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Stroke: recognise the symptoms and act fast

What is a stroke?

A stroke (also called a cerebral infarction or apoplexy) is always a medical emergency. Every minute counts: at the first signs, call the emergency number 144 immediately.

In a stroke, the blood supply to the brain is suddenly disrupted. As a result, certain areas of the brain no longer receive enough oxygen. The consequence: important body functions fail, depending on which area is affected.

In about 80% of cases, it is a so-called ischaemic stroke. Here, a blood vessel in the brain is blocked by a clot.

In around 20% of cases, there is a brain haemorrhage (haemorrhagic stroke). Here, a vessel bursts, and the escaping blood increases the pressure in the brain and damages the tissue.

Both forms can lead to serious neurological deficits.

Recognising the symptoms of a stroke

The symptoms usually appear suddenly and often affect only one side of the body.

Typical signs are:

  • Paralysis or weakness on one side (arm, leg or face)
  • Numbness or tingling
  • Drooping corner of the mouth
  • Speech disorders or slurred speech
  • Problems finding or understanding words
  • Dizziness, unsteadiness when walking
  • Visual disturbances or double vision
  • Sudden severe headache

Important: the symptoms often appear on the opposite side of the body to the affected half of the brain.

Recognising a stroke early: the FAST test

With the FAST test, you can quickly check whether someone is having a stroke:

  • Face: ask them to smile. Does one corner of the mouth droop?
  • Arms: ask them to raise both arms. Does one arm drift down?
  • Speech: ask them to repeat a simple sentence. Does their speech sound slurred?
  • Time: call 144 immediately if any of these signs is present

Don’t hesitate: acting fast can save lives and reduce long-term damage.

Causes of a stroke

Ischaemic stroke

Here, a vessel in the brain is blocked. Common causes:

  • Arteriosclerosis (hardening of the arteries)
  • Formation of a blood clot (thrombus)
  • Embolism from the heart (e.g. with heart rhythm disorders)

Haemorrhagic stroke

Here, bleeding occurs in the brain. The most common trigger:

  • High blood pressure, which damages the vessels over time

What to do in an emergency

If you notice signs in yourself or others:

  1. Call the emergency number 144 immediately
  2. Describe the symptoms clearly
  3. Reassure the affected person
  4. Stay with the person until help arrives

Treatment takes place directly in a specialised stroke unit or hospital.

There, a CT or MRI is used to quickly determine whether there is a blocked vessel or a bleed, because the treatment is fundamentally different.

Risk factors for a stroke

Some factors you cannot influence:

  • Age (increased risk from around 60)
  • Genetic predisposition

However, many important risk factors are in your hands:

  • Smoking
  • High blood pressure
  • Diabetes
  • Raised blood lipids
  • Being overweight
  • Lack of exercise
  • High alcohol consumption
  • Chronic stress

Preventing a stroke: what you can do yourself

Movement in everyday life

Regular exercise protects your blood vessels:

  • At least 2.5 hours of moderate activity per week
  • Alternatively 1.5 hours of intense exercise
  • Every step counts: even small changes make a difference

Suitable activities:

  • Walking, cycling, gardening
  • Jogging, fitness training, more intense sports

Healthy lifestyle

  • Stopping smoking reduces the risk significantly
  • Keep an eye on blood pressure, blood sugar and blood lipids
  • Regular medical check-ups

Nutrition for healthy blood vessels

Follow a Mediterranean diet:

  • Plenty of vegetables and fruit
  • Wholegrain products and pulses
  • Healthy fats (e.g. olive oil)
  • Fewer highly processed foods

Reduce stress

Short-term stress is normal, but long-term stress can increase the risk.

Helpful are:

  • Regular breaks
  • Exercise as a balance
  • Relaxation (e.g. walks, reading)
  • Enough sleep

Medical check-up

If you are unsure or have symptoms such as palpitations, you should seek medical advice. Detecting risk factors early can be crucial.

Therapy and rehabilitation after a stroke

After acute treatment, rehabilitation begins: a crucial step back into everyday life.

At KINEO, we rely on patient-centred, evidence-based and individually tailored care to support you as well as possible.

Our physiotherapy focuses:

  • Relearning movements
  • Improving strength and coordination
  • Balance training to prevent falls
  • Everyday-oriented training for more independence

Our goal: to guide you step by step back to as self-determined a life as possible.

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Conclusion

A stroke is a life-changing event, for those affected and their families. But quick help, targeted therapy and an active lifestyle can achieve a lot.

The sooner you recognise symptoms and act, the better the chances of recovery.

At KINEO, we accompany you on this path, with expertise, empathy and a clear focus on your individual goals.

You don’t have to walk this path alone.

Stroke FAQ

1. How can I recognise a stroke quickly?

With the FAST test: check face, arms and speech, and if anything is abnormal, call 144 immediately.

2. What is the difference between a cerebral infarction and a brain haemorrhage?

In a cerebral infarction, a vessel is blocked; in a brain haemorrhage, a vessel bursts.

3. Can a stroke be prevented?

Yes, through exercise, a healthy diet, stopping smoking and controlling risk factors.

4. How important is fast treatment?

Extremely important: every minute determines the extent of possible damage.

5. How does physiotherapy help after a stroke?

It helps you relearn movements and regain your independence in everyday life.

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