What is a stroke, symptoms of a stroke and how is it treated?

Patient and Vancouver Coastal health health-care worker.

A stroke is medical emergency. Stroke occurs when the blood flow to a part of the brain is interrupted or reduced. This deprives brain cells of oxygen and nutrients which can lead to damage, or even death. The effects of stroke depend on the area of the brain involved and how severe the disruption of blood flow is.

Symptoms of stroke

The symptoms of stroke can vary depending on which part of the brain is affected. Common signs can be remembered using the FAST mnemonic:

  • Face

    Drooping or numbness to one side of the face.

  • Arms

    Weakness, numbness or clumsiness in on arm.

  • Speech

    Slurred speech, difficulty speaking or understanding speech

  • Time

    It’s time to get help!

Types of strokes

Ischemic stroke

An ischemic stroke happens when a blockage stops blood from reaching a part of the brain. This can be caused by:

  • A thrombus (blood clot) that forms in the blood vessel or
  • An embolus which is a clot, fat or other debris from somewhere else in the body travels to the brain and blocks a blood vessel
graphic illustration of the brain and a clot in a blood vessel

Hemorrhagic stroke

A hemorrhagic stroke happens when a blood vessel in the brain bursts and causes bleeding. This disruption causes brain damage because that part of the brain is no longer receiving oxygenated blood flow.

graphic illustration of the brain and blood leaking out of a vessel

Transient Ischemic Attack (TIA)

A TIA is considered a “mini-stroke.” During a TIA, blood flow to a part of the brain is temporarily blocked by a blood clot or narrowed blood vessels. Symptoms usually resolve after a few minutes, so it does not lead to permanent damage. However, this could be a warning sign that a full stroke could occur.

Treatment

Stroke treatment depends on the type of stroke and timing.

Ischemic Strokes

Medications called thrombolytics can be given. This type of medicine improves blood flow by dissolving abnormal blood clots. It is given through an IV.

Sometimes procedures may be necessary to restore blood flow to the brain:

An endovascular thrombectomy (EVT) is a procedure to remove a blood clot that is blocking the flow of blood in an artery or vein in your brain.

An angioplasty is a procedure to open narrowed or blocked arteries to restore blood flow to the brain. A stent may be used to keep the blood vessel propped open and maintain blood flow.

Hemorrhagic Strokes

Medicines may be given to control the bleeding or lower blood pressure. Sometimes, surgery might be needed to repair the blood vessel or relieve pressure in the brain.

Transient Ischemic Attack (TIA)

Blood thinners may be prescribed to reduce the risk of blood clots.