Fine motor skills, like writing, buttoning a shirt, or holding a cup steadily, can be affected by early stroke activity. If you suddenly notice your handwriting becoming messy, letters hard to form, or objects slipping from your hand without reason, it may be more than clumsiness. This happens when reduced blood flow interferes with the brain’s ability to control precise muscle movements. These small changes often go unnoticed, but they can be an early red flag.