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Types of Stroke

image of three stroke brains

In this section

Ischemic Stroke

Ischemic stroke is the most common type of stroke. It can result from clogged or damaged arteries, such as in atherosclerosis, arterial dissection or blood clots that travel to the brain from other areas of the body. A clot that forms in clogged arteries in the brain is called a cerebral thrombus. A clot that breaks loose and moves through the blood to the brain is called a cerebral embolism.

Risk Factors for Ischemic Stroke: 

Hypertension (high blood pressure) Obesity/Lack of exercise
Hyperlipidemia (high cholesterol) Substance abuse
Diabetes Oral contraceptive use (especially in  
combination with other risk factors)
Sleep apnea Abnormal or mechanical heart valve
Certain types of migraines Patent foramen ovale (PFO)
Atrial fibrillation (A-Fib) Inflammation of the inside lining of the  
heart chambers and heart valves (endocarditis)
Smoking Family history or personal history of
stroke or transient ischemeic attack (TIA)

Some of these risk factors can be modified with help from your primary care provider. 

Hemorrhagic Stroke

Hemorrhagic stroke is a very serious form of stroke that refers to spontaneous rupture of an artery in the brain. The resulting increase in pressure, and irritating effect of blood on the brain tissue, can lead to neurologic deficits similar to an Ischemic Stroke.

Risk Factors for Hemorrhagic Stroke: 

  • Hypertension (high blood pressure)
  • Substance and/or alcohol abuse
  • Personal or family history of aneurysms or other blood vessel abnormalities (arteriovenous malformation (AVM), Amyloid Angiopathy, etc.).
  • Use of certain blood thinners 

 Transient Ischemic Attack (TIA)

TIA, formerly known as ministrokes, are the only warning sign for stroke. Symptoms of TIA match those of stroke, but a TIA will not appear on diagnostic imaging. These are brief, episodic stroke symptoms that typically last less than 24 hours with no lasting damage. 

Patients with TIA have a five-fold higher risk of stroke within five years of TIA diagnosis (Vinding et al., 2023).