Hi,
Thank you for posting your query at DoctorSpring.com
I have noted the symptoms of your boyfriend. Based on that, we need to exclude a transient ischemic attack (TIA), a type of minor brain stroke.
This requires evaluation with MRI and MR angiogram and carotid doppler. TIA involving left side of brain can cause all these symptoms.
He should be started on aspirin to prevent recurrent episodes. Smoking should be stopped.
I hope it helps.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist,
Patient replied :
Thank you for your response. Does the risk of reoccurance increase as time goes on - as in, are these tests time sensitive? For us this would be the difference between heading to emergency or going to a walk-in clinic.i have recently learned that both his maternal grandparents had strokes later in life. Are there any other logical explanations for these symptoms or should we treat it as a TIA until proven otherwise? Thanks again!
Hi,
Thank you for posting your query.
I have noted the symptoms of your boyfriend. Based on that, we need to exclude a transient ischemic attack (TIA), a type of minor brain stroke.
This requires evaluation with MRI and MR angiogram and carotid doppler. TIA involving left side of brain can cause all these symptoms.
He should be started on aspirin to prevent recurrent episodes. Smoking should be stopped.
I hope it helps.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist
Patient replied :
Thank you for getting back.
The risk of recurrence of TIA or stroke is highest in the first one month, so, it would be better to get the MRI brain with angiogram done as early as possible.
In any case, Aspirin tablets should be started as of now.
Best wishes,
Dr. Sudhir Kumar MD (Medicine), DM (Neurology)
Senior Consultant Neurologist