changes on these tests, but TIAs will not.
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.
Some people have strokes without realizing it. They're called silent strokes, and they either have no easy-to-recognize symptoms, or you don't remember them. But they do cause permanent damage in your brain. If you've had more than one silent stroke, you may have thinking and memory problems.
Symptoms can be subtle and fleeting: They typically last less than an hour. The advice for these milder events is the same: Call 911, right away, for urgent evaluation and care. If you have a mild stroke or TIA, do not assume that you have dodged the bullet.
Sometimes, people may have a stroke and not know it. This can happen with a silent cerebral infarction, or silent stroke, and transient ischemic attack (TIA). Silent strokes do not cause symptoms, and people often dismiss the symptoms of TIAs.
Can an ECG detect stroke? Yes. ECG can detect a heart problem that might lead to a stroke or even uncover a past problem such as a previous heart attack.
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).
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.
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.
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.