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A stroke happens when the blood supply to part of the brain is interrupted. As a result, brain cells get less of the oxygen and nutrients that they need. Some brain cells can become damaged, and other cells can die. This can cause different effects depending on where it happens in your brain.
There are two types of strokes:
Stroke is often considered an illness of old age, but many younger people are also affected by stroke. In fact, the number of younger people having a stroke is increasing. About 1 in 4 people who have a stroke are below the age of 65.
A transient ischaemic attack (also known as a TIA or mini-stroke) is the same as a stroke, but the symptoms only last for a short amount of time, usually less than 24 hours.
Symptoms are caused by a temporary disruption in the blood supply to part of the brain. Although the symptoms do not last long, a TIA should be taken seriously. It is a sign that something is not right, and that you are at risk of having a stroke.
More than 1 in 12 people will have a stroke within a week of having a TIA. It’s important not to ignore the symptoms of a TIA, even if they are mild and pass quickly – you could be at risk of having a more severe stroke in the near future.
To find out more about TIAs, including how they are diagnosed and treated, and what you can do to reduce your risk of having another TIA or a stroke, see our Essential Guide to TIA: Transient Ischaemic Attack (PDF).
After enjoying a normal day out with friends one weekend, Robert started to experience a headache when he returned home.
“The pain got worse until by 9pm I felt that I had no control over my body. I couldn’t move my arm or cry out,” he explains.
“I went to hospital, had tests which came back negative and it was presumed I had suffered a TIA (Transient Ischaemic Stroke often referred to as mini stroke as the effects only last up to 24 hours). I was sent home and told to call the hospital on Monday to arrange a scan.
“I didn’t get the chance. At 10.30am on Sunday morning I suffered and survived a serious ischaemic stroke.”
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A stroke is a medical emergency. Urgent treatment is essential because the sooner a person receives treatment for a stroke, the better the outcome is likely to be.
In the early stages it is not possible to tell whether you are having a stroke or a TIA as the symptoms for both are the same.
If you think that you or someone else is having a stroke or TIA, phone 999 immediately and ask for an ambulance.
Remember to act FAST:
Face – Can they smile? Does one side droop?
Arms – Can they lift both arms? Is one weak?
Speech – Is their speech slurred or muddled?
Time – Time to call 999.
The signs and symptoms of strokes and TIAs include:
If you have any of these symptoms, even for just a short amount of time, call 999 and ask for an ambulance.
When you have had a stroke, you should go straight to hospital by emergency ambulance. Usually you will be admitted to a specialist stroke ward, but you may also go to the A&E department or another assessment ward first.
Doctors will begin by performing tests to confirm what type of stroke you have had. This will usually be either a CT scan or MRI scan to help determine if your stroke was caused by a clot or a bleed.
You may also have other tests, including blood pressure checks, blood tests, chest x-rays and electrocardiograms (ECG).
In the first 48 hours after your stroke, an initial assessment will be carried out to find out how the stroke has affected you. This may include:
Your initial treatment will depend on what type of stroke you have had. If your stroke was caused by a bleed (haemorrhagic stroke) you may be considered for surgical treatment.
If your stroke was caused by a clot (ischaemic stroke) you may be offered a clot-busting treatment called Thrombolysis or a specialist procedure called Thrombectomy to remove the clot. Other treatment options include blood-thinning treatment, cholesterol-lowering medicines called statins, carotid endarterectomy (an operation to unblock narrowed arteries in your neck) or decompressive surgery to release pressure on your brain.
When Andy suffered a stroke, he instantly knew something was wrong. “It was like someone lit a blowtorch at the back of my head and pressed every pin in the world into the base of my skull,” he explains.
Luckily, his wife Nic had seen adverts about FAST and recognised the signs of stroke. She called for help straight away, and Andy began the long journey towards recovery.
Now, Andy wants to share his story to help other survivors.
“I know how infuriating, frustrating and painful it can be. Recovering from a stroke is the hardest thing I’ve ever done in my life but think about what the alternative will be.”
Everyone’s recovery after a stroke is different. You may make a full recovery within weeks, or it may take you much longer. Some people, especially if you have had a severe stroke, never make a full recovery and are left with long-term disabilities.
In the first few days and weeks you may be very tired and emotional. This is normal. Pace yourself and allow plenty of time to rest, as well as time to try various activities and therapies as recommended by your healthcare professionals.
Even in the early days, it is important to try to avoid prolonged time in bed if you can. Moving as much as you can is really important because it:
With help and support from your stroke team, you should start to notice improvements in the weeks following your stroke. Remember that recovery can be a long process and everyone is different, so don’t feel disheartened if it takes months or even years to see certain improvements.
Regular practice of physiotherapy, occupational therapy and speech exercises can help to keep you motivated. Your stroke team will help you find exercises, therapy and activities which work for you.
Longer-term, rehabilitation can help you to cope and adapt to your situation. You will be helped to relearn or adapt skills so that you can be as independent as possible after your stroke. This can be done in hospital, in an out-patient clinic or at home with the support of community therapists.
At Chest Heart & Stroke Scotland, we offer a range of stroke rehabilitation services across Scotland to help you recover when you get home from hospital. This can help with everything from communication difficulties to problems with movement, vision, memory or thinking.
To find out more about the stroke services available in your local area, call our Advice Line nurses on freephone 0808 801 0899.
When you leave hospital, you should have a discharge plan from your stroke team. This covers the practical help and support you might need at home.
It can be a daunting time for you and your family, but we’re here to support you as you return home from hospital. Give our Advice Line nurses a call on 0808 801 0899 to find out more about how we can help you, including:
Don’t forget, you can also contact your GP for advice about your health or to get referrals to other healthcare services, and your pharmacist can give you advice and information about any medicines you have to take.
Support to help you manage at home can be arranged through your local council’s social work department (sometimes called social care or social services). Services to help you live as independently as possible include help with washing and dressing, help with housework and shopping, day care services, respite care, advice on transport, housing and equipment and information on benefits.
A stroke can affect the way your body works as well as how you feel, think and communicate. It affects everyone in different ways.
How you are affected will depend on which part of your brain has been damaged and how severe your stroke is. Specific areas of your brain control specific tasks in your body such as vision, memory, speech or hearing.
Although all strokes are different, there are some common effects that people experience frequently after a stroke. These include:
After his stroke, Troy was put in touch with one of our volunteers, Neil, who is also a stroke survivor himself. Troy found speaking to someone who had been through the same thing was key to his recovery.
Neil says: “Troy is an incredible guy. He has similar challenges to me in that the effects of the stroke seem invisible to other people because they are things like memory or stamina.
“I hope I’ve been able to help him realise stroke recovery is a long journey with a lot of bumps on the road. We all suffer setbacks, but it’s how we deal with those that matters.”
For the first few weeks and months, it’s likely you’ll be focused on relearning old skills or learning new ones. It’s important to pace yourself and ask for help when you need it, to make sure you can rebuild your life and get back to doing the things you love.
Daily life is likely to look a little bit different, but we’re here to help you recover well and enjoy life to the full.
Visit our Living with a Stroke Condition section for more information about how to manage your condition at home, how to stay well and reduce your risk of strokes.
Strokes & TIAs
You can make sure people with chest, heart or stroke in conditions Scotland get the support they need after returning home from hospital.
If you – or someone you know – needs help right now, we’re here for you.
Read our Essential Guides for more information.
Download our booklet Stroke: A Guide to Recovery in Hospital to find out more about the topics discussed on this page.
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Download our booklet Stroke: A Guide to Recovery at Home to find out more about the topics discussed on this page.
Download our booklet Stroke: TIA: Transient Ischaemic Attack to find out more about the topics discussed on this page.