What are the symptoms of stroke?

Nov 13, 2024 Source: Cainiu Health

Dr. Lv Zhiqin

Introduction

In general, stroke is also known as cerebrovascular accident. Symptoms of stroke patients include hemiplegia, aphasia, homonymous hemianopia, dysphagia, and impaired consciousness. If any discomfort occurs, timely medical consultation is recommended. Specific analysis is as follows: Hemiplegia refers to motor dysfunction in the upper and lower limbs on one side of the body in stroke patients, with coordination and accuracy of movement also affected, resulting in clumsy and unsmooth movements.

Stroke generally refers to cerebrovascular accident (CVA), whose symptoms typically include hemiplegia, aphasia, homonymous hemianopia, dysphagia, and impaired consciousness. If any discomfort occurs, prompt medical attention is recommended. Specific details are as follows:

1. Hemiplegia

Patients with stroke may experience motor dysfunction in one upper and lower limb. Coordination and accuracy of movement are also affected, resulting in clumsy, unsmooth motions, manifesting as muscle weakness, restricted movement, or complete inability to move.

2. Aphasia

Stroke can lead to motor aphasia, characterized by difficulty in verbal expression; sensory aphasia, involving difficulty understanding language; and naming aphasia,表现为 an inability to recall the names of objects.

3. Homonymous Hemianopia

This results from damage to the optic tract or optic radiation. Patients may simultaneously lose vision in either the right or left half of the visual field in both eyes, impairing spatial perception, orientation ability, and safety during daily activities.

4. Dysphagia

In patients with dysphagia, the swallowing reflex may be delayed or fail to initiate effectively. Food tends to remain in the pharynx, leading to coughing, choking, or aspiration. Eating becomes slow and food intake decreases, which may result in malnutrition, dehydration, and other complications. Severe cases may require nutritional support via nasogastric tube feeding or gastrostomy.

5. Impaired Consciousness

Stroke patients may present with drowsiness, stupor, or coma. Most awareness is lost; although they cannot be awakened, they may show facial expressions of pain and avoidance responses to painful stimuli. They may exhibit unconscious spontaneous movements, while basic physiological reflexes remain intact and vital signs show no significant changes.

Patients should adhere to medical instructions regarding medication, control blood pressure, blood glucose, and lipid levels; engage in rehabilitation training progressively; maintain a light diet and avoid smoking and alcohol; undergo regular follow-up examinations; and maintain emotional stability.

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