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Headaches and irritant behavior. Had minor stroke twice. Is this normal?

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General & Family Physician
Practicing since : 2005
Answered : 15 Questions
my brother 23 years old had a minor stroke twice now, he is fine now he has his movement back but he is acting very different to before he says things to his own family members which are vry ignorant and rude, and sometimes make the person upset. he says he gets headaches alot but when you actually observe him his always on his i phone im sure when you have a headache you dont want to do anything except rest he also doesnt go to work at all and says his still not well? is this normal what can cure him
Posted Tue, 1 May 2012 in Stroke
Answered by Dr. Puneet Oberoi 33 minutes later
Thank you for your query.
To begin with there are few things to consider here. Having a stroke can cause few behavior changes in a person. In your brother’s case since it has happened twice therefore the chances are even more.
There are a few statistics that are seen in cases which can present as a cluster of the following combined or can present in isolation which are as follows:

More than 30% of stroke patients require assistance with daily living and approximately 15% require care in an assisted-living facility like a rehabilitation center
Now about as many as 33% suffer from depression or behavior changes. Which are mostly that they become more withdrawn and less social or more impulsive. So the symptoms of your brother could be that he is having behavior changes because of the stroke.

I will recommend that you should take him to a neurologist who will assess his mental state and also will look into the headaches he has been having and also will suggest the most rigorous program your brother can handle based on his age, overall health and his degree of disability from his stroke. The recommendation will also take into account your brother’s lifestyle, interests and priorities, and availability of family members or other caregivers
Every person's stroke recovery is different.

I will be available to answer your follow up queries as well.
Take care
Dr Puneet Oberoi
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