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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Incoherent Behavior, Stress And Insomnia Signs Of Stroke?

My brother is incoherent, talks non-stop, demands we write down what he says, says he has insights no one else has had in the history of the world, and is not sleeping well, and is going through stress. He is currently on vacation in Cancun, Mexico and is acting erratically. He is 73. Both of my grandmothers died of strokes. Could this be a symptom of a stroke? He was taken to a hospital last night, but refused a CAT scan. Is there a risk to flying home without medical tests?
Tue, 25 Sep 2018
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General Surgeon 's  Response
Hello,

It may not be stroke. Microvascular brain injury can cause similar symptoms.You can consult a neurologist and get evaluated. An MRI scan may be needed to look for any neurological causes.

Hope I have answered your query.
Let me know if I can assist you further.

Regards,
Dr. Shinas Hussain,
General & Family Physician
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Are Incoherent Behavior, Stress And Insomnia Signs Of Stroke?

Hello, It may not be stroke. Microvascular brain injury can cause similar symptoms.You can consult a neurologist and get evaluated. An MRI scan may be needed to look for any neurological causes. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician