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Medical Advice On Continuing Activities During Tests For A Mild Stroke
Yes please, my dad has just suffered a mild stroke at the age of 72 he was extremely active, fit and healthy. The hospital are doing various tests. He had a Brain Scan, lumber puncture which did not show a stroke only the MRI showed aneurism. Since leaving hospital after a 3 day stay he has no physical disability, he is taking things very easy. He has to go back for a MRA scan and a echocardiogram, he has had a heart monitor fitted for 72 hours, results no yet known. Other than looking tired somedays he is his usual self. Do you believe this is a waiting game to see what test results show. He has a holiday planned for 5 weeks time he is determined to go. Any advice towards care dos and donts would b appreciated. Thank you.
Tue, 18 Aug 2015
Hello!
Thank you for asking on HCM!
I read your question carefully and understand your concern.
His symptoms seem to be related to TIA (transient ischemic attack), which is a temporary occlusion of a brain vessel. As you refer, the brain MRI has not reveled any brain lesions (compatible with a stroke).
The most concerning thing is the aneurysm detected. I would like to know its diameter.
From different studies, small and medium diameter aneurysms, which have not been ruptured, have a low risk of bleeding and don't need to be treated.
I recommend a close monitor of his blood pressure and avoid high blood pressure episodes.
Another issue, is the results of his tests, which have been performed to establish the possible cause of TIA.
Although in his situation with the aneurysm, the possible use of anticoagulants, would increase the risk of intracranial hemorrhage.
I recommend consulting with his attending physician on his test results.
A statin would be helpful to prevent another TIA and would make no harm to the aneurysm.
Hope to have been of help!
Best wishes,
Dr. Iliri
Thank you for asking on HCM!
I read your question carefully and understand your concern.
His symptoms seem to be related to TIA (transient ischemic attack), which is a temporary occlusion of a brain vessel. As you refer, the brain MRI has not reveled any brain lesions (compatible with a stroke).
The most concerning thing is the aneurysm detected. I would like to know its diameter.
From different studies, small and medium diameter aneurysms, which have not been ruptured, have a low risk of bleeding and don't need to be treated.
I recommend a close monitor of his blood pressure and avoid high blood pressure episodes.
Another issue, is the results of his tests, which have been performed to establish the possible cause of TIA.
Although in his situation with the aneurysm, the possible use of anticoagulants, would increase the risk of intracranial hemorrhage.
I recommend consulting with his attending physician on his test results.
A statin would be helpful to prevent another TIA and would make no harm to the aneurysm.
Hope to have been of help!
Best wishes,
Dr. Iliri
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