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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Transient Ischemic Attack?

I have had 3 separate episodes each lasting no more than 20-30 minutes in which I have a stabbing pain in my right temple and the blood vessel there is visibly enlarged and throbbing. I had numbness in my legs, feet and hands before, during and after the occurences. My blood pressure has elevated to 153/103 - 143-95 during and for hours after the incidences. I have hereditary stress-induced migraines. I take Klonopin and Maxalt to control these and I also receive botox treatments for migraines every two months for the migraines. I do experience auras with my migraines and they are nothing like what I experienced during these incidences. My neurologist ordered an MRI and MRA without contrast because his initial suspicion was that I may be having TIAs. Both came back showing no damage. He says it is still posiible that what I experienced were TIAs and wants me to begin an aspirin regimen and return in 2 months for another MRI and MRA to ensure these were not precursors to an aneurysm. Is it possible for me to have had 3 TIAs so small that they would not have shown any signs of them on the MRI and MRA and what could have caused them. Or what else may it be?
Tue, 15 Sep 2020
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General & Family Physician 's  Response
Hi,

It is completely normal that you don’t see anything in MRI and CT after a TIA, even after multiple ones. Listen to your neurologist, he’s right. Even months after a TIA your risk for a major stroke is higher than normal. And makes sure your GP gets your blood pressure under control. After TIAs 120/70 is the tolerable maximum.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Alexander Davis, General & Family Physician
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What Causes Transient Ischemic Attack?

Hi, It is completely normal that you don’t see anything in MRI and CT after a TIA, even after multiple ones. Listen to your neurologist, he’s right. Even months after a TIA your risk for a major stroke is higher than normal. And makes sure your GP gets your blood pressure under control. After TIAs 120/70 is the tolerable maximum. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Alexander Davis, General & Family Physician