Overall, it's important to understand that stroke recovery naturally has an ebb and flow. If you experience rapid, sudden worsening of stroke secondary effects, then it's time to seek medical attention immediately. But if changes are smaller, it could just be the natural process of recovery.
If your symptoms have gotten slightly worse over the course of a few days, it could be a normal part of the recovery process. A stroke recovery journal can help during this 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.
Loss of vision, strength, coordination, sensation, or speech, or trouble understanding speech. These symptoms may get worse over time. Sudden dim vision, especially in one eye. Sudden loss of balance, sometimes along with vomiting, nausea, fever, hiccups, or trouble swallowing.
No two strokes are the same. Some people may feel more like themselves within just a few days, without any lasting physical or cognitive issues. But for others, it may take several months to heal or adjust to any long-term effects.
The longer a stroke goes untreated, the more damage can be done — possibly permanently — to the brain. “If you suspect you or someone you're with is having a stroke, don't hesitate to call 911,” Dr. Humbert says. “It could save a life.”
Weakness or numbness of the face, arm or leg, usually on one side of the body. Trouble speaking or understanding. Problems with vision, such as dimness or loss of vision in one or both eyes. Dizziness or problems with balance or coordination.
Seek emergency care immediately if a stroke is suspected. Stroke symptoms include: Sudden numbness, weakness or paralysis and drooping of the face, arm or leg, especially on one side of the body. Suddenly blurred or decreased vision in one or both eyes.
This can cause sudden symptoms similar to a stroke, such as speech and visual disturbance, and numbness or weakness in the face, arms and legs. But a TIA does not last as long as a stroke. The effects last a few minutes to a few hours and fully resolve within 24 hours.
Weakness, paralysis, and problems with balance or coordination. Pain, numbness, or burning and tingling sensations. Fatigue, which may continue after you return home. Inattention to one side of the body, also known as neglect; in extreme cases, you may not be aware of your arm or leg.
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).
Neurological deterioration (ND) is common, with nearly one-half of ND patients deteriorating within the first 24 to 48 hours of stroke.
Mini strokes can occur before larger ones as a warning. Both have the same risk factors, including high blood pressure, high cholesterol, diabetes, smoking, and obesity – all of which can cause plaque buildup in the arteries that can lead to blood clots.
Depending on how serious your stroke is, you may stay in hospital for anything from a few days to a few months. You might move to a rehabilitation ward. You'll work with a team of health professionals specialising in stroke.
If you get to the hospital within 3 hours of the first symptoms of an ischemic stroke, you may get a type of medicine called a thrombolytic (a “clot-busting” drug) to break up blood clots. Tissue plasminogen activator (tPA) is a thrombolytic. tPA improves the chances of recovering from a stroke.
At MedStar Montgomery Medical Center, our ER staff will work together to quickly determine whether or not you had or are having a stroke using blood work and diagnostic tests, such as a CAT scan or EKG. Once you've been diagnosed, we'll act fast to remove the blockage and re-establish blood flow to the brain.
Face drooping – Your face has started to droop or go slack on one side. Arm weakness – This weakness actually applies to your face, your arm, or your leg on either side. Speech difficulty – Your words are slurred or jumbled and you're having trouble understanding others. Time to call 911!
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.
Brain magnetic resonance imaging (MRI) is the preferred and most sensitive modality after transient ischemic attack (TIA) or minor stroke. It should include diffusion-weighted imaging (DWI) and should be completed within 24 hours of symptom onset1,2; its use is 3-fold.
The Role of Sleep in Stroke Recovery
Quality sleep has many benefits, especially for stroke survivors. Getting a good night's sleep supports neuroplasticity, the brain's ability to restructure and create new neural connections in healthy parts of the brain, allowing stroke survivors to re-learn movements and functions.
Don't Put Off Seeking Care During COVID-19
If you or someone you know has a stroke, do not hesitate to call 911 for fear of catching COVID-19. Likewise, do not put off post-stroke care such as physical, speech, and occupational therapy. Receiving prompt care for a stroke is essential for the best possible outcome.
Movement problems. Strokes can cause weakness or paralysis on one side of the body, and can result in problems with co-ordination and balance. Many people also experience extreme tiredness (fatigue) in the first few weeks after a stroke, and may also have difficulty sleeping, making them even more tired.