Northwest Arkansas Democrat-Gazette

What is a silent stroke

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The brain is a complex organ responsibl­e for controllin­g many different bodily functions. When working at optimal capacity, the brain is a wonder to behold. When illness or trauma affects the brain, various parts of the body may not work as they should.

One of the more devastatin­g things that can affect the brain is stroke. Stroke describes a sudden stoppage of blood from reaching the brain. Harvard Medical School states that if a large number of brain cells are starved of blood supply, they can die. With their demise, a person’s memory and ability to speak and move can be compromise­d.

While many strokes come on suddenly, certain factors may indicate a person is at risk. Such factors may include prior heart attacks, genetics, high blood pressure, smoking, or a prior stroke. However, in a particular type of stroke - a “silent stroke” - symptoms are far more subtle and difficult to spot.

Silent cerebral infarction, often referred to as “SCI” or “silent stroke,” is a brain injury likely caused by a blood clot interrupti­ng blood ow to the brain, offers the American Stroke Associatio­n. Silent strokes increase risk for other strokes and can be a sign of progressiv­e brain damage. A silent stroke is typically only noticed as a side component of an MRI of the brain. Many times patients do not recall having a stroke and never felt any symptoms. Silent strokes should not be mistaken for mini-strokes. Mini-stroke is a brief but discrete and memorable event, with symptoms appearing for a few minutes or a few hours.

According to a study on silent stroke titled “Functional and Cognitive Consequenc­es of Silent Stroke Discovered Using Brain Magnetic Resonance Imaging in an Elderly Population” and published in the Journal of American Geriatrics Society, silent strokes are quite common and can have serious consequenc­es. Researcher­s have found that silent stroke is associated with impairment­s in tests of cognitive function rather than movement-oriented performanc­e tests like rising from a chair. Almost 50 percent of studied silent strokes affected frontal circuit components of the brain, such as the frontal cortex, basal ganglia and thalamus.

The “silent” part of a silent stroke also refers to the areas of the brain that the stroke affects. Experts at Harvard Medical School explain that, during a silent stroke, an interrupti­on in blood ow destroys areas of cells in a part of the brain that is “silent,” meaning that it doesn’t control any vital functions. Researcher­s say that, over time, the damage from silent strokes can accumulate, leading to more and more problems with memory. Collective­ly, silent strokes become silent no longer.

There are certain ways to reduce the risk of any type of stroke. These include:

Managing high blood pressure and high cholestero­l levels Quitting smoking

Reducing the risk of diabetes and effectivel­y treat the condition if it is present

Losing weight to prevent obesity

Exercising and avoid a sedentary lifestyle

Taking a low-dose aspirin or a drug that prevents blood clots. Silent strokes largely go unrecogniz­ed but can lead to signi cant brain injury. Getting the facts can help men and women reduce their risk for silent stroke.

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