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Protocol - History of Stroke - Ischemic Infarction and Hemorrhage

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Protocol Name from Source:

Jackson Heart Study (JHS)

Availability:

Publicly available

Description:

The Stroke Symptoms Form from the Jackson Heart Study (JHS) is an interviewer-administered questionnaire that captures the history of stroke(s) and associated symptoms such as slurred speech, double vision, loss of vision, and paralysis.

Protocol:

A. STROKE HISTORY

1. Have you ever been told by a physician that you had a stroke?

[] Yes

[] No [Go to Item 3]

2. When did the first stroke occur?

_ _ / _ _ _ _

m m y y

B. SUDDEN LOSS OR CHANGE OF SPEECH

3. Have you ever had any sudden loss or changes in speech lasting 24 hours or longer?

[] Yes

[] No [Go to Item 7]

[] Don't know [Go to Item 7]

4. Did the episode come on suddenly?

[] Yes

[] No

5. Do any of the following describe your change in speech?

[READ ALL CHOICES]

5a. Slurred speech like you were drunk?

[] Yes

[] No

[] Don't know

5b. Could talk but the wrong words came out?

[] Yes

[] No

[] Don't know

5c. Knew what you wanted to say, but the words would not come out?

[] Yes

[] No

[] Don't know

5d. Could not think of the right words?

[] Yes

[] No

[] Don't know

5e. [IF MORE THAN ONE OF ITEMS 5a-5d INDICATED, ASK "WHICH OF THESE MOST CLOSELY DESCRIBES THE PROBLEM?"]

[] Slurred speech

[] Wrong words came out

[] Words would not come out

[] Could not think of the right words

6. While you were having your episode of change in speech, did any of the following occur? [INCLUDE ALL THAT APPLY]

6a. Numbness or tingling?

[] Yes

[] No [Go to Item 6c]

6b. Did you have difficulty on:

[READ ALL CHOICES]

[] The right side only

[] The left side only

[] Both sides

6c. Paralysis or weakness?

[] Yes

[] No [Go to Item 6e]

6d. Did you have difficulty on:

[READ ALL CHOICES]

[] The right side only

[] The left side only

[] Both sides

6e. Lightheadedness, dizziness, or loss of balance?

[] Yes

[] No

6f. Blackouts or fainting?

[] Yes

[] No

6g. Seizures or convulsions?

[] Yes

[] No

6h. Headache?

[] Yes

[] No

6i. Visual disturbances?

[] Yes

[] No [Go to Item 7]

6j. Did you have:

[READ ALL CHOICES UNTIL A POSITIVE RESPONSE IS GIVEN]

[] Double vision

[] Vision loss in right eye only

[] Vision loss in left eye only

[] Total loss of vision in both eyes

[] Trouble in both eyes seeing to the right

[] Trouble in both eyes seeing to the left

[] Trouble in both eyes seeing to both sides or straight ahead

C. SUDDEN LOSS OF VISION

7. Have you ever had any sudden loss of vision, or blurring, lasting 24 hours or longer?

[] Yes

[] No [Go to Item 11]

[] Don't know [Go to Item 11]

8. Did the episode come on suddenly?

[] Yes

[] No

9. During the episode, which of the following parts of your vision were affected?

[READ ALL CHOICES]

[] Only the right eye [Go to Item 10a]

[] Only the left eye [Go to Item 10a]

[] Both eyes

9a. Did you have:

[READ ALL CHOICES UNTIL A POSITIVE RESPONSE IS GIVEN]

[] Trouble seeing to the right, but not to left

[] Trouble seeing to the left, but not to right

[] Trouble seeing both sides or straight ahead

10. While you were having your loss of vision, did any of the following occur? [INCLUDE ALL THAT APPLY]

10a. Speech disturbance?

[] Yes

[] No

10b. Numbness or tingling?

[] Yes

[] No [Go to Item 10d]

10c. Did you have difficulty on:

[READ ALL CHOICES]

[] The right side only

[] The left side only

[] Both sides

10d. Paralysis or weakness?

[] Yes

[] No [Go to Item 10f]

10e. Did you have difficulty on:

[READ ALL CHOICES]

[] The right side only

[] The left side only

[] Both sides

10f. Lightheadedness, dizziness, or loss of balance?

[] Yes

[] No

10g. Blackouts or fainting?

[] Yes

[] No

10h. Seizures or convulsions?

[] Yes

[] No

10i. Headache?

[] Yes

[] No

10j. Flashing lights?

[] Yes

[] No

D. DOUBLE VISION

11. Have you ever had a sudden spell of double vision, which lasted 24 hours or longer?

[] Yes

[] No [Go to Item 14]

[] Don't know [Go to Item 14]

11a. If you closed one eye, did the double vision go away?

[] Yes

[] No [Go to Item 14]

[] Don't know

12. Did the episode come on suddenly?

[] Yes

[] No

13. While you were having your double vision did any of the following occur? [INCLUDE ALL THAT APPLY]

13a. Speech disturbance?

[] Yes

[] No

13b. Numbness or tingling?

[] Yes

[] No [Go to Item 13d]

13c. Did you have difficulty on:

[READ ALL CHOICES]

[] The right side only

[] The left side only

[] Both sides

13d. Paralysis or weakness?

[] Yes

[] No [Go to Item 13f]

13e. Did you have difficulty on:

[READ ALL CHOICES]

[] The right side only

[] The left side only

[] Both sides

13f. Lightheadedness, dizziness, or loss of balance?

[] Yes

[] No

13g. Blackouts or fainting?

[] Yes

[] No

13h. Seizures or convulsions?

[] Yes

[] No

13i. Headache?

[] Yes

[] No

E. SUDDEN NUMBNESS OR TINGLING

14. Have you ever had sudden numbness, tingling, or loss of feeling on one side of your body, including your face, arm, or leg which lasted 24 hours or longer?

[] Yes

[] No [Go to Item 20]

[] Don't know [Go to Item 20]

15. Did the feeling of numbness or tingling occur only when you kept your arms or legs in a certain position?

[] Yes [Go to Item 20]

[] No

[] Don't know

16. Did the episode come on suddenly?

[] Yes

[] No

17. During the episode of sudden numbness or tingling, which part or parts of your body were affected?

[READ ALL CHOICES]

17a. Left arm or hand?

[] Yes

[] No

[] Don't know

17b. Left leg or foot?

[] Yes

[] No

[] Don't know

17c. Left side of face?

[] Yes

[] No

[] Don't know

17d. Right arm or hand?

[] Yes

[] No

[] Don't know

17e. Right leg or foot?

[] Yes

[] No

[] Don't know

17f. Right side of face?

[] Yes

[] No

[] Don't know

17g. Other?

[] Yes

[] No

[] Don't know

18. During this episode, did the abnormal sensation start in one part of your body and spread to another, or did it stay in the same place?

[] Started in one part and spread to another

[] Stayed in one part

[] Don't know

19. While you were having your episode of numbness, tingling or loss of sensation, did any of the following occur?

[INCLUDE ALL THAT APPLY]

19a. Speech disturbance?

[] Yes

[] No

19b. Paralysis or weakness?

[] Yes

[] No [Go to Item 19d]

19c. Did you have difficulty on:

[READ ALL CHOICES]

[] The right side only

[] The left side only

[] Both sides

19d. Lightheadedness, dizziness, or loss of balance?

[] Yes

[] No

19e. Blackouts or fainting?

[] Yes

[] No

19f. Seizures or convulsions?

[] Yes

[] No

19g. Headache?

[] Yes

[] No

19h. Pain in the numb or tingling arm, leg or face?

[] Yes

[] No

19i. Visual disturbances?

[] Yes

[] No [Go to Item 20]

19j. Did you have:

[READ ALL CHOICES UNTIL A POSITIVE RESPONSE IS GIVEN]

[] Double vision

[] Vision loss in right eye only

[] Vision loss in left eye only

[] Total loss of vision in both eyes

[] Trouble in both eyes seeing to the right

[] Trouble in both eyes seeing to the left

[] Trouble in both eyes seeing to both sides or straight ahead

F. SUDDEN PARALYSIS OR WEAKNESS

20. Have you ever had any sudden episode of paralysis or weakness on one side of your body, including your face, arm, or leg which lasted at least 24 hours?

[] Yes

[] No [Go to Item 25]

[] Don't know [Go to Item 25]

21. Did the episode come on suddenly?

[] Yes

[] No

22. During this episode, which part or parts of your body were affected? [READ ALL CHOICES]

22a. Left arm or hand?

[] Yes

[] No

[] Don't know

22b. Left leg or foot?

[] Yes

[] No

[] Don't know

22c. Left side of face?

[] Yes

[] No

[] Don't know

22d. Right arm or hand?

[] Yes

[] No

[] Don't know

22e. Right leg or foot?

[] Yes

[] No

[] Don't know

22f. Right side of face?

[] Yes

[] No

[] Don't know

22g. Other?

[] Yes

[] No

[] Don't know

23. During this episode, did the paralysis or weakness start in one part of your body and spread to another, or did it stay in the same place?

[] Started in one part and spread to another

[] Stayed in one part

[] Don't know

24. While you were having your episode of paralysis or weakness, did any of the following occur?

[INCLUDE ALL THAT APPLY]

24a. Speech disturbances?

[] Yes

[] No

24b. Numbness or tingling?

[] Yes

[] No [Go to Item 24d]

24c. Did you have difficulty on:

[READ ALL CHOICES]

[] The right side only

[] The left side only

[] Both sides

24d. Lightheadedness, dizziness, or loss of balance?

[] Yes

[] No

24e. Blackouts or fainting?

[] Yes

[] No

24f. Seizures or convulsions?

[] Yes

[] No

24g. Headache?

[] Yes

[] No

24h. Pain in the weak arm, leg or face?

[] Yes

[] No

24i. Visual disturbances?

[] Yes

[] No [Go to Item 25]

24j. Did you have:

[READ ALL CHOICES UNTIL A POSITIVE RESPONSE IS GIVEN]

[] Double vision

[] Vision loss in right eye only

[] Vision loss in left eye only

[] Total loss of vision in both eyes

[] Trouble in both eyes seeing to the right

[] Trouble in both eyes seeing to the left

[] Trouble in both eyes seeing to both sides or straight ahead

G. SUDDEN SPELLS OF DIZZINESS OR LOSS OF BALANCE

25. Have you had any sudden spells of dizziness, loss of balance, or sensation of spinning which lasted 24 hours or longer?

[] Yes

[] No [Go to Item 29]

[] Don't know [Go to Item 29]

26. Did the dizziness, loss of balance or spinning sensation occur only when changing the position of your head or body?

[] Yes [Go to Item 29]

[] No

[] Don't know

27. While you were having your episode of dizziness, loss of balance or spinning sensation, did any of the following occur? [INCLUDE ALL THAT APPLY]

27a. Speech disturbances?

[] Yes

[] No

27b. Paralysis or weakness?

[] Yes

[] No [Go to Item 27d]

27c. Did you have difficulty on:

[READ ALL CHOICES]

[] The right side only

[] The left side only

[] Both sides

27d. Numbness or tingling?

[] Yes

[] No [Go to Item 27f]

27e. Did you have difficulty on:

[READ ALL CHOICES]

[] The right side only

[] The left side only

[] Both sides

27f. Blackouts or fainting?

[] Yes

[] No

27g. Seizures or convulsions?

[] Yes

[] No

27h. Headache?

[] Yes

[] No

27i. Visual disturbances?

[] Yes

[] No [Go to Item 28]

27j.Did you have:

[READ ALL CHOICES UNTIL A POSITIVE RESPONSE IS GIVEN]

[] Double vision

[] Vision loss in right eye only

[] Vision loss in left eye only

[] Total loss of vision in both eyes

[] Trouble in both eyes seeing to the right

[] Trouble in both eyes seeing to the left

[] Trouble in both eyes seeing to both sides or straight ahead

28. Did the episode of dizziness, loss of balance, or spinning sensation come on suddenly?

[] Yes

[] No

Personnel and Training Required

The interviewer must be trained to conduct personal interviews with individuals from the general population. The interviewer must be trained and found to be competent (i.e., tested by an expert) at the completion of personal interviews. The interviewer should be trained to prompt respondents further if a "don’t know" response is provided.

Equipment Needs

Either a pencil-and-paper or computer-assisted instrument may be used. If a computer-assisted instrument is used, computer software may be necessary to develop the instrument. The interviewer will require a laptop computer/handheld computer to administer a computer-assisted questionnaire.

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Interviewer (face-to-face)

Life Stage:

Adult, Senior

Specific Instructions:

None

Research Domain Information

Release Date:

May 12, 2010

Definition

A questionnaire to determine if the respondent has had an ischemic infarction (i.e. stroke) and/or any symptoms related to this event.

Purpose

This measure is used to determine whether an individual has had a stroke and to assess the associated complications. Stroke, a loss of brain function due to disrupted blood flow, is the most common debilitating neurological condition in the United States and is the third leading cause of death. Stroke etiology is influenced both by genetic and environmental factors, and risk factors include increasing age, systolic blood pressure, diabetes, atrial fibrillation, male gender, smoking, and cardiovascular disease (Aminoff et al., 2005, Wolf et al., 1991).

Selection Rationale

The Stroke Symptoms Form from the Jackson Heart Study (JHS) was compared to several other stroke scales and chosen based on its detailed questions, relatively short length, and its applicability to a general research population.

Language

English

Standards

StandardNameIDSource
Common Data Elements (CDE)Person Stroke Symptom Assessment Description Text3076108CDE Browser
Logical Observation Identifiers Names and Codes (LOINC)Hx stroke proto62761-2LOINC

Process and Review

[link[phenx.org/node/103|Expert Review Panel 4]] (ERP 4) reviewed the measures in the Neurology, Psychiatric, and Psychosocial domains.

Guidance from ERP 4 included the following:

  • No changes

Source

U.S. Department of Health and Human Services; National Institutes of Health. National Heart, Lung, and Blood Institute; National Institute on Minority Health and Health Disparities; National Institute of Biomedical Imaging and Bioengineering. (2000). Jackson Heart Study (JHS). Stoke Symptoms Form. Version A.

General References

Aminoff, M. J., Greenberg, D. A., & Simon R. P. (2005). Clinical neurology (6th ed.). New York: Lange/McGraw-Hill Medical.

Wolf, P. A., D’Agostino, R. B., Belanger, A. J., & Kannel, W. B. (1991). Probability of stroke: A risk profile from the Framingham Study. Stroke, 22(3), 312-318.

Protocol ID:

130301

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX130301_Physician_Diagnosed_StrokePX130301010000Have you ever been told by a physician that you had a stroke?4N/A
PX130301_Date_Stroke_Occurred_MonthPX130301020100When did the first stroke occur?4N/A
PX130301_Date_Stroke_Occurred_YearPX130301020200When did the first stroke occur?4N/A
PX130301_Sudden_Loss_Of_SpeechPX130301030000Have you ever had any sudden loss or changes in speech lasting 24 hours or longer?4N/A
PX130301_Episode_Occur_SuddenlyPX130301040000Did the episode come on suddenly?4N/A
PX130301_Slurred_SpeechPX130301050100Slurred speech like you were drunk?4N/A
PX130301_Wrong_WordsPX130301050200Could talk but the wrong words came out?4N/A
PX130301_Words_Would_Not_Come_OutPX130301050300Knew what you wanted to say, but the words would not come out?4N/A
PX130301_Could_Not_Find_Right_WordsPX130301050400Could not think of the right words?4N/A
PX130301_Most_Representative_SymptomPX130301050500[IF MORE THAN ONE OF ITEMS 5a-5d INDICATED, ASK "WHICH OF THESE MOST CLOSELY DESCRIBES THE PROBLEM?"]4N/A
PX130301_Numbness_Or_TinglingPX130301060100Numbness or tingling?4N/A
PX130301_Side_With_Numbness_TinglingPX130301060200Did you have difficulty on:4N/A
PX130301_Paralysis_Or_WeaknessPX130301060300Paralysis or weakness?4N/A
PX130301_Side_With_Paralysis_WeaknessPX130301060400Did you have difficulty on:4N/A
PX130301_Blackouts_Or_FaintingPX130301060600Blackouts or fainting?4N/A
PX130301_Seizures_Or_ConvulsionsPX130301060700Seizures or convulsions?4N/A
PX130301_HeadachePX130301060800Headache?4N/A
PX130301_Visual_DisturbancesPX130301060900Visual disturbances?4N/A
PX130301_Vision_Disturbances_DescriptionPX130301061000Did you have:4N/A
PX130301_Sudden_Vision_Loss_Or_BlurringPX130301070000Have you ever had any sudden loss of vision, or blurring, lasting 24 hours or longer?4N/A
PX130301_Episode_Came_On_SuddenlyPX130301080000Did the episode come on suddenly?4N/A
PX130301_Parts_Of_Vision_AffectedPX130301090000During the episode, which of the following parts of your vision were affected?4N/A
PX130301_Trouble_Seeing_Left_Right_AheadPX130301090100Did you have:4N/A
PX130301_Speech_Disturbance_With_Vision_LossPX130301100100While you were having your loss of vision, did any of the following occur? Speech disturbance?4N/A
PX130301_Numbness_Tingling_With_Vision_LossPX130301100200While you were having your loss of vision, did any of the following occur? Numbness or tingling?4N/A
PX130301_Complications_Side_Affected_Vision_LossPX130301100300Did you have difficulty on:4N/A
PX130301_Paralysis_Weakness_With_Vision_LossPX130301100400While you were having your loss of vision, did any of the following occur? Paralysis or weakness?4N/A
PX130301_Paralysis_Weakness_Vision_Loss_SidePX130301100500Did you have difficulty on:4N/A
PX130301_Lightheadedness_Dizziness_Balance_Vision_LossPX130301100600While you were having your loss of vision, did any of the following occur? Lightheadedness, dizziness, or loss of balance?4N/A
PX130301_Blackouts_Fainting_With_Vision_LossPX130301100700While you were having your loss of vision, did any of the following occur? Blackouts or fainting?4N/A
PX130301_Seizures_Convulsions_With_Vision_LossPX130301100800While you were having your loss of vision, did any of the following occur? Seizures or convulsions?4N/A
PX130301_Headache_With_Vision_LossPX130301100900While you were having your loss of vision, did any of the following occur? Headache?4N/A
PX130301_Flashing_Lights_With_Vision_LossPX130301101000While you were having your loss of vision, did any of the following occur? Flashing lights?4N/A
PX130301_Sudden_Spell_Double_VisionPX130301110000Have you ever had a sudden spell of double vision, which lasted 24 hours or longer?4N/A
PX130301_Double_Vision_One_EyePX130301110100If you closed one eye, did the double vision go away?4N/A
PX130301_Double_Vision_Occurred_SuddenlyPX130301120000Did the episode come on suddenly?4N/A
PX130301_Speech_Disturbance_With_Double_VisionPX130301130100While you were having your double vision did any of the following occur? Speech disturbance?4N/A
PX130301_Numbness_Tingling_With_Double_VisionPX130301130200While you were having your double vision did any of the following occur? Numbness or tingling?4N/A
PX130301_Affected_Side_Numbness_Double_VisionPX130301130300Did you have difficulty on:4N/A
PX130301_Paralysis_Weakness_With_Double_VisionPX130301130400While you were having your double vision did any of the following occur? Paralysis or weakness?4N/A
PX130301_Affected_Side_Paralysis_Double_VisionPX130301130500Did you have difficulty on:4N/A
PX130301_Lightheadedness_With_Double_VisionPX130301130600While you were having your double vision did any of the following occur? Lightheadedness, dizziness, or loss of balance?4N/A
PX130301_Blackouts_Fainting_With_Double_VisionPX130301130700While you were having your double vision did any of the following occur? Blackouts or fainting?4N/A
PX130301_Seizures_Convulsions_With_Double_VisionPX130301130800While you were having your double vision did any of the following occur? Seizures or convulsions?4N/A
PX130301_Lightheadedness_Dizziness_Loss_Of_BalancePX130301060500Lightheadedness, dizziness, or loss of balance?4N/A
PX130301_Headache_With_Double_VisionPX130301130900While you were having your double vision did any of the following occur? Headache?4N/A
PX130301_Sudden_Numbness_TinglingPX130301140000Have you ever had sudden numbness, tingling, or loss of feeling on one side of your body, including your face, arm, or leg which lasted 24 hours or longer?4N/A
PX130301_Numbness_Tingling_In_Certain_PositionPX130301150000Did the feeling of numbness or tingling occur only when you kept your arms or legs in a certain position?4N/A
PX130301_Numbness_Tingling_Occur_SuddenlyPX130301160000Did the episode come on suddenly?4N/A
PX130301_Numbness_Left_Arm_Or_HandPX130301170100During the episode of sudden numbness or tingling, which part or parts of your body were affected? Left arm or hand?4N/A
PX130301_Numbness_Left_Leg_Or_FootPX130301170200During the episode of sudden numbness or tingling, which part or parts of your body were affected? Left leg or foot?4N/A
PX130301_Numbness_Left_Side_Of_FacePX130301170300During the episode of sudden numbness or tingling, which part or parts of your body were affected? Left side of face?4N/A
PX130301_Numbness_OtherPX130301170700During the episode of sudden numbness or tingling, which part or parts of your body were affected? Other?4N/A
PX130301_Sensation_SpreadPX130301180000During this episode, did the abnormal sensation start in one part of your body and spread to another, or did it stay in the same place?4N/A
PX130301_Speech_Disturbance_With_NumbnessPX130301190100While you were having your episode of numbness, tingling or loss of sensation, did any of the following occur? Speech disturbance?4N/A
PX130301_Paralysis_Or_Weakness_With_NumbnessPX130301190200While you were having your episode of numbness, tingling or loss of sensation, did any of the following occur? Paralysis or weakness?4N/A
PX130301_Affected_Side_Complications_With_NumbnessPX130301190300Did you have difficulty on:4N/A
PX130301_Lightheadedness_With_NumbnessPX130301190400While you were having your episode of numbness, tingling or loss of sensation, did any of the following occur? Lightheadedness, dizziness, or loss of balance?4N/A
PX130301_Blackouts_Or_Fainting_With_NumbnessPX130301190500While you were having your episode of numbness, tingling or loss of sensation, did any of the following occur? Blackouts or fainting?4N/A
PX130301_Seizures_Or_Convulsions_With_NumbnessPX130301190600While you were having your episode of numbness, tingling or loss of sensation, did any of the following occur? Seizures or convulsions?4N/A
PX130301_Headache_With_NumbnessPX130301190700While you were having your episode of numbness, tingling or loss of sensation, did any of the following occur? Headache?4N/A
PX130301_Numbness_Right_Arm_Or_HandPX130301170400During the episode of sudden numbness or tingling, which part or parts of your body were affected? Right arm or hand?4N/A
PX130301_Numbness_Right_Leg_Or_FootPX130301170500During the episode of sudden numbness or tingling, which part or parts of your body were affected? Right leg or foot?4N/A
PX130301_Numbness_Right_Side_Of_FacePX130301170600During the episode of sudden numbness or tingling, which part or parts of your body were affected? Right side of face?4N/A
PX130301_Pain_With_NumbnessPX130301190800While you were having your episode of numbness, tingling or loss of sensation, did any of the following occur? Pain in the numb or tingling arm, leg or face?4N/A
PX130301_Visual_Disturbances_With_NumbnessPX130301190900While you were having your episode of numbness, tingling or loss of sensation, did any of the following occur? Visual disturbances?4N/A
PX130301_Visual_Disturbances_Description_With_NumbnessPX130301191000Did you have:4N/A
PX130301_Sudden_Paralysis_Or_WeaknessPX130301200000Have you ever had any sudden episode of paralysis or weakness on one side of your body, including your face, arm, or leg which lasted at least 24 hours?4N/A
PX130301_Paralysis_Or_Weakness_Occurred_SuddenlyPX130301210000Did the episode come on suddenly?4N/A
PX130301_Paralysis_Weakness_Left_Arm_HandPX130301220100During this episode, which part or parts of your body were affected? Left arm or hand?4N/A
PX130301_Paralysis_Weakness_Left_Leg_FootPX130301220200During this episode, which part or parts of your body were affected? Left leg or foot?4N/A
PX130301_Paralysis_Weakness_Left_Side_FacePX130301220300During this episode, which part or parts of your body were affected? Left side of face?4N/A
PX130301_Paralysis_Weakness_Right_Arm_HandPX130301220400During this episode, which part or parts of your body were affected? Right arm or hand?4N/A
PX130301_Paralysis_Weakness_Right_Leg_Foot?PX130301220500During this episode, which part or parts of your body were affected? Right leg or foot?4N/A
PX130301_Paralysis_Weakness_Right_Side_FacePX130301220600During this episode, which part or parts of your body were affected? Right side of face?4N/A
PX130301_Paralysis_Weakness_OtherPX130301220700During this episode, which part or parts of your body were affected? Other?4N/A
PX130301_Paralysis_Weakness_SpreadPX130301230000During this episode, did the paralysis or weakness start in one part of your body and spread to another, or did it stay in the same place?4N/A
PX130301_Speech_Disturbances_With_Paralysis_WeaknessPX130301240100While you were having your episode of paralysis or weakness, did any of the following occur? Speech disturbances?4N/A
PX130301_Numbness_With_Paralysis_WeaknessPX130301240200While you were having your episode of paralysis or weakness, did any of the following occur? Numbness or tingling?4N/A
PX130301_Side_Affected_With_Paralysis_WeaknessPX130301240300Did you have difficulty on:4N/A
PX130301_Lightheadedness_With_Paralysis_WeaknessPX130301240400While you were having your episode of paralysis or weakness, did any of the following occur? Lightheadedness, dizziness, or loss of balance?4N/A
PX130301_Blackouts_With_Paralysis_WeaknessPX130301240500While you were having your episode of paralysis or weakness, did any of the following occur? Blackouts or fainting?4N/A
PX130301_Seizures_With_Paralysis_WeaknessPX130301240600While you were having your episode of paralysis or weakness, did any of the following occur? Seizures or convulsions?4N/A
PX130301_Headache_With_Paralysis_WeaknessPX130301240700While you were having your episode of paralysis or weakness, did any of the following occur? Headache?4N/A
PX130301_Visual_Disturbances_With_Paralysis_WeaknessPX130301240900While you were having your episode of paralysis or weakness, did any of the following occur? Visual disturbances?4N/A
PX130301_Visual_Disturbances_Description_Paralysis_WeaknessPX130301241000Did you have:4N/A
PX130301_Dizziness_Loss_Of_BalancePX130301250000Have you had any sudden spells of dizziness, loss of balance, or sensation of spinning which lasted 24 hours or longer?4N/A
PX130301_Dizziness_Change_Position_OnlyPX130301260000Did the dizziness, loss of balance or spinning sensation occur only when changing the position of your head or body?4N/A
PX130301_Speech_Disturbances_With_DizzinessPX130301270100While you were having your episode of dizziness, loss of balance or spinning sensation, did any of the following occur? Speech disturbances?4N/A
PX130301_Paralysis_Weakness_With_DizzinessPX130301270200While you were having your episode of dizziness, loss of balance or spinning sensation, did any of the following occur? Paralysis or weakness?4N/A
PX130301_Affected_Side_Paralysis_With_DizzinessPX130301270300Did you have difficulty on:4N/A
PX130301_Numbness_With_DizzinessPX130301270400While you were having your episode of dizziness, loss of balance or spinning sensation, did any of the following occur? Numbness or tingling?4N/A
PX130301_Affected_Side_Numbness_With_DizzinessPX130301270500Did you have difficulty on:4N/A
PX130301_Blackouts_With_DizzinessPX130301270600While you were having your episode of dizziness, loss of balance or spinning sensation, did any of the following occur? Blackouts or fainting?4N/A
PX130301_Seizures_With_DizzinessPX130301270700While you were having your episode of dizziness, loss of balance or spinning sensation, did any of the following occur? Seizures or convulsions?4N/A
PX130301_Headache_With_DizzinessPX130301270800While you were having your episode of dizziness, loss of balance or spinning sensation, did any of the following occur? Headache?4N/A
PX130301_Pain_With_Paralysis_WeaknessPX130301240800While you were having your episode of paralysis or weakness, did any of the following occur? Pain in the weak arm, leg or face?4N/A
PX130301_Visual_Disturbances_With_DizzinessPX130301270900While you were having your episode of dizziness, loss of balance or spinning sensation, did any of the following occur? Visual disturbances?4N/A
PX130301_Visual_Disturbances_Description_With_DizzinessPX130301271000Did you have:4N/A
PX130301_Dizziness_Occurred_SuddenlyPX130301280000Did the episode of dizziness, loss of balance, or spinning sensation come on suddenly?4N/A