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Transient Ischemia and its treatment - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3391 Questions
User :   Hello,
Doctor :   Hi,
Doctor :   How can i help you?
User :   I have a question on something that happened to me a year ago
Doctor :   Yes, please proceed
User :   I woke up one night feeling incredibly weird I couldn't feel my left hand and I couldn't move it either when I went to get up I immediately feel to the floor the entire left side of my body was totally paralyzed they took me in to the hospital through the ambulance by the time I actually arrived there I was literally fine and I walked in.
Doctor :   Ok,
User :   Later on these spells kept occurring one occurred when I finished eating dinner the other occurred simply as i had gotten out of bed they performed an MRI, EEG, EKG, and other exams which all turned up negative for epilepsy but they were still convinced that it was epilepsy we visited a neurologist and a cardiologist one said it was epilepsy the other said it was a heart condition yet they couldn't find or prove any of the two so I'm wondering was it that happened? Was it a stroke? Or something?
Doctor :   May i know your age and gender ?

User :   18 male
Doctor :   About how many such episodes you have gone through ?
User :   I counted about 5 in three weeks times give or take
Doctor :   Where the episodes exactly the same all time ,
Doctor :   the weakness on left side and all
User :   Yep it first starts with an unsettling feeling throughout the body then my arm gets heavy then I can't feel and I can't move it and then it travels throughout the left side so I can't bend my knee or anything as for the right it's incredibly weak but I can still move it and this also happens to my face also it has like a droop on the left side also
User :   And yes the same weakness every time
Doctor :   The problems you experiencing could probably be due to Transient Ischemia
User :   Okay, now they put me on a medication called trileptal (600mg twice a day) and it seems to be helping because I haven't had an episode at all since I've been taking it
Doctor :   it happens when blood flow to part of the brain is blocked or reduced, often by a blood clot. After a short time, blood flows again and the symptoms go away. With a stroke, the blood flow stays blocked, and the brain has permanent damage.
Doctor :   yes thats a preventive measure ,
Doctor :   it prevents clot formation in the blood
User :   Actually I remember it now that's what my cardiologist said it could be that so they did an operation and they didn't find anything at all
Doctor :   What operation did you undergo?
User :   They put a camera down my throughout which went to the heart the looked for clots but found none
User :   Sorry "down my throat"
Doctor :   You cant access your heart through your throat
Doctor :   its endoscopy what you have gone through
User :   Yes that's what it was called, but they did put a camera down my throat and the did a sonogram or something like that
Doctor :   could be , but it can not rule out the clot in the brain if any
Doctor :   Tests that show pictures of your brain and blood vessels, such as a CT scan, an MRI, a magnetic resonance angiogram (MRA), or an angiogram are helpful
Doctor :   Since you have gone through MRI and EKG better would be by getting an angiogram
User :   An MRA?
Doctor :   Yes , it can also be of good help,
Doctor :   but one single test would no suffice
Doctor :   it may have to be repeated to rule the clot being the cause for repeat attacks
User :   Yeah that was also done both the ct scan the MRI and the MRA yielding nothing
Doctor :   If you get repeat attacks getting the MRA repeated is not a bad idea
User :   Alright, is there anything that could have caused this clot? Pot alchohol masturbation etc etc.
Doctor :   No,they cannot be the cause more likely
Doctor :   Sometimes a TIA ( Transient ischemic attack ) is caused by a sharp drop in blood pressure that reduces blood flow to the brain
User :   Okay is there a chance that while I'm on trileptal that this could happen again?
Doctor :   Very rare if the cause is clot
Doctor :   Trileptal is mainly to prevent the fits
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