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Does TIA Cause Sudden Finger Numbness?

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Posted on Sat, 16 Apr 2016
Question: My father was felt left side numb and finger motor cant move well while he trying to go toilet from sleeping twelve hours ago. After CT scan done, doc said thats normal. Two hours ago, he can move the finger but less agile.
I scare he got CVA. Is this TIA or CVA?
doctor
Answered by Dr. Dr. Erion Spaho (24 minutes later)
Brief Answer:
It was most likely a TIA.

Detailed Answer:
Hello and thanks for your query here at HCM.

I have read your question and understand your concerns.

This is more probably a TIA than CVA, because the neurological symptoms are improving/subsiding and there was no evidence of hemorrhage or cerebral infarct on CT scan.

Best imaging tool to evaluate TIA/stroke in early hours is brain MRI (diffusion weighted imaging).

Despite no evident damages this time, your father should evaluated further about conditions that predispose to TIA/CVA, these include blood pressure monitoring, blood lipid levels, Doppler ultrasound of neck vessels, use of aspirin etc.

I suggest you to discuss with your father's primary care Doctor about prescription of further tests needed for this purpose.

Hope you found the answer helpful.

I remain at your disposal for further questions and clarifications.

Greetings.


Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. Erion Spaho (26 hours later)
After ct scan result out and rule out CVA and TIA.
Some doc said that is degenerative spine problem and my dad is able flex his finger but cant function perfectly.

I will attach the x ray and is it possible to cure.
doctor
Answered by Dr. Dr. Erion Spaho (1 hour later)
Brief Answer:
Further examinations needed to achieve a correct diagnosis.

Detailed Answer:
Welcome back.

I have examined x-rays of the cervical spine.

It is true that there is degenerative cervical spine disease at C4-C5-C6 levels with bone spurs and narrowing of discs spaces.

However, sudden onset of symptoms, is not a characteristic of degenerative spine disease, unless there was a trauma (falling etc.).

To achieve a correct diagnosis, neurological examination and imaging studies such MRI are needed.

Only after full workup we can say that there was a brain issue (such TIA), or degenerative changes of the spine are responsible for your father's symptoms.

So, discus with your father's Doctor about getting examined further.

Hope I helped you.

Greetings.



Above answer was peer-reviewed by : Dr. Deepak
doctor
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Follow up: Dr. Dr. Erion Spaho (39 hours later)
Dear doc

The MRI report shiw my dad c4 to c7 got oedema and any possible treat this?

The MRI report is attached.

By the way, does steroid work for this? And could steroid use together with mecobalamin?
doctor
Answered by Dr. Dr. Erion Spaho (7 hours later)
Brief Answer:
Steroids could improve edema. Surgery should be considered too.

Detailed Answer:
Hello again and thanks for being on follow up.

I have read the MRI report carefully.

Edema of the cervical cord could be improved by steroids use, but this is not 100% sure.
Steroids and mecobalamin can be used together.

Since there is spinal canal stenosis and spondylolisthesis (slipped vertebrae) too, surgery (decompression and stabilization) should be considered.

This should be discussed with a spine surgeon or a Neurosurgeon.

Hope I helped you.

Best regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
Dr.
Dr. Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4493 Questions

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Does TIA Cause Sudden Finger Numbness?

Brief Answer: It was most likely a TIA. Detailed Answer: Hello and thanks for your query here at HCM. I have read your question and understand your concerns. This is more probably a TIA than CVA, because the neurological symptoms are improving/subsiding and there was no evidence of hemorrhage or cerebral infarct on CT scan. Best imaging tool to evaluate TIA/stroke in early hours is brain MRI (diffusion weighted imaging). Despite no evident damages this time, your father should evaluated further about conditions that predispose to TIA/CVA, these include blood pressure monitoring, blood lipid levels, Doppler ultrasound of neck vessels, use of aspirin etc. I suggest you to discuss with your father's primary care Doctor about prescription of further tests needed for this purpose. Hope you found the answer helpful. I remain at your disposal for further questions and clarifications. Greetings.