When stroke is coupled with other health problems

Stroke may be complicated by other factors, including one or more pre-existing health conditions; the onset of injuries when the stroke is occurring (e.g., fracture due to a fall) or the development of new health conditions as a result of the stroke (e.g., epilepsy, hemianopia or partial vision loss).

Multimorbidity

Having more than one health condition simultaneously (sometimes referred to as multi-morbidity) is increasingly common due to treatments and medications that enable people to live longer. Among the individuals interviewed some noted that the stroke was not their only condition; many suffered from various other chronic ailments in addition to their stroke.

Malcolm talks about his various health conditions, and how they have impacted his life.

Age at interview 67

Gender Male

Age at diagnosis 64

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Clare talks about her experience with having multiple health problems since a young age.

Age at interview 50

Gender Female

Age at diagnosis 46

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Jessica talks about her other health conditions in addition to her stroke and how this has…

Age at interview 23

Gender Female

Age at diagnosis 21

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Other complications around the time of stroke

In some cases other health complications occurred during the time of the stroke, including injuries and fractures (usually related to a fall at the time the stroke occurred). Two women had arm fractures that went undetected during treatment.

Susan talks about feeling frustrated that her arm fracture was not addressed while being treated…

Age at interview 67

Gender Female

Age at diagnosis 63

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In other cases, additional health problems and physical complications arose during stay in hospital.

Clare has an artificial leg which was not treated properly in hospital. She developed sores and…

Age at interview 50

Gender Female

Age at diagnosis 46

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Epilepsy after stroke

Seizures after stroke are rare and only occur in about 5% of people who have had a stroke (Stroke Association 2012). Epilepsy is a tendency to experience seizures recurrently and can be one of the rarer after-effects. Treatment for epilepsy after stroke is the same as for any other kind of epilepsy and it can usually be well controlled with medication. The Stroke Association’s leaflet on ‘Epilepsy after stroke’ describes the causes of epilepsy after stroke and the types of seizures that people can experience.

People were often unaware that they were at risk of having seizures after their stroke and some found them difficult to deal with. One of the people we spoke to described what it was like to have an unexpected seizure after his stroke. He has been taking antiepileptic medication and has not had a seizure for over a year. People who developed epilepsy after their stroke would have liked to have known they were prone to seizures and to have been given more information so that they were more prepared for them.

Describes what it was like to have an unexpected seizure after his stroke.

Age at interview 58

Gender Male

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He would have liked to have been warned he was prone to having seizures so he was more prepared.

Age at interview 66

Gender Male

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Epilepsy happens after stroke because the nerve endings or insulating material around the nerves in the brain can be damaged by the stroke. One person we spoke to who had been left physically disabled by her stroke said that the residual damage to her brain also caused other problems such as epilepsy, migraine and depression. After her first seizure she was taken to hospital and met a neurologist who has helped her manage these problems.

Says that residual damage to her brain from her stroke has caused epilepsy, migraine and…

Age at interview 54

Gender Female

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Some people wondered whether a seizure might be a sign that the brain is forming new connections. There is no evidence for this and it is more likely that the seizure is due to the damage to the brain cells rather than recovery.

Although a doctor will not usually prescribe treatment if you have only had a single seizure, you must still notify the DVLA and must stop driving until they decide whether it is safe for you to drive again. One person we spoke to described his seizures, the medication he is on for them and that because he lives in a remote area it is a nuisance not being able to drive.

Describes his first seizure, his medication and not being able to drive because of the seizures.

Age at interview 66

Gender Male

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Major disability after a stroke

Stroke can sometimes cause severe and lasting disability, particularly in elderly people. This can lead to loss of independence and the need for long-term care...