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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What causes strokes?

Im 16 and im a year round athlete im 5 11 and 160lbs a few weeks ago i had 5 stroke in one day, i was in the hospital for 5 days and went through numerous test; TEE,EKG,EEG,catscan and 2 mris with contrast which is how they found the 5 stroke, and also a large amount of blood tests, i had 40 different doctors trying to figure out why and yet no answere do you have any idea what could have caused them
Mon, 16 Mar 2015
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Neurologist 's  Response
I read your question carefully and I understand your concern.

Since you seem to have had so many tests I suppose they have excluded blood vessel disease by imaging or coagulation issues by blood tests (although I don't know exactly what those tests are).
So the most probable culprit in these cases is often the heart. I understand routine EKG was normal, but often there is episodic arrhythmia which might be missed on a single EKG. For that there are some more prolonged investigations in place, starting with 24 h Holter EKG and followed when that reveals nothing by investigation for a week or an entire month (by implanting a device which continuously follows your rhythm-not available everywhere though depends on where you live).
At the end of the day there is a percentage of stroke cases where after all exams have been done the cause can not be found.

I hope to have been of help.
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