Stroke

Signs & Symptoms

Signs

  • Weakness or numbness
    Sudden weakness or loss of strength in one side of the face or limbs, slowness in reactions, which are related to numbness. Slanted face, drooling and difficulty in swallowing food.
  • Difficulty in talking or understanding
    Suddenly stop talking, unclear pronunciation or difficulty in understanding, lost in thought. Often there is difficulty in understanding what other people are saying. Speech kind of becomes like word salad which isn’t understandable.
  • Difficulty in seeing
    Loss of eyesight in one or both eyes, but in some cases, it could be for a short time. Sometimes, the viewing range is left to only half.
  • Headache
    Really severe head pain like never before
  • Dizzyness, loss of balance, and loss of coordination in limbs
    Loss in balance, difficulty in walking, falling without reason

Provided by Dr. Thomas Ho

 

Risk Factors
Factors that cannot be changed:Taking blood pressure reading

  • Age
  • Gender
  • Family medical history
  • Race
  • History of having strokes or small stroke

Factors that can be changed:

  • High blood pressure
  • High cholesterol
  • Diabetes
  • Atrial fibrillation
  • Overweight
  • Smoking
  • Excessive drinking of alcohol
  • Lack of exercise
  • Stress

The more risk factors you have, the more there are chances of you having a stroke.

Provided by Dr. Samuel Yip and Dr. Thomas Ho


Treatment in Emergency

Signs of stroke - These can be treated if you take action (FAST).

  • Face: Does the face appear slanted?
  • Arm: Is one arm hanging low?
  • Speech: Is speech slurred?
  • Time: Call 911!

Reach the ER within 2 hours!
Don’t wait until the symptoms have cleared! The best thing to do is call 911!
Paramedics can immediately begin treatment on the way to the hospital. They can also notify the hospital of the patient, thereby have the appropriate further examination and treatment at standby. This approach is a better option rather than the patient going to the emergency themselves.

In the emergency, the health care team will look for signs of stroke, will ask about when the stroke occurred so that a C.T. scan can be done quickly and a stroke specialist team can be contacted.

Why is a C.T. scan required immediately?
A C.T. scan is really beneficial in assessing the severity of the abnormal changes due to stroke.  A C.T. scan also help us find out if there has been bleeding, how much space has been impact, what the level of impact is and so forth.

What information can help the treatment start faster?
The following information will be useful if given a health care team.

  • The time of stroke
  • Signs (suddenly, first time or it has occurred before too and normal state)
  • Other diseases
  • Medications and allergies (such as blood thinners, herbal medications, etc.)

Resuming breathing: artificial respiration, giving air through breathing devices (defibrillation)

Information provided by Dr. Kendall Ho