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A stroke, or brain attack, is a medical emergency that requires immediate medical attention. Because most strokes do not cause severe pain, patients often delay seeking treatment, resulting in extensive brain tissue damage.

Symptoms of stroke depend on the type and which area of the brain is effected. Signs of ischemic stroke usually occur suddenly, and signs of hemorrhagic stroke usually develop gradually. Symptoms include the following:

  • Difficulty speaking or understanding speech (aphasia)
  • Difficulty walking
  • Dizziness or lightheadedness (vertigo)
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Seizure (relatively rare)
  • Severe headache with no known cause
  • Sudden confusion
    Sudden decrease in the level of consciousness
  • Sudden loss of balance or coordination
  • Sudden vision problems (e.g., blurry vision, blindness in one eye)
  • Vomiting

  • Intransient ischemic attacks(TIAs), one or more symptoms occur suddenly, last a few minutes, and then subside. These "ministrokes" also require immediate medical attention to reduce the risk for damage to brain tissue and to evaluate the risk for stroke.

    ComplicationsstrokeStroke is the leading cause of disability in the United States. Prompt medical treatment reduces the risk for irreversible complications and permanent disability. Complications may result from ischemic cascade or develop as a result of the patient becoming immobile or bedridden.

    Complications that may occur within 72 hours of stroke include the following:

    • Cerebral swelling (edema)
    • Increased intracranial pressure (ICP)
    • Intracerebral hemorrhage
    • Seizures

    Paralysis on one side of the body (hemiparesis) and speech problems may occur as a result of ischemic cascade. Complications that may develop gradually as a result of immobility include the following:

    • Bedsores
    • Blood clots
    • Fibrosis of connective tissue resulting in decreased mobility
    • Malnutrition
    • Pneumonia
    • Urinary tract infections (UTIs; if a catheter is required)

    More than 30% of stroke patients require assistance with daily living and approximately 15% require care in an assisted-living facility (e.g., nursing home, rehabilitation center). Approximately 20% of stroke patients require help walking (e.g., cane, walker) and as many as 33% suffer from depression. Treatment for stroke usually involvesrehabilitation.

    For more information regarding strokes, continue to the following pages:


    Raymond Rybicki, MD

    This information is for general educational uses only. It may not apply to you and your specific medical needs. This information should not be used in place of a visit, call, consultation with or the advice of your physician or health care professional. Communicate promptly with your physician or other health care professional with any health-related questions or concerns.

    Be sure to follow specific instructions given to you by your physician or health care professional.

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    The materials provided at this site are for informational purposes and are not intended for use as diagnosis or treatment of a health problem or as substitute for consulting a licensed medical professional. Check with a physician if you suspect you are ill, or believe you may have one of the problems discussed on our website, as many problems and diseases may be serious and even life-threatening. Also note while we frequently update our website's content, medical information changes rapidly.

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