Subjective with signs of transient cerebral ischemia, man paralyzed on one side

GĐXH – According to doctors, transient ischemic attack is also known as transient cerebrovascular accident, the symptoms are quite similar to stroke but do not last long so it is often overlooked, leading to many unfortunate consequences.

Information from the Vietnam-Sweden Uong Bi Hospital said that this unit has just received a patient who was admitted to the hospital due to complete paralysis of the left side of the body and a crooked mouth in the 7th hour of illness.

Specifically, the male patient D.VN, 71 years old, had a history of high blood pressure. It is known that Mr. N had previously shown similar symptoms and was admitted to the hospital. Here, after about 60 minutes, the symptoms recovered. Although the doctors explained the risks, the family insisted on going home because they thought the disease was not serious.

However, after returning home for about 4 hours, Mr. N's limbs and mouth were weak and his condition was getting worse. At this time, his family took him back to the hospital. After examination, the patient was diagnosed with a cerebral infarction but the "golden time" for interventional treatment to revascularize the blood vessels had passed.

As a result, the patient's brain damage left him with complete paralysis of the left side of his body, a crooked mouth, difficulty eating and speaking.

Being subjective with transient cerebral ischemia, many people come to the hospital late, experiencing unfortunate accidents. Illustrative photo.

According to Dr. Dang Thi Thu Vy, Head of the Department of Neuropsychiatry - Musculoskeletal, Vietnam - Sweden Uong Bi Hospital, the initial symptoms of patient N. were signs of a transient ischemic attack - a warning of the risk of stroke. However, due to subjectivity, the family missed the best treatment time. As a result, the patient suffered from serious complications.

Do not be subjective with transient ischemic attack

Dr. Tran Xuan Thuy, Department of Neurovascular Intervention, 108 Central Military Hospital, said that a transient ischemic attack is a temporary reduction or loss of localized blood supply to the brain, manifested by localized neurological symptoms that occur suddenly and typically recover completely within 24 hours. Most transient ischemic attacks usually last less than 5 minutes and on average last about a minute.

Because the symptoms are transient, people often ignore them and do not go to the hospital. While these attacks can progress to become a real stroke, about 15% of patients with a transient ischemic attack have a stroke within the next 3 months. Half of them (7%) have a stroke within 48 hours.

According to doctors at the Stroke Department, Institute of Neurology, 108 Central Military Hospital, transient ischemic attacks carry the risk of imminent real strokes. If patients and their families recognize the warning signs of danger and go to the hospital early, unwanted consequences can be avoided.

However, in reality, most patients come to the hospital late, missing the "golden hour" for treatment. Right at the Stroke Department, doctors often record unfortunate cases when patients "felt a little numb and weak the night before, so they thought it was okay, and planned to go to the doctor the next day, but when they woke up in the morning, they couldn't walk anymore."

Transient ischemic attack has symptoms that begin suddenly, clearly with 4 characteristic signs as follows:

- Facial signs: When the two sides of the face look asymmetrical, one side of the face often sags.

- Voice signs: Patients have difficulty opening their mouth to pronounce words, in many cases they cannot speak clearly or speak long sentences.

- Signs in the hands: The patient has weakness or numbness in the hands, which can occur on one or both sides. When trying to move, the hands may fall down uncontrollably.

Through the symptoms of the disease, it is difficult to distinguish between a patient with a transient ischemic attack or a stroke.

Source: Department of Stroke, Institute of Neurology, 108 Central Military Hospital.

Transient ischemic attack is a short form of neurological dysfunction, causing symptoms similar to a stroke but usually lasting less than 1 hour. Therefore, this condition is less dangerous than a stroke, but should not be taken lightly, patients need to be closely monitored and treated to minimize possible sequelae.

Some studies have shown that the rate of stroke recurrence after a transient ischemic attack is very high, in the first 90 days it is 17.3%, especially in the first days it is 5.1%, the first week is 8.0%. If there is a recurrence, the risk of severe sequelae is about 30%, the patient cannot move independently when discharged from the hospital.

Therefore, experts recommend that when detecting any warning signs of a transient ischemic attack, an ambulance should be called to take the patient to the hospital as soon as possible. Although it rarely causes serious neurological damage, if intervention is not performed or delayed, the patient will still face long-term consequences.

Patients need to clearly understand the symptoms of the disease, have effective prevention methods and early detection, timely intervention, and avoid unfortunate complications that may occur.

Source: https://giadinh.suckhoedoisong.vn/nguoi-dan-ong-bi-liet-nua-nguoi-vi-bo-lo-thoi-gian-vang-va-he-luy-dang-tiec-172241230110706996.htm