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my mother is 76 she has a pacemaker and recently

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Posted on Tue, 26 Mar 2019
Question: my mother is 76 she has a pacemaker and recently had a mild stroke or TIA i think thats what it is called. the doctor shocked her heart to get it back in rhythm and now she is having bad headaches in the back of her head and when these occur she can not see and her mind is all messed up and when it is over she is so weak the last one made her so weak her voice sounds strained,she even forgot how to work her coffee pot and microwave for a couple hours then she remembered she is starting to have problem writing also. can you tell what could be causing this
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Answered by Dr. Bhagyesh V. Patel (54 minutes later)
Brief Answer:
post stroke ischemic injury changes involving various regions of brain.

Detailed Answer:
Hello and welcome to Ask A Doctor service.
I have read your query and here is my advise.

* In the event of stroke, there is hypo perfusion ( low blood supply ) to certain areas of
the brain and cause various systemic symptoms depending upon the location of the
artery involved in the process.

* The memory and writing commands involve Hippocampus and Wenicke areas of the
brain particularly consisting of pre motor, motor areas over frontal and temporal
regions.

* In a nut shell, the effect is called post stroke ischemic insult to the particular areas of
the brain responsible for messing up the issues with routine.

* The recovery varies depending upon the extent of lesion, body response and other
physiologic parameters, in general it varies a lot with percentage of recovery, time
period and other criteria.

* There are supportive cognitive therapies available which should be discussed with the
treating neuro physician during next planned follow up.

* At this point, I would particularly emphasize over deep breathing exercises and YOGA
for adequate perfusion of the brain along with continuation of currently prescribed
medications.

Wish her best recovery.
Would like to address further doubts regarding the issue.

Thank you.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Bhagyesh V. Patel

General Surgeon

Practicing since :1999

Answered : 16233 Questions

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my mother is 76 she has a pacemaker and recently

Brief Answer: post stroke ischemic injury changes involving various regions of brain. Detailed Answer: Hello and welcome to Ask A Doctor service. I have read your query and here is my advise. * In the event of stroke, there is hypo perfusion ( low blood supply ) to certain areas of the brain and cause various systemic symptoms depending upon the location of the artery involved in the process. * The memory and writing commands involve Hippocampus and Wenicke areas of the brain particularly consisting of pre motor, motor areas over frontal and temporal regions. * In a nut shell, the effect is called post stroke ischemic insult to the particular areas of the brain responsible for messing up the issues with routine. * The recovery varies depending upon the extent of lesion, body response and other physiologic parameters, in general it varies a lot with percentage of recovery, time period and other criteria. * There are supportive cognitive therapies available which should be discussed with the treating neuro physician during next planned follow up. * At this point, I would particularly emphasize over deep breathing exercises and YOGA for adequate perfusion of the brain along with continuation of currently prescribed medications. Wish her best recovery. Would like to address further doubts regarding the issue. Thank you.