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Signs of Stroke in Men: How to Identify a Stroke and Seek Help

Is stroke common in men?

Every year, about 800,000 Americans have a stroke. A stroke is an attack caused by a clot or a ruptured vessel that has cut off blood flow to the brain. As many as 130,000 people will die each year from stroke-related complications, such as pneumonia or blood clots.

The Center for Disease Control and Prevention ranks stroke as the fifth leading cause of death in the United States. Research shows that men are more likely to have a stroke, particularly men who are African American, Native Alaskan, or Native American. But that's only the short-term risk. The lifetime risk is much lower for men than it is for women. Men are also less likely to die from a stroke.

The ability to recognize stroke symptoms can help save lives. If you think someone is having a stroke, call your local emergency services immediately. Every second counts.

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Symptoms

Common stroke symptoms

For men and women, stroke is marked by an inability to speak or understand speech, a strained expression, and confusion. Someone who’s having a stroke may also have trouble talking or understanding conversation. There are no stroke symptoms unique to men.

The five most common symptoms of a stroke affect several parts of the body.

  • Eyes: sudden trouble seeing in one or both eyes
  • Face, arms, or legs: sudden paralysis, weakness, or numbness, most likely on one side of the body
  • Stomach: throwing up or feeling the urge to be sick
  • Body: overall fatigue or trouble breathing
  • Head: sudden and severe headache with no known cause
  • Legs: sudden dizziness, trouble walking, or loss of balance or coordination

The exact symptoms vary depending on which area of the brain is affected. Strokes often affect only the left or only the right side of the brain.

Researchers in a 2003 study evaluated public awareness of the five most common stroke symptoms. Their survey found that women did better than men in correctly identifying the signs of a stroke, but only by a few percentage points.

Risk factors

Risk factors unique to men

Certain risk factors can affect men differently. For example, men born and raised in these states have an elevated stroke risk:

  • Alabama
  • Arkansas
  • Georgia
  • Louisiana
  • Mississippi
  • North Carolina
  • South Carolina
  • Tennessee

This cluster of Southeastern states is known as the "Stroke Belt" because stroke mortality rates are significantly higher in this region.

Both men and women also have an increased risk of stroke if they:

  • smoke
  • have high blood pressure, heart disease, or diabetes
  • abuse drugs or alcohol
  • have had a transient ischemic attack (a small stroke that can last a few minutes or hours)

Learn more: Diabetes and other risk factors for stroke »

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Act FAST

What to do in case of stroke

The National Stroke Association has developed an easy-to-remember strategy for recognizing stroke symptoms. If you think you or someone around you may be having a stroke, you should act FAST.

F Face Ask the person to smile. Does one side of their face droop?
A Arms Ask the person to raise both arms. Does one arm drift downward?
S Speech Ask the person to repeat a simple phrase. Is their speech slurred or strange?
T Time If you observe any of these symptoms, it’s time to call 911 or your local emergency services immediately.
 

Remember that when it comes to a stroke, every second counts. Treatment for strokes work most effectively within three hours after the first symptom started. Don't wait to see if the symptoms disappear.

The longer you wait to call emergency assistance, the higher the chance of brain damage or disability from the stroke. Watch your loved one carefully while you wait for an ambulance to arrive.

Though you may want to, you shouldn't drive yourself or your loved one to the hospital during a stroke. Medical attention may be needed while you're traveling to the emergency room. Instead, call your local emergency services immediately and wait for the paramedics to arrive. They are trained to treat and take care of people while on a rush to the hospital.

After being admitted to the hospital, a doctor will review you or your loved one’s symptoms and medical history. They will also perform a physical exam and run diagnostic tests to determine if a stroke occurred.

Treatment

Treatment options for stroke

For ischemic stroke

Approximately 85 percent of strokes are ischemic. This means that a blood clot cut off blood flow to the brain. The doctor will administer a drug called tissue plasminogen activator (tPA) to dissolve or break up the clot. To be effective, this medication must be administered within four hours of the first symptom’s appearance.

If tPA isn’t an option for some reason, your doctor will give you a blood thinner or other drug to stop platelets from clumping and forming clots.

Surgery and other invasive procedures are also options. Your doctor may perform an intra-arterial thrombolysis. During this procedure, medicine is delivered through a catheter inserted in your upper thigh. The catheter is coiled around the tiny arteries in your brain to help break up a blood clot.

Another option involves removing the clot through a catheter that's inserted through your carotid artery and reaches the affected artery in the brain. If you have plaque buildup in your veins, your doctor may also suggest a procedure to unblock your arteries.

For hemorrhagic stroke

This type of stroke happens when an artery in the brain ruptures or leaks blood. Doctors treat a hemorrhagic stroke differently than they do an ischemic stroke. They also treat the stroke differently depending on the cause.

Cause Treatment
High blood pressure Your doctor may give you medicine to lower your blood pressure to reduce bleeding.
Aneurysm Your doctor may suggest surgery to clip the aneurysm or block blood flow to the aneurysm through coil embolization.
Faulty arteries and veins that ruptured Your doctor may recommend arteriovenous malformation repair to prevent further bleeding.
 

Keep reading: Stroke treatments »

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Outlook

Outlook

Generally, men who survive strokes recover more quickly and with better health than women do. Men are also less likely to experience:

  • stroke-related disability
  • impaired daily living activities
  • depression
  • fatigue
  • mental impairment
  • poorer quality of life after stroke

Research suggests this could be due to pre-stroke physical activity and depressive symptoms.

It can take a lot of hard work to recover after a stroke. Rehabilitation won't reverse brain damage, but it can help you relearn the skills you may have lost. This includes learning to walk or learning to talk.

The time it takes you to recover depends on the severity of the stroke. Although some people take a few months to recover, others may need years-long therapy. People with paralysis or motor control problems may need long-term inpatient care.

Still, people who have had a stroke can live long and fulfilling lives if they follow through with rehabilitation and adhere to healthy lifestyles that can prevent future strokes.

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Prevention

Preventing future stroke

To prevent a future stroke, make sure you take certain precautions.

It's also important that you prevent or treat conditions that put you at a higher risk for stroke, such as high blood pressure or high cholesterol.

How to reduce your high blood pressure »

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Quiz

Quiz: Test your stroke IQ

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