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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Recovering From TIA. Confusion, Changed Facial Expressions. Normal MRI And CT Scan Of The Heart

MY dad 80 had a TIA in the beginning of the month he was in the hospitial over night all test NEG Blood , MRI CT Eco of the heart . he seemed fine for about 7 days now he is confused, his facial expressions have changed and he does not even sound like him self he is having a contrast MRI and an EEG in the morning, I need to know wht else I might have to look for? the Drs seem good but very reserverd in any speculation, and I am concewrned that the tests we are doing are taking to long in sched, if there is somthing going on right now
Mon, 4 Feb 2013
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Neurologist 's  Response
Hi,

Thank you for posting your query.

Transient ischemic attack is the most likely possibility, and sometimes, minor stroke may show up on MRI brain.

Seizures are the another possibility, which can be confirmed with EEG.

In addition, we should also exclude electrolyte abnormalities such as low sodium, which can also cause confusion.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
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Recovering From TIA. Confusion, Changed Facial Expressions. Normal MRI And CT Scan Of The Heart

Hi, Thank you for posting your query. Transient ischemic attack is the most likely possibility, and sometimes, minor stroke may show up on MRI brain. Seizures are the another possibility, which can be confirmed with EEG. In addition, we should also exclude electrolyte abnormalities such as low sodium, which can also cause confusion. Best wishes, Dr Sudhir Kumar MD DM (Neurology)