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FAST is less reliable in the recognition of posterior circulation stroke. [21] Other symptoms include those that indicate a rise in intracranial pressure caused by a large mass (due to hematoma expansion) putting pressure on the brain. [15] These symptoms include headaches, nausea, vomiting, a depressed level of consciousness, stupor and death. [7]
Initial symptoms include restlessness, agitation, malaise, or a fixed stare. Then comes the more characteristically described extreme and sustained upward deviation of the eyes. In addition, the eyes may converge, deviate upward and laterally, or deviate downward.
Focal injuries typically have symptoms that are related to the damaged area of the brain. [3] Stroke can produce focal damage that is associated with signs and symptoms that correspond to the part of the brain that was damaged. [1] For example, if a speech center of the brain such as Broca's area is damaged, problems with speech are common.
Ocular flutter is an opsoclonic disorder that results in horizontal saccades. [ 1 ] It is caused by damage to the brainstem paramedian pontine reticular formation cells or the cerebellar neurons controlling those cells.
Symptoms of a brainstem stroke frequently include sudden vertigo and ataxia, with or without weakness. Brainstem stroke can also cause diplopia, slurred speech and decreased level of consciousness. A more serious outcome is locked-in syndrome. [citation needed]
The most common presentation of cerebrovascular disease is an ischemic stroke or mini-stroke and sometimes a hemorrhagic stroke. [2] Hypertension (high blood pressure) is the most important contributing risk factor for stroke and cerebrovascular diseases as it can change the structure of blood vessels and result in atherosclerosis . [ 5 ]
If the appearances are not typical, other causes for the symptoms and the imaging abnormalities need to considered before PRES can be diagnosed conclusively. [4] In many cases there is evidence of constriction of the blood vessels (if angiography is performed), suggesting a possible overlap with reversible cerebral vasoconstriction syndrome (RCVS).
Pediatric stroke is a stroke that occurs in children or adolescents. Stroke affects an estimated 2.5 to 13 per 100,000 children annually. [1] The signs and symptoms of stroke in children, infants, and newborns are different from those in adults. The causes and risk factors of stroke in children are also different from those in adults. [2]