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.
Silent Doesn't Mean Harmless
The damage caused to the brain can result in significant cognitive decline or even death. It may also lead to vascular dementia. The damage that happens is permanent, but through therapy and healthy habits, stroke survivors may be able to reduce the effects and prevent future strokes.
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.
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.
In fact, ischemic strokes unfold over a period of 10 hours. That means that with every second you wait for treatment, the brain damage gets worse. If a stroke is untreated for the full 10 hours, the brain ages up to 36 years! With every minute you wait, the brain loses two million brain cells.
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.
5 How- ever, earlier studies have shown that MRI may not detect acute strokes in 10-20% of patients. 4-6 Few clinical details of the false-negative cases were provided. Although several aspects of MRI techniques, computer software, and scan interpretations have been improved, false-negative MRI results may still occur.
It's important to note that CT scans are not always the final word on whether a stroke has taken place. 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.
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).
A brain CT scan can show if there is bleeding in the brain or damage to the brain cells from a stroke. Magnetic resonance imaging (MRI) uses magnets and radio waves to create pictures of your brain. An MRI may be used instead of—or in addition to—a CT scan to diagnose a stroke.
Numbness or weakness in your face, arm, or leg, especially on one side. Confusion or trouble understanding other people. Difficulty speaking. Trouble seeing with one or both eyes.
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.
If you have a brain CT scan or anMRI, the image will show white spots or lesions where your brain cells have stopped functioning. That's how doctors will know you've had a silent stroke. Other signs are so subtle that they're often mistaken for signs of aging, like: balance problems.
Do a neurological exam. This test checks how well your nervous system is working to show whether you have had a stroke. In this exam, the doctor will ask you questions, test your reflexes, and ask you to do simple actions.
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.
Magnetic resonance imaging (MRI).
An MRI can detect brain tissue damaged by an ischemic stroke and brain hemorrhages. Your doctor may inject a dye into a blood vessel to view the arteries and veins and highlight blood flow (magnetic resonance angiography or magnetic resonance venography).
Fast action after stroke symptoms
Stroke symptoms can develop slowly over hours or days. If you have a ministroke, also known as transient ischemic attack (TIA), symptoms are temporary and usually improve within hours. In this case, you may blame sudden symptoms on stress, a migraine, or nerve problems.
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.
How Does a Stroke Impact Life Expectancy? Despite the likelihood of making a full recovery, life expectancy after stroke incidents can decrease. Unfortunately, researchers have observed a wide range of life expectancy changes in stroke patients, but the average reduction in lifespan is nine and a half years.
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.
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.
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.