Stroke vs Seizure: Understanding the Key Differences

October 10, 2024

Treat and prevent these conditions and learn how chiropractic care can help!

When someone experiences sudden changes in movement, speech, or awareness, it can be alarming, and two common medical emergencies that may come to mind are strokes and seizures. While both conditions can have similar symptoms, they are quite different in terms of their causes, treatment, and long-term effects. In this blog, we’ll break down the key differences between a stroke and a seizure, helping you recognize the signs, understand prevention strategies, and explore how chiropractic care can support overall health.

1. What is a Stroke?

Strokes are a brain blood supply disruption. This can happen due to a blockage (ischemic stroke) or bleeding in the brain (hemorrhagic stroke). Without a steady flow of oxygen and nutrients, brain cells begin to die, leading to long-term damage if not treated quickly.

Common symptoms of a stroke include:

  • Weakness or numbness on one side of the body that comes out of a sudden
  • Difficulty speaking or understanding speech
  • Loss of balance or coordination
  • Sudden severe headache (often in hemorrhagic strokes)


A stroke requires immediate medical attention to restore blood flow to the brain and prevent further damage. According to Cedars-Sinai, "a stroke happens when blood flow is blocked, leading to brain cell damage." This medical emergency needs quick action to minimize long-term consequences.

2. What is a Seizure?

A seizure is a sudden surge of electrical activity in the brain. It can result in a wide variety of physical and behavioral changes, from muscle twitching to loss of consciousness. Seizures are often associated with epilepsy, but they can also be triggered by other factors like high fever, head injuries, or low blood sugar.

Common symptoms of a seizure include:

  • Sudden jerking or twitching movements
  • Staring spells or temporary confusion
  • Loss of consciousness or awareness
  • Uncontrolled shaking or convulsions


While a seizure may last only a few seconds or minutes, it’s essential to ensure the person is safe during the episode and to seek medical help if the seizure lasts longer than five minutes or occurs repeatedly. Healthline points out that seizures "result from abnormal electrical activity in the brain," which differentiates them from strokes, where blood flow is the primary issue.

3. Key Differences Between Stroke and Seizure

Although strokes and seizures may share some overlapping symptoms, they differ significantly in their underlying causes, treatment approaches, and long-term effects. Understanding these key differences can help in providing the right care and preventing complications.

Cause: 

The root cause of strokes and seizures is very different. Strokes are caused by an interruption in blood flow to the brain, either due to a blockage (ischemic stroke) or bleeding in the brain (hemorrhagic stroke). This disruption deprives the brain of oxygen and nutrients, leading to the death of brain cells. According to Cedars-Sinai, "a stroke happens when blood flow is blocked, leading to brain cell damage, often resulting in severe, long-term impacts if not treated quickly." 


On the other hand, seizures are caused by abnormal electrical activity in the brain, which results in a temporary disruption of normal brain function. Healthline explains that seizures "are a result of a sudden surge of electrical activity in the brain," which leads to various symptoms depending on the area of the brain affected.

Duration: 

A stroke can cause immediate and lasting damage. If blood flow to the brain isn’t restored promptly, the effects can become permanent, including paralysis, speech difficulties, or cognitive impairment. In contrast, seizures are usually brief and do not always cause long-term harm. 


While some seizures may last only a few seconds to a few minutes, prolonged seizures (lasting longer than five minutes) can lead to serious complications and require emergency medical attention. As noted by Medical News Today, "while both strokes and seizures affect the brain, they have distinct causes and medical responses."

Recovery:

Recovery from a stroke often involves an intensive rehabilitation process. Patients may need physical therapy, speech therapy, and occupational therapy to regain lost function. In many cases, full recovery may not be possible, and the individual may live with some degree of disability. In contrast, people with seizures typically recover quickly after the episode ends. 


However, those with epilepsy or recurring seizures need ongoing management to prevent future episodes. This might include medication, lifestyle changes, and regular check-ups with a healthcare provider.

Symptoms: 

Both strokes and seizures can involve sudden changes in movement, speech, or awareness, but the nature of the symptoms differs. A stroke typically causes weakness or numbness on one side of the body, difficulty speaking, and sudden loss of balance or coordination. 


Hemorrhagic strokes often present with a severe headache. Seizures, on the other hand, may cause jerking or twitching movements, staring spells, confusion, or a complete loss of consciousness. Seizures associated with epilepsy are usually repetitive, and the person often returns to normal after the episode.


By understanding these differences, it becomes clearer why each condition requires a unique approach to care and management. According to Study.com, knowing the key symptoms and causes can "ensure the right medical response and minimize long-term consequences for both strokes and seizures."

4. How to Respond to a Stroke or Seizure

In both cases, immediate action can make all the difference:


  • For a stroke: Use the FAST acronym to check for signs (Facial drooping, Arm weakness, Speech difficulty, Time to call emergency services). In order to have a positive outcome, treatment must begin as soon as possible. 
  • For a seizure: Clear the area of sharp objects, cushion the person’s head, and turn them on their side. Do not attempt to restrain them, and call for help if the seizure lasts more than five minutes or if they are injured.


As Study.com explains, understanding the key differences between these events allows you to respond more effectively during an emergency, ensuring better outcomes for the individual affected.

5. Prevention of Strokes and Seizures

Preventing strokes and seizures involves managing risk factors and maintaining overall health. For strokes, controlling blood pressure, managing cholesterol levels, quitting smoking, and maintaining a healthy diet are crucial. Cedars-Sinai advises that "lifestyle changes, such as maintaining a healthy weight and exercising regularly, can significantly lower your stroke risk."


For seizures, adherence to medication, avoiding known triggers (such as lack of sleep or stress), and regular check-ups with a healthcare provider are key strategies. According to Healthline, people with epilepsy should "be consistent with medications, avoid seizure triggers, and consult regularly with their healthcare team to manage their condition."

6. How Chiropractic Care Can Help Prevent Strokes and Seizures

Chiropractic care, particularly upper cervical adjustments, can play a role in preventing both strokes and seizures by improving nervous system function and overall spinal health. Research has shown that proper spinal alignment may support better blood flow to the brain and reduce the likelihood of stroke. A study published in the National Institutes of Health (NIH) found that chiropractic adjustments "can have a positive impact on cerebral blood flow, potentially decreasing the risk of ischemic stroke" .


Similarly, chiropractic care can benefit those with seizure disorders. Misalignments in the spine, particularly in the upper cervical area, can interfere with the brain’s ability to communicate effectively with the rest of the body. Studies, such as one published in the Journal of Upper Cervical Chiropractic Research, highlight cases where patients experienced a reduction in seizure frequency following chiropractic adjustments. By addressing spinal misalignments, chiropractic care may help regulate nerve signals that contribute to seizure activity.


Another NIH study suggests that upper cervical chiropractic adjustments "promote neurological health by ensuring proper spinal function," which could contribute to a reduced risk of both strokes and seizures . This non-invasive, holistic approach can complement traditional medical care, offering an additional layer of prevention and wellness.

7. Book an Appointment with Denver Upper Cervical

At Denver Upper Cervical, we specialize in helping patients achieve better health through spinal alignment, which can support overall neurological function. Our chiropractic care can be a valuable part of your preventive strategy against strokes and seizures, promoting a healthier, more balanced nervous system.


If you or a loved one are at risk for strokes or seizures, or if you’re looking for a proactive approach to improving your neurological health, we encourage you to book an appointment with us. Our dedicated team will provide personalized care to help you achieve your wellness goals and reduce the risk of serious medical events.


Contact Denver Upper Cervical today to learn how our chiropractic care can support your health journey and prevent future complications.

Sources:

1.

Cedars-Sinai. "Differences Between Stroke and Seizure."

2.

Healthline. "The Difference Between Stroke and Seizure."

3.

Medical News Today. "Stroke vs Seizure: What’s the Difference?"

4.

Study.com. "Difference Between a Stroke & a Seizure."

5.

National Institutes of Health (NIH). "Cerebral Blood Flow and Chiropractic Care."

6.

National Institutes of Health (NIH). "Chiropractic Management of Seizures and Epilepsy."

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