Stroke and cerebrovascular disease

Stroke is a medical emergency: it occurs when an area of the brain stops receiving blood, because an artery is blocked (ischaemic stroke) or a vessel ruptures (haemorrhagic stroke). Recognising the symptoms and acting immediately can change the outcome.

How to recognise a stroke

Symptoms appear suddenly. The most typical are:

  • drooping mouth or facial asymmetry;
  • weakness or loss of strength in an arm or leg, usually on one side;
  • difficulty speaking or understanding;
  • sudden loss of vision or double vision;
  • sudden unsteadiness with vertigo.

If these symptoms appear, call 112 immediately, even if they last only a few minutes and then disappear: a transient ischaemic attack (TIA) is an important warning sign.

Risk factors and prevention

The main modifiable risk factors are high blood pressure, smoking, diabetes, high cholesterol, atrial fibrillation, physical inactivity, excess weight and excessive alcohol consumption. Good control of these factors significantly reduces the risk.

After a stroke or TIA

Secondary prevention aims to prevent new events. It includes searching for the cause, antiplatelet or anticoagulant therapy when indicated, control of risk factors and regular check-ups.

Among the most useful tests are carotid and vertebral Doppler ultrasound and transcranial Doppler, brain MRI and CT, with study of the vessels when necessary.

Neurological visit in Milan, Osio Sotto (Bergamo) and Pistoia

Dr. Raffaello Bonacchi, neurologist and neuroradiologist, sees patients in Milan, Osio Sotto (Bergamo) and Pistoia, and also offers online consultations with review of tests and images already performed.

Frequently asked questions

What is a TIA?

A transient ischaemic attack is an episode with stroke symptoms that resolve within a short time. It should be considered an emergency, because it increases the risk of stroke in the following days.

The information on this page is for general information only and does not replace a medical visit. For sudden or severe symptoms call 112 or go to the Emergency Department.