Update: November 2018
In official medicine, there is no such thing as a microstroke.
exists. There is only one specific diagnosis – stroke, when
in acute violation of cerebral circulation, the person literally
a few hours or minutes neurological occurs
symptoms, either cerebral or focal.
But in practice, often a microstroke, a mini-stroke are terms that
who use both doctors and patients. Let’s see what it is
such as it occurs and what signs indicate that
the man had a microstroke.
What is a microstroke
sharp narrowing (ischemic) small vessel. It is often confused with
transient ischemic attack when the nutrition of the brain deteriorates
brain, leading to the temporary appearance of neurological
symptoms of brain disorders. The attack is always reversible and not
brings the brain tissue to necrotic changes. It can last
from several minutes to days. With microstroke necrotic
tissue changes are minimal, but they are completely reversible
There is no process, although after it the patient can pretty well
compensated and recover.
Most often transient ischemic attack occurs due to
a blood clot that leads to a temporary blockage or restriction
blood supply to any part of the brain, but usually only
small vessels, and when the blood flow is restored, then
�“Stroke-like” signs disappear. With a true stroke
the affected vessel or several vessels remain
In fact, a microstroke is the same stroke, only striking
small vessels of the brain, so the violation is hardly noticeable, and
recovery is fast.
The insidiousness of a micro-stroke is that a person does not
guesses what happened, and this is the first signal,
warning that there is a real risk
serious stroke in the future.
Establish that the person had a pinpoint hemorrhage in
the brain can only be the result of postmortem research
(see simple stroke risk test).
Risk factors and causes of microstroke
Many people mistakenly believe that stroke and microstroke
affects people over 45, however, the risk of developing this formidable
diseases increase after 30 years, especially
meteorological people in a state of chronic stress,
overwork, with immense physical exertion. Besides
There are a number of diseases that increase the risk of developing
Ischemic microstroke is:
- Hypertension (especially in hypertensive crises)
- Atherosclerosis of cerebral vessels (see elevated cholesterol
- Atrial fibrillation, tachyarrhythmia and bradyarrhythmia
- Myocardial infarction
To provoking risk factors for the development of point hemorrhages in
The brain also include:
- Age. With age, the risk increases significantly, especially
after 60 years. But today, with other provocative
factors and associated diseases the risk increases already after 35
- Overeating, obesity, overweight, poor nutrition,
eating large amounts of fatty foods.
- Sedentary lifestyle, sedentary work, lack of
- Alcohol abuse
- Weather sensitivity
- Excessive Exercise
- Chronic overwork and stress
The cause of a microstroke is a spasm of small blood vessels.
vessels that feed the brain, therefore, because of the point
hemorrhage part of the cells die. The process of cell death
the brain with a microstroke takes an average of 6 hours, and
then there is a gradual recovery of the damaged area
The main symptoms of microstroke
The signs of a microstroke are identical to the symptoms of a serious stroke,
therefore, when the following ailments appear, the person should
take a fixed position, lift the head, put cold
towel on the forehead, provide fresh indoor air and cause
�”Ambulance.” The main symptoms include:
- Numbness of face and limbs
- Dizziness and sudden intense headache (see
headache in the forehead)
- Sharp increase in blood pressure
- Violation of coordination of movements, problems when walking
or keeping balance
- Hypersensitivity to bright lights and loud sounds
There may also be additional symptoms:
- General weakness – a feeling of stupidity, weakness,
- Possible, but not necessary – short-term loss
- Short-term vision loss
- Problems with speech, difficulty in pronunciation and understanding
Даже если проявляются лишь 4-5 из пеspeechesсленных признаков
microstroke, this is the reason for immediate
medical examination and assistance.
Micro strokes do not pass unnoticed: several such small
cerebrovascular accident leads to oppression
intellectual function down to dementia (dementia).
First of all – this is tomography. By tomographs now
all decent vascular centers are equipped, and the study accurately
differentiates stroke diagnosis from transient ischemia or volumetric
neoplasms in the brain.
When a microstroke is very important in time to provide medication
medical assistance. Therapy can only be effective in the first
3 hours after the onset of characteristic symptoms, therefore, the sooner
the person will be delivered to the hospital, the faster he
will help, the greater the chance for the patient to complete
recovery. If after a microstroke more than 6 hours passed,
any therapy will be ineffective.
To restore blood flow in the affected area of the head
brain use the following drugs:
- Anticoagulants. Straight lines (Heparin). Low molecular weight heparins,
nadroparin (fraksiparin), enoxiparin (clexane), dalteparin
(fragmin). Indirect – warfarin, cincumar, neodicoumarin.
- Disaggregant. Acetylsalicylic acid (aspirin-cardio,
ThromboASS, aspilate). With its intolerance – clopidogrel,
- Vasoactive drugs. Pentoxifylline, Vinpocetine, Trental,
- Low molecular weight dextrans. Reopoliglyukin, reomakrodeks.
- Hypotensive. Применяют при АД > 180/105 мм.рт.ст.
ACE inhibitors (enalapril, captopril). Calcium channel blockers
- Neuroprotectors. With a low level of evidence of effects,
applied in practical neurology. 1. Antagonists of glutamate
(magnesium preparations). 2. Glutamate inhibitors (glycine, semax). 3
Nootropics (Cerebrolysin, Piracetam). 4. Antioxidants (vitamin E,
- In the recovery period, the patient is shown – massage,
respiratory gymnastics, physical therapy, diet,
Very interesting research by American
scientists have proven that the use of pine cones for stroke,
значительно сокращают последствия разрушения клеток the brain. therefore
everyone who is at risk for a microstroke, stroke, yes
just to everyone who cares about their health, especially people after 40
years, for preventive purposes it is possible to conduct courses of such therapy,
using infusion or tincture of pine cones. More about this
in our article.
Consequences of a microstroke
Most often after transient disorders of cerebral circulation
noticeable immediate consequences do not happen. However, in some people
after a microstroke, such disturbances may occur
as – memory impairment, loss of concentration,
distraction, irritability may also occur,
depression, tearfulness or vice versa aggressiveness.
But there are times when literally over the next 3 days
after a point hemorrhage, the patient has a serious
hemorrhagic or ischemic stroke. According to statistics in 60%
cases after a micro stroke comes repeated transient
ишемическая атака головного the brain. And, accordingly, the consequences
The transferred violation of cerebral circulation should serve
reason to think about your health and changing your image
of life. Normalize rest and work, physical activity,
stop smoking and alcohol, diet, every 2-3 years
undergo medical examination to diagnose and treat on time
Coronary artery disease, arrhythmias, hypertension, atherosclerosis, sugar
diabetes and other diseases.