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Numbness In The Arm, Face, And Leg Could Indicate A Stroke: Warning Signs To Watch Out For

Regular health check-ups, controlling risk factors like hypertension, smoking, and high cholesterol, and lifestyle changes can prevent strokes.

Numbness In The Arm, Face, And Leg Could Indicate A Stroke: Warning Signs To Watch Out For
Recognizing The Early Signs Of Stroke: F.A.S.T. Saves Lives
VerifiedMedically Reviewed By: Dr Santhosh N S, Consultant – Neurology, Manipal Hospital Whitefield

Written by Tavishi Dogra |Updated : November 10, 2024 8:54 AM IST

Stroke can happen to anyone, usually at any age or time, and everyone must know the warning signs. Sudden confusional state, dysarthria, difficulty in pronunciation or speaking or understanding speech (aphasia) also suggest stroke. Sudden vision complaints like trouble seeing in one or both eyes, double vision, imbalance in walking, sudden onset vertigo, swaying while walking to one side, or lack of coordination also suggest stroke. Severe unexplained headaches with no apparent cause can also be a manifestation of stroke.

Lifestyle Risk Factors

Being obese, lack of physical activity, cigarette smoking or second-hand smoke exposure, and heavy alcohol consumption can lead to stroke. Medical conditions like hypertension, uncontrolled diabetes mellitus, obstructive sleep apnea, heart failure, or irregular heart rhythm, such as atrial fibrillation, can lead to stroke. The COVID-19 infection can also lead to strokes apart from the above causes, especially after age 55 or older.

Stroke Symptoms FAST

During a stroke, every second counts. Use FAST pneumonic to identify stroke patients, which means:

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  1. F = Face Drooping face droop or numbness of face/ facial asymmetry, often on one side.
  2. A = Arm Weakness one arm weakness or numbness. Ask the person to raise both arms. Does one arm drift downward?
  3. S = Speech Difficulty slurred speech.
  4. T = Every minute counts.

There are mainly two types of stroke. Artery in the brain (85% of strokes are ischemic) causes a hemorrhagic stroke. (15% of strokes are hemorrhagic strokes). 18 % of TIA patients might have a stroke as well. 50% of TIA can have a tiny stroke to be detected in MRI imaging. It might be a warning sign of a more significant stroke. So, TIAs also should be treated and investigated like a stroke. Silent strokes do happen in almost 1/4 of patients over 80 years of age.

Management Of Stroke

Early presentation is critical to the early start of therapy, so acute ischemic stroke patients should reach the hospital within the first 60 minutes after onset for better outcomes. Most of the stroke management is bound. The first 6 hours of stroke are the most important; the earlier, the better in acute ischemic stroke. Over the last few years, the advances in stroke treatments/management have significantly improved patients' survival rates.

Conclusion

Therapeutic yield is highest in the first minutes after symptom onset and decreases rapidly over the next 4.5 hours. Early intervention can reduce long-term damage and improve the quality of life in stroke. Regular health check-ups, controlling risk factors like hypertension, smoking, and high cholesterol, and lifestyle changes can prevent strokes.

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