The symptoms of a stroke or transient ischemic attack manifest suddenly, exhibiting variations depending on the precise location of the brain blockage or bleeding. Specific arteries supply blood to distinct areas of the brain. For instance, a blockage in an artery that feeds the region controlling leg movement can result in weakness or paralysis in the left leg. Similarly, damage to the area responsible for the sensation of touch in the right arm can cause a loss of sensation in that arm.
Typically, strokes impact only one side of the brain, with nerves crossing to the opposite side of the body, thereby causing symptoms on the side opposite the affected brain area. Recognizing warning signs is vital for early intervention in strokes, as swift treatment can mitigate their effects. Warning signs encompass sudden weakness or paralysis on one side of the body, loss of sensation, difficulty speaking, mental confusion, blurred or loss of vision, and sudden dizziness or balance problems.
These symptoms are generally common in both ischemic and hemorrhagic strokes, with transient ischemic attacks sharing similar signs that typically subside within a few minutes. Hemorrhagic strokes may induce additional symptoms, such as severe headache, vomiting, nausea, temporary or persistent loss of consciousness, and a notable increase in blood pressure.
Early symptoms also include challenges with memory, thinking, attention, and learning, accompanied by sensory deficits and potential hearing loss. Dizziness, difficulty swallowing, and issues with bowel or bladder control may also arise. Following a stroke, individuals may contend with spasticity, emotional control challenges, depression, and difficulties with daily activities. Although some organ function can recover over time due to adaptive plasticity, certain effects, such as paralysis, may endure.
In severe strokes, swelling of the brain and elevated pressure inside the skull may occur, particularly in hemorrhagic strokes where blood leaks into the brain or surrounding tissues. This heightened pressure can result in direct brain damage or herniation, as the brain pushes through anatomical structures, leading to loss of consciousness, coma, irregular breathing, and potentially fatal consequences.
Complications arising from strokes may extend to difficulties in swallowing, underscoring the imperative for immediate medical attention when symptoms manifest.