Multimedia Gallery
Stroke
When blood flow to an area of your brain stops, it's serious. It's called a stroke, and will often cause permanent, debilitating damage to your brain and change your life. Let's talk about strokes. If blood flow to your brain is stopped for longer than a few seconds, your brain can't get blood and oxygen. Brain cells die, causing permanent damage. There are two types, ischemic stroke and hemorrhagic stroke. Ischemic stroke happens when a blood clot forms in a very small artery, or when a blood clot breaks off from another artery and lodges in your brain. Hemorrhagic strokes can happen when a blood vessel in your brain becomes weak and bursts open. High blood pressure is the number one risk factor for strokes.
People with atrial fibrillation (when your heart rhythm is fast and irregular), diabetes, a family history of stroke, and high cholesterol are most at risk. You are also at risk for stroke if you are older than age 55. Other risk factors include being overweight, drinking too much alcohol, eating too much salt, and smoking. Symptoms of a stroke usually develop suddenly, without warning. You may have a severe headache that starts suddenly, especially when you are lying flat, often when you awake from sleep. Your alertness may suddenly change. You may notice changes in your hearing, your sense of taste, and your sense of touch. You may feel clumsy or confused or have trouble swallowing or writing.
So, how are strokes treated?
A stroke is a medical emergency. Immediate treatment might save your life and reduce disability. Call your local emergency number -- or have someone call for you -- at the first sign of a stroke. Most of the time, someone having a stroke should be in the hospital within three hours after symptoms first begin. If a doctor suspects you've had a stroke, the doctor will check for problems with your vision, movement, feeling, reflexes, and your ability to understand and speak. You may have several tests to check for blocked or narrowed arteries. If the stroke is caused by a blood clot, you'll be given a clot-busting drug to dissolve the clot.
Treatment depends on how bad your stroke is and what caused it. But you will probably need to stay in the hospital for a few days. Besides clot-busting drugs (called thrombolytics), you may need blood thinners, medicine to control high blood pressure, and surgery to unclog one of your carotid arteries-which carry blood to the brain. After your stroke, treatment will focus on helping you recover as much function as possible, and preventing future strokes. Most people need stroke rehabilitation therapy. If you can return home, you may need help making safety changes in your home and to help you with using the bathroom, cooking, dressing, and moving around your home.
After a stroke, some people have trouble speaking or communicating with others, and a speech therapist might help. Depending on the severity of the stroke, you may have trouble with thinking and memory, problems with your muscles, joints, and nerves, trouble going to the bathroom, and difficulty swallowing and eating. Therapies and support for you and your family are available to help with each of these problems. Your treatment will also focus on preventing another stroke. You may need to be on several medications to help prevent this. And, eating healthy and controlling problems like diabetes and high blood pressure can be very important.
Stroke
Review Date: 2/11/2025
Reviewed By: Joseph V. Campellone, MD, Department of Neurology, Cooper Medical School at Rowan University, Camden, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Animations
- Alzheimer disease
- Alzheimer disease
- Asperger syndrome
- Atherosclerosis
- Athetosis resulting from ba...
- Attention deficit hyperacti...
- Autism spectrum disorders
- Bladder function - neurolog...
- Brain components
- Cerebral aneurysm
- Cerebral palsy
- Cholesterol and triglycerid...
- Cluster headache
- Concussion
- Concussion
- Diabetes
- Epilepsy
- Epinephrine and exercise
- Erection problems
- Essential hypertension
- Feeling pain
- Hardening of arteries
- Head injury
- Herniated disk
- Herniated nucleus pulposus ...
- How to use a pill cutter
- Hypertension - overview
- Insomnia
- Migraine
- Multiple sclerosis
- Neck pain
- Nerve conduction
- Parkinson disease
- Sciatica
- Seizures
- Shingles
- Sleep disorders
- Spinal stenosis
- Stroke
- Stroke
- Stroke - secondary to cardi...
- Systemic lupus erythematosus
- Tension headache
- Understanding cholesterol r...
- Urinary incontinence
Illustrations
- 15/15 rule
- Active vs. inactive muscle
- Acupuncture
- Adult dermatome
- Alcoholic neuropathy
- Alpha-glucosidase inhibitors
- Alzheimer disease
- Amebic brain abscess
- Amyloidosis of the fingers
- Arterial plaque build-up
- Arterial tear in internal c...
- Arteries of the brain
- Atherosclerosis
- Atherosclerosis of internal...
- Autonomic Nerves
- Balance receptors
- Before and after hematoma repair
- Bicycle helmet - proper usage
- Biguanides
- Blood pressure
- Blood pressure check
- Blood test
- Blood test
- Bone graft harvest
- Brain
- Brain
- Brain and nervous system
- Brain herniation
- Brain structures
- Brain wave monitor
- Brainstem function
- Brudzinski's sign of meningitis
- Calories and fat per serving
- Carotid dissection
- Carotid duplex
- Carotid stenosis - X-ray of...
- Carotid stenosis - X-ray of...
- Carpal tunnel surgical procedure
- Carpal tunnel syndrome
- Cataract - close-up of the eye
- Cauda equina
- Cause of headaches
- Causes of secondary headache
- Central nervous system
- Central nervous system
- Central nervous system and ...
- Cerebellum - function
- Cerebral aneurysm
- Cerebral aneurysm
- Cerebrospinal fluid leak
- Cervical spondylosis
- Cervical vertebrae
- Cholesterol
- Cholesterol producers
- Circle of Willis
- Common peroneal nerve dysfu...
- Complex carbohydrates
- Compression fracture
- Compression of the median nerve
- Concussion
- Congenital toxoplasmosis
- Copper urine test
- Coronary artery blockage
- Craniotomy for cerebral shunt
- Creutzfeldt-Jakob disease
- Crossed eyes
- CSF cell count
- CSF chemistry
- CSF protein test
- CT scan
- CT scan of the brain
- Damaged axillary nerve
- DASH diet
- Developmental process of at...
- Diabetes and exercise
- Diabetes and nerve damage
- Diabetic blood circulation ...
- Diabetic emergency supplies
- Diabetic retinopathy
- Ear anatomy
- Effects of age on blood pressure
- Electromyography
- Endarterectomy
- Endocrine glands
- Enlarged view of atherosclerosis
- Exercise can lower blood pr...
- External and internal eye a...
- Eye
- Eye ultrasound
- Facial drooping
- Femoral nerve damage
- Fibromyalgia
- Fish in diet
- Food and insulin release
- Forward bend test
- Glaucoma
- Glossopharyngeal neuralgia
- Glucose in blood
- Glucose test
- Grand mal seizure
- Gray and white matter of th...
- Haemophilus influenzae organism
- Head injury
- Head trauma
- Headache
- Healthy diet
- Herniated disk repair
- Herniated lumbar disk
- Herniated nucleus pulposus
- Herpes zoster (shingles) - ...
- Herpes zoster (shingles) di...
- Herpes zoster (shingles) on...
- Herpes zoster (shingles) on...
- Herpes zoster (shingles) on...
- Herpes zoster (shingles) on...
- Herpes zoster (shingles) on...
- Herpes zoster (shingles) on...
- Herpes zoster (shingles) on...
- High blood pressure tests
- Hunger center in brain
- Hypothalamus
- Increased intracranial pressure
- Indications of head injury
- Insulin production and diabetes
- Insulin pump
- Insulin pump
- Intervertebral disk
- Intracerebellar hemorrhage ...
- Intracerebral hemorrhage
- Intracranial pressure monitoring
- Irregular sleep
- Kernig's sign of meningitis
- Kyphosis
- Late-stage syphilis
- Left cerebral hemisphere - ...
- Leukoencephalopathy
- Lifestyle changes
- Limbic system
- Lobes of the brain
- Location of whiplash pain
- Low blood sugar symptoms
- Lower leg muscles
- Lumbar puncture (spinal tap)
- Lumbar vertebrae
- Lumbar vertebrae
- Lyme disease
- Lyme disease - Borrelia bur...
- Lyme disease - erythema migrans
- Lyme disease organism - Bor...
- Meninges of the brain
- Meninges of the spine
- Migraine cause
- Migraine headache
- Monitoring blood pressure
- Motor nerves
- MRI of the brain
- MRI scans
- Multiple sclerosis
- Muscle cells vs. fat cells
- Muscle fatigue
- Muscle pain
- Muscular atrophy
- Myelin and nerve structure
- myPlate
- Neck pain
- Nerve biopsy
- Nerve conduction test
- Nerve supply to the pelvis
- Nervous system
- Neurofibromatosis I - enlar...
- Normal pupil
- Omega-3 fatty acids
- Optic nerve
- Pain of cluster headache
- Phytochemicals
- Pituitary gland
- Plaque buildup in arteries
- Prevention of heart disease
- Primary brain tumor
- Ptosis - drooping of the eyelid
- Radial nerve dysfunction
- Radiation therapy
- Retina
- Right cerebral hemisphere -...
- Role of the vagus nerve in ...
- Sacrum
- Saturated fats
- Sciatic nerve
- Sciatic nerve damage
- Scoliosis
- Scoliosis
- Scoliosis brace
- Shaken baby symptoms
- Shingles
- Signs of scoliosis
- Simple carbohydrates
- Skeletal spine
- Skull of a newborn
- Skull of an adult
- Sleep patterns in the young...
- Sleep studies
- Slit-lamp exam
- Soluble and insoluble fiber
- Spinal anatomy
- Spinal cord injury
- Spinal curves
- Spinal fusion
- Spinal stenosis
- Spinal stenosis
- Spinal tumor
- Spine supporting structures
- Stroke
- Subdural hematoma
- Subdural hematoma
- Substantia nigra and Parkin...
- Sulfonylureas drug
- Systemic lupus erythematosus
- Tension-type headache
- Thiazolidinediones
- Thoracic outlet anatomy
- Tibial nerve
- Tick - deer engorged on the skin
- Tick, deer - adult female
- Torticollis (wry neck)
- Trans fatty acids
- Transient Ischemic attack (TIA)
- Tympanic membrane
- Type I diabetes
- Ulnar nerve damage
- Ultrasound, normal fetus - ...
- Untreated hypertension
- Vascular headaches
- Ventricles of the brain
- Vertebra and spinal nerves
- Vertebra, cervical (neck)
- Vertebra, lumbar (low back)
- Vertebra, thoracic (mid back)
- Vertebrae
- Vertebral column
- Vertigo
- Visual acuity test
- Visual field test
- Vitamin B6 benefit
- Vitamin B6 source
- Voiding cystourethrogram
- Weight loss
- Whiplash
- Wrist anatomy
- X-linked recessive genetic ...
- X-linked recessive genetic ...
- X-linked recessive genetic ...
- X-ray
- Yo-yo dieting
Presentations
- Carotid artery surgery - series
- Carpal tunnel repair - series
- Craniotomy - series
- CSF oligoclonal banding - ...
- Lumbar spinal surgery - series
- Meningocele repair - series
- Microdiskectomy - series
- Monitoring blood glucose - ...
- Spinal fusion - series
- Spinal surgery - cervical -...
- Stroke - series
- Two person roll - series
- Ventriculoperitoneal shunt ...