Clinical manifestations of stroke

Written by Zhang Hui
Neurology
Updated on January 27, 2025
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Firstly, the patient may experience aphasia, such as not understanding others' conversations and being unable to accurately express their own opinions. Signs of facial paralysis, such as a skewed mouth, drooling, and nasolabial fold, may also appear. Secondly, limb paralysis is a common clinical symptom, generally presenting as hemiplegia. There may also be hemisensory disturbances, such as numbness on one side of the body. Thirdly, patients may experience a decline in cognitive functions, exhibiting slow reactions, reduced memory capabilities, and decreased computational skills. If a stroke affects the posterior circulation, the patient may experience symptoms such as dizziness, double vision, and hemianopia.

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Written by Tang Bo
Neurology
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Is a stroke a cerebral infarction?

Stroke includes cerebral infarction. Stroke is divided into ischemic stroke and hemorrhagic stroke. Therefore, ischemic stroke is cerebral infarction, and hemorrhagic stroke is cerebral hemorrhage. Thus, one cannot say it is solely a cerebral infarction; it includes cerebral infarction. If symptoms of stroke appear, such as unclear speech or limb weakness, it might be either hemorrhagic or ischemic stroke. In such cases, it is crucial to seek medical attention immediately. For hemorrhagic stroke, one should visit the neurosurgery department, and for ischemic stroke, the neurology department is appropriate. Initially, a CT scan should be performed to make a clear diagnosis.

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Written by Liu Yan Hao
Neurology
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Can a stroke be detected through a physical examination?

Patients who have suffered a stroke can definitely be diagnosed if they undergo a head CT scan or MRI during a physical examination. Stroke is classified into hemorrhagic stroke, ischemic stroke, and tumor-induced stroke. A tumor-induced stroke is caused by a tumor, and hemorrhagic stroke includes cerebral hemorrhage and subarachnoid hemorrhage. Ischemic stroke refers to diseases such as cerebral embolism and cerebral infarction. Whether it is a hemorrhagic or ischemic lesion, over time, they tend to form a softening focus. These lesions are difficult to eliminate, and regardless of how many years have passed, these old lesions can still be seen in a head CT scan or MRI. In cases of stroke caused by brain tumors, the changes in size and location of the lesion can also be clearly seen on a head CT scan. Therefore, strokes can be diagnosed during a physical examination of the patients.

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Written by Zhang Hui
Neurology
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Main manifestations of pre-stroke warning signs

The precursor of cerebral thrombosis in neurology is called transient ischemic attack (TIA). As the name suggests, this is a transient disease, mainly characterized by symptomatic speech impairment, facial droop, drooling, episodic dizziness, blurred vision, and episodic numbness and weakness of limbs. These symptoms are generally transient, usually lasting from several minutes to a few hours and can be completely relieved. The precursor of cerebral thrombosis is regarded as an emergency in neurology and must be treated promptly. Delayed treatment can possibly progress to cerebral infarction, severely affecting the patient's quality of life and physical health. In considering this disease, one must immediately rush to the hospital for appropriate treatment with antiplatelet drugs, lipid-regulating drugs to stabilize plaques, and treatments such as volume expansion and fluid supplementation.

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Written by Tang Ying
Physical Medicine and Rehabilitation
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What is the goal of rehabilitation during the acute phase of a stroke?

Rehabilitation goals during the acute phase of stroke. In the acute phase, we usually can intervene with rehabilitation treatment 48 hours after the patient’s vital signs have stabilized. The main goals of rehabilitation during the acute phase are to prevent complications such as pressure ulcers, atelectasis pneumonia, urinary tract infections, deep vein thrombosis, and muscle atrophy. Additionally, it aims to improve impaired neurological functions such as sensory, motor, and speech therapies, and to enhance the patient’s ability for self-care and mobility.

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Written by Tang Bo
Neurology
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The difference between stroke and cerebral hemorrhage

Stroke includes hemorrhagic stroke and ischemic stroke. Hemorrhagic stroke refers to cerebral hemorrhage, and ischemic stroke refers to cerebral infarction. Thus, they are included in the category of stroke. If symptoms similar to stroke occur, such as facial droop and limb weakness, along with a sudden increase in blood pressure, it is essential to go to the hospital immediately. The first step should be a cranial CT scan to determine whether it is a hemorrhagic or ischemic stroke, to guide further different treatments. Therefore, one must go to the hospital promptly if such symptoms appear.