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Cerebral infarction, also known as an ischemic stroke, is the pathologic process that results in an area of necrotic tissue in the brain (cerebral infarct). [1] In mid to high income countries, a stroke is the main reason for disability among people and the 2nd cause of death. [2]
A transient ischemic attack (TIA), commonly known as a mini-stroke, is a temporary (transient) stroke with noticeable symptoms that end within 24 hours. A TIA causes the same symptoms associated with a stroke, such as weakness or numbness on one side of the body, sudden dimming or loss of vision, difficulty speaking or understanding language or slurred speech.
A CT scan can rule out bleeding, but may not necessarily rule out ischemia, which early on typically does not show up on a CT scan. [10] Other tests such as an electrocardiogram (ECG) and blood tests are done to determine risk factors and possible causes. [9] Low blood sugar may cause similar symptoms. [9]
Neurological examination should be performed and new neurological deficit should be documented. Significant neurological changes should be evaluated with MRI scan or a repeat cerebral angiography to rule out acute stroke or vessel dissection. Painkiller should be administered if there is any puncture site pain. [8]
The nutrition scientist Tim Spector had a stroke in 2012 and learned he had high blood pressure. He made dietary changes to lower his blood pressure, which he shared with Business Insider.
For example, if the only presentation is a deviating laboratory parameter and all common harmful underlying conditions have been ruled out, then it may be acceptable to stop finding more candidate conditions, but this would much more likely be unacceptable if the presentation would have been severe pain.
BE-FAST has shown promise and is currently being studied as an alternative method to the FAST acronym. [5]B - balance degradation - increase in difficulty of maintaining balance while walking (especially when using stairs or changing direction), or standing (especially when standing on one foot); now needing assistance using a hand on something such as a hand-rail or cane.
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