Understanding Your Stroke:
A Guide for Patients and Families

What Happens During Stroke

Stroke, also called cerebral vascular accident, or CVA, occurs when blood supply to a region of the brain is interrupted. A stroke occurs when a clot blocks an artery, cutting off oxygen to the brain. These clots are called thrombus or embolism. Brain tissue deprived of oxygen dies within a few minutes. As a result, the part of the body controlled by those brain cells does not work properly. A stroke can affect the senses, speech, behavior and even memory. Strokes may also occur from a hemorrhage, a small leak from an artery directly into the brain tissue. The blood clot presses on the surrounding tissue, resulting in increased blood pressure in the brain. The doctors and nurses will sometimes call this hemorrhage "a bleed." The result is brain injury.

Signs of a Stroke

A stroke's warning signs may come on suddenly or they may develop over hours or days. If you experience any of the following symptoms, even briefly, notify your nurse or doctor immediately.

  • weakness in one side of the body
  • numbness in the face, arms or legs
  • loss of vision.
  • slow speech or trouble talking or understanding speech.
  • severe headache
  • dizziness, unsteadiness or falls

This guide was developed by Rhode Island Hospital neuroscience nurse Beverly Burgess, RN. Information in this section is provided by the hospital's neuroscience nursing staff.

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