An interrupted blood supply to the brain due to a blocked vessel causes the brain cells to die, leading to a medical emergency called a stroke. They can be due to ischemia or hemorrhage. In an ischemic stroke, the blood supply is altered due to a blocked artery. The ischemia can also be due to narrowing arteries in atherosclerosis. Transient ischemic stroke or mini-stroke occurs due to a brief interruption of blood supply. It is not as serious as a stroke but is an indication of the risk of future stroke. Symptoms include one-sided numbness and weakness, blurry vision, slurred speech, confusion, dizziness, altered gait, imbalance, and headache. Blood thinners are used to dissolve the blood clots while they are forming. Hence an immediate treatment is necessitated to prevent further complications.
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I have muscle weakness episodes after a fall. Please review my MRI.
Query: Hi doctor,I am 31 years old. I fell over recently and broke my foot with muscle weakness, and checked for the same in an MRI. I had a stroke five years ago, and I have Behcet's disease. I had a scan done, and I have attached the reports. I have previously had an ischemic stroke prior to this episode... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Your MRI (magnetic resonance imaging) brain report (attachment removed to protect the patient's identity) shows a normal scan except that the punctate lesion on FLAIR (fluid-attenuated inversion recovery) images in corona radiata look like a mig... Read Full »
Why is my mother not able to walk properly after a stroke?
Query: Hello doctor,My mother is not able to walk properly or move properly. She met with ischemic stroke eight years back and she is diabetic, has BP, and seizures (epilepsy). She has been treated with insulin, and blood pressure (BP) suppressants, Atorvastatin, Levetiracetam, and Phenytoin (Eptoin) for s... Read Full »
Answer: Hi, Welcome to icliniq.com. Ischemic stroke is a condition where there is incomplete blood supply to a certain part of the brain, leading to permanent damage to that part of the brain. Consequently, the function carried out by the affected part of the brain is lost. The only way to recover functio... Read Full »
Does untreated sleep apnea cause stroke and brain changes?
Query: Hello doctor, The patient underwent extensive routine physical examination including MR/CT (computed tomography) imaging and laboratory analysis earlier this month. The magnetic resonance (MR) Brain shows evidence of lacunar stroke and ischemic brain changes. Please advise if these might be connecte... Read Full »
Answer: Hello, Welcome to icliniq.com. I carefully went through your question and the patient's medical history. I reviewed her medical report and the uploaded brain magnetic resonance imaging (MRI) study (attachment removed to protect patient identity) and would explain that those changes are indicative o... Read Full »
How to deal with the two strokes detected on CT and MRI?
Query: Hello doctor, My 62-year-old mother had a slight cognitive impairment. She has the following medical conditions: High blood pressure for which she is on Concor 5 Plus. High blood glucose for which she is on Galvus 50 and Insulin. Three stents in her heart operated 18 months ago and she is on Plavix ... Read Full »
Answer: Hello, Welcome to icliniq.com. I have reviewed the MRI (magnetic resonance imaging) brain report (attachment removed to protect patient identity). I am sorry to say but Ido not agree with the diagnosis of subacute stroke as per the radiology report. The MRI that was done shows two lesions which are... Read Full »
How to prevent clots and blockages after ischemic stroke?
Query: Hello doctor,My 71-year-old mother got a couple of ischemic strokes nearly two months ago. She was then given strong blood thinning injection, which led to a couple of blood vomits and a hemorrhage as well. During the hospitalization as well as afterward, she has been taking Pradaxa 110, etc. (presc... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through the files attached (the attachment was removed to protect the patient's identity). The clots which are found at so many places in the body are basically originating from the heart and being thrown into the body as she is post-MVR (mitral valve reg... Read Full »
Do I need to worry on the detection of CALR exon 9 mutation?
Query: Hello doctor, I am a 46-year-old male. A month ago, I had a heart stroke and underwent angio for blood clotting thrombus. My CBC report at that time shows a platelet count at 24 lakhs. I received CALR Exon 9 mutation analysis report today. It reads "CALR Exon 9 mutation is detected by PCR amplificat... Read Full »
Answer: Hello, Welcome to icliniq.com. You have very high levels of platelets which are called 'primary thrombocytosis' or 'essential thrombocytosis', which was confirmed by CALR Gene mutation test. This condition will results in either clots or sometimes bleeding in any part of the body. There are few t... Read Full »
I developed acute ischemic stroke after blood donation. Why?
Query: Hello doctor, I donated plasma through plasmapheresis. When the IV was initially inserted, my blood did not flow through the machine. The technician came by and wiggled the IV, but the blood still did not flow. The technician then switched the IV to my other arm. It began to flow after about five mi... Read Full »
Answer: Hello, Welcome to icliniq.com. It is very rare for reactive thrombocytosis to cause a stroke. It may happen if you have other risk factors for stroke like hypertension and high cholesterol. However, I am hoping that they have ruled out other causes of thrombocytosis (increased platelet count). I und... Read Full »
Is there a chance for an ischemic stroke attack after ankle surgery?
Query: Hello doctor, I am a 49-year-old male. Is it possible to suffer from an ischemic stroke as a result of ankle surgery? The stroke is on the left side of the brain causing paralysis in my right side. I am healthy otherwise. Read Full »
Answer: Hello, Welcome to icliniq.com. If you were immobilized for a few days after the surgery there is a possibility in the development of deep vein thrombosis in a male above 40 years of age. If suppose that thrombus got dislodged, it may traveled to the brain resulting in ischemic stroke. The possibili... Read Full »
What does my CT scan indicate?
Query: Hello doctor, My computed tomography (CT) scan impression is as follows: hypodensity seen in right external capsule - infarct. Diffuse cerebral atrophy. Lacunar infarcts in bilateral basal ganglia, corona radiata and centrum semiovale. What does this mean? Read Full »
Answer: Hello, Welcome to icliniq.com. Regarding your concern, I would explain that these CT (computed tomography) scan findings indicate repeated small ischemic strokes related to uncontrolled high blood pressure. I would recommend performing a Doppler ultrasound of the carotid arteries to exclude any pos... Read Full »
Why are there flow voids in major intracranial vessels?
Query: Hello doctor, I would like to know the diagnosis of this magnetic resonance imaging (MRI) result. Multiplanar and multi sequential MRI of the brain without intravenous contrast administration was taken. Single voxel MR spectroscopy through the basal ganglia was also performed. The brain parenchyma d... Read Full »
Answer: Hello, Welcome to icliniq.com. I read carefully and reviewed the patient magnetic resonance imaging (MRI) report (attachment removed to protect patient identity) and would explain that it shows a progressive brain atrophy (brain cell death) and small ischemic strokes, which could cause progressive ... Read Full »
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