The physical damage stroke causes to the brain can have a wide range of
effects. These will depend on the type of stroke and its severity, the
part of the brain affected, the extent of brain damage and how quickly
other brain cells take over the function of the damaged and dead ones.
Around a third of strokes are fatal...
Effects may include:
- Weakness or paralysis, leading to
difficulties with walking, movement or coordination. This often affects
only one side of the body, known as hemiparesis or hemiplegia.
- Lack
of feeling or loss of awareness of objects on one side of the body,
known as left or right-sided neglect, depending on the side affected.
- Swallowing
difficulties, which can cause trouble with eating or drinking. If this
isn't managed, and food or liquid passes into the windpipe and lungs,
it can result in chest infections such as pneumonia. Dehydration or
constipation may also result.
- Speech or language difficulties,
including difficulties in understanding, speaking (dysphasia, aphasia),
reading, writing and calculation. Speech and language problems usually
indicate damage to the left hemisphere of the brain.
- Problems
of perception, including trouble recognising or being able to use
everyday objects, difficulties telling the time and problems
interpreting what the eyes see, even when vision isn't affected.
- Cognitive
difficulties, including problems caused by damage to areas of the brain
controlling mental processes such as thinking clearly and logically,
learning, paying attention, memory, decision making and forward
planning.
- Behaviour changes, which may include being slower
to react than before the stroke, excessive caution, disorganisation,
difficulties adjusting to change and becoming confused or irritated.
- Difficulties
with bowel or bladder control (urinary or faecal incontinence). These
may be caused by a variety of different problems following stroke and
can often be considerably improved or overcome with medical help and
physiotherapy.
- Fatigue. Although a recognised phenomenon, the
reason for fatigue isn't fully understood. There may be sleep
disturbance caused by damage to areas of the brain controlling the
body's sleep-wake cycle. It could also be linked to depression.
- Mood
changes, including mood swings, irritability and laughing or crying,
even when you don't feel particularly happy or sad. Depression is
extremely common, with symptoms such as loss of appetite, insomnia,
crying, low self-esteem and anxiety.
- Post-stroke pain. A small number of people develop a burning, shooting, throbbing pain that won't respond to painkillers.
- Epilepsy affects around seven to 20 per cent of people who have strokes. This can usually be treated with anti-epileptic drugs.
This list may seem long and daunting, but most people who have strokes don't experience all of them. With time, patience and specialist help many can be treated, overcome or reduced.
Short-term
effects disappear with time as any swelling in the brain goes down and
the damaged cells surrounding the dead brain cells are repaired.
Long-term
effects are caused by the death of brain tissue. They won't go away,
but they can often be modified with rehabilitation.
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