A new type of headache and a previous kind of headache with altered characteristics during one week before stroke are significantly more prevalent in stroke patients than in controls. These headaches represent sentinel headaches. Sudden onset of such headaches should alarm about stroke.
You should talk to a doctor if you consistently have to take pain medication for head pressure or pain more than two times per week. Make an appointment with your doctor if your discomfort is long term (chronic), severe, or unusual for you. Headaches that disrupt your day-to-day activities warrant medical treatment.
Sudden numbness or weakness in the face, arm, or leg, especially on one side of the body. Sudden confusion, trouble speaking, or difficulty understanding speech. Sudden trouble seeing in one or both eyes. Sudden trouble walking, dizziness, loss of balance, or lack of coordination.
The most common causes are headache, migraine, or infection. Most conditions that cause pressure in the head go away on their own or respond to over-the-counter pain medication. However, intense or persistent pressure in the head may indicate a severe underlying medical condition.
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.
Stroke-Related Headaches
Oftentimes, the area affected by the headache is directly related to where the stroke occurs. For example, a blocked carotid artery can cause a headache on the forehead, while a blockage towards the back of the brain can cause a headache towards the back of the head.
Weakness, numbness or paralysis in the face, arm or leg, typically on one side of the body. Slurred or garbled speech or difficulty understanding others. Blindness in one or both eyes or double vision. Vertigo or loss of balance or coordination.
Seek emergency care if:
The headache is accompanied by high fever, confusion, stiff neck, prolonged vomiting, slurred speech or numbness or weakness, especially on one side of the body. Headache medication does not relieve chronic or excruciating pain.
They are often described as dull, "pressure-type" headaches, though some patients also experience sharp or "stabbing" pain. They can be localized to a specific area or generalized. They can be made worse with coughing, sneezing or straining.
Use a heating pad set on low, a hot water bottle, a hot shower or bath, a warm compress, or a hot towel. Or apply ice or a cool washcloth to the forehead. Massage also can relieve muscle tension — and sometimes headache pain.
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).
The doctor will do some simple quick checks to test your vision, muscle strength, and ability to think and speak. Diagnostic testing consists of either a computed tomogram (CT) or magnetic resonance imaging (MRI) scan of the brain and carotid arteries to determine the possible cause of the TIA.
A new type of headache and a previous kind of headache with altered characteristics during one week before stroke are significantly more prevalent than in controls. These headaches represent sentinel headaches. Sudden onset of such headaches should alarm about stroke.
On the other hand, in some studies, a significant proportion of patients (25-46%) had incapacitating pain (11) and some patients presented with thunderclap headache. In some reports, sentinel headache occurs in 10% to 43% of patients with ischemic stroke 24-72 hours before stroke onset (9, 16).
Drink a lot of water: You should drink at least five glasses of water per day, and this will reduce your risk of stroke by 53%, according to a recent study by Loma Linda University.
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.
The first stage is flaccidity , and occurs immediately post-stroke. Muscles will be weak, limp, or even "floppy." Because a stroke often affects one side more than the other, this flaccidity may be limited to just one side.
Pre-strokes or mini strokes are the common terms used to describe a transient ischemic attack (TIA). Unlike a full blown stroke, a TIA only lasts a few minutes and does not cause permanent damage. Nevertheless it is a warning sign that a possible stroke may be coming in the future.
What does that mean? A. A silent stroke refers to a stroke that doesn't cause any noticeable symptoms. Most strokes are caused by a clot that blocks a blood vessel in the brain. The blockage prevents blood and oxygen from reaching that area, causing nearby brain cells to die.
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.