What is a stroke?
A stroke is a medical emergency that occurs when an area of the brain doesn’t receive enough oxygen-rich blood to function properly. As a result, cells in the affected part of the brain no longer work. The loss of too many brain cells can cause permanent damage to your physical, cognitive and emotional health, including paralysis and memory loss. Strokes can also be fatal. If you or someone around you may be having a stroke, call 911 right away. A stroke needs immediate attention. Quick treatment can save a life and reduce the risk of serious complications. Don’t wait—every second matters.
Take our quiz to learn about your stroke risk and how to reduce it
Types of strokes
All strokes interrupt blood flow to part of the brain. However, why they occur varies, and the cause of a stroke plays a key role in how physicians treat this condition.
Most strokes occur because a blood clot or a deposit of a fatty substance called plaque prevents blood from reaching an area of the brain. In some cases, these blockages are temporary and clear up on their own.
Less commonly, an artery in the brain may leak or break, flooding part of the tissue with blood and causing cells to die under the pressure.
Types of stroke include:
Stroke symptoms
Stroke symptoms can affect your whole body, and they often occur without warning. The symptoms you experience depend on the area of the brain affected and the bodily functions that area controls.
In general, the sudden appearance of any one or combination of the following symptoms may indicate a stroke:
- Blurred vision, double vision or loss of vision
- Confusion
- Difficulty speaking or understanding others’ speech
- Facial drooping
- Intense headache
- Loss of balance or coordination
- Numbness or weakness on one side of the body
When to see a doctor
If you or someone else experiences stroke symptoms, even if they come and go, seek medical help immediately. Every second counts.
If you think someone may be having a stroke, B.E. F.A.S.T. and do the following test:
- Balance: Ask the person to stand. Look for sudden loss of balance or coordination.
- Eyes: Ask if they are experiencing double vision, blurriness, or sudden vision loss in one or both eyes.
- Face: Ask the person to smile. Look for a droop on one or both sides of the face.
- Arms: Ask the person to raise both arms. Look for one arm to drift downward or feel weak.
- Speech: Ask for the person to speak. Listen for slurred speech or difficulty finding words.
- Time: Call 911 right away. Note the time symptoms started—this helps doctors decide on the best treatment.
Stroke risk factors
A stroke can happen to anyone at any age, but certain factors increase your risk. While you can't change your age or family history, understanding your risk and making healthy choices can help lower your chances of having a stroke.
Certain factors you can control make up 80% to 90% of all strokes:
- High blood pressure
- Obesity
- Lack of physical activity
- Unhealthy diet
- Smoking
Both types of stroke—ischemic and hemorrhagic—share common risk factors like high blood pressure, diabetes and high cholesterol. However, some factors are unique to each type. For example, blood clots can form from heart conditions like coronary artery disease or atrial fibrillation, while bleeding can happen from taking blood thinners.
Other risk factors include lifestyle, genetics and your environment:
Age
Stroke risk increases as you get older
Ask the Expert: Stroke causes and risk factors
What causes a stroke? Can diabetes increase stroke risk? Do you know what to do if someone is having a stroke?
Lauren Fournier, MD, vascular neurologist on the Baylor Scott & White medical staff, answers common questions about stroke and shares signs of stroke to look for.
How is a stroke diagnosed?
Calling 911 is the most effective way to ensure doctors can diagnose a stroke and start treatment as quickly as possible. When you arrive in the emergency department, a team that includes an emergency medicine physician, neurologist and other providers will diagnose a stroke by looking at your symptoms, medical history and results from tests and exams. They will determine the type of stroke, what caused it, which part of your brain was affected, and whether there was any bleeding. If you’ve had a transient ischemic attack (TIA), your doctor will investigate the cause to help prevent a stroke in the future.
Stroke treatment
Your doctor will treat your stroke based mostly on two factors: type and time.
Treatment for an ischemic stroke typically focuses on breaking up a blood clot and restoring blood flow as quickly as possible. If you are having a hemorrhagic stroke, your doctor will want to reduce blood pressure and stop the bleeding as soon as possible.
Based on the information provided by the medical history, neurological exam, imaging exams and other tests, your stroke care team will decide on the most appropriate form of treatment that can protect your health and limit long-term damage.
Medication
Whether you had an ischemic or hemorrhagic stroke, medication will likely play a key role in treatment.
For an ischemic stroke, you may receive:
- Tenecteplase (TNK) or tissue plasminogen activator (tPA or alteplase): This injectable medication breaks up blood clots so blood can once again reach oxygen-starved areas of the brain. This clot-busting medication is most helpful if you receive it within four and a half hours after your symptoms begin. The sooner the medication is given, the more brain cells can be saved—leading to better outcomes.
- Anti-clotting medications: You may not be able to receive the clot-buster medication for certain medical reasons or if the window of time to administer it has passed. As a result, you may need medications to prevent or stop the growth of blood clots, like aspirin or clopidogrel.
For a hemorrhagic stroke, medication options include:
- Blood pressure medication: Lowering blood pressure in the brain can help stop the bleeding from a ruptured vessel.
- Prothrombin concentrate complex: This medication is sometimes used in people on blood thinners to help stop the bleeding.
- Vitamin K: In some cases, physicians use vitamin K, which helps blood clot and assists with stopping bleeding in the brain.









































