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What Is The Cause Of Innumberable Lesions In White Matter Of Frontal Lobe Which Appear Consistent With Emboli?
My father (65 year old, low bp, bradycardic, low cholesterol BMI 22.0)has had a head CT following a TIA causing visual impairement in his left eye for a few minutes. His CT head showed 'innumberable lesions in white matter of frontal lobe which appear consistent with emboli'. He is being treated with clopidogrel. His echo was normal and no evidence of AF. He has a strong family history of haemorraghic stroke. What could the causes of this be and is clopidogrel protecting him? He has had no further followup other than a cardioligist suggesting a TOE to look for plaque in aorta.
Many thanks
Many thanks
Fri, 23 Dec 2016
These are called lacunar infarcts. They are tiny infarcts due to small thrombus obstructing the arteries and yes Clopidogrel will protect him. Yes, a carotid doppler (in carotid artery of neck) should be done--regards
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