Hello doctor,
I was in the hospital and thought I may have had a small stroke. But I did not. The MRI showed some white tissue changes. Since I got out three weeks ago I have had problems with dull senses and memory and concentration issues. It is causing a lot of anxiety. In the evenings I do seem to feel better. But it seems like my nerves are not properly responding to the sensations they are feeling. I am really worried. Is this temporary or should I be doing something? I have been in the emergency room twice in the three weeks.
Hello,
Welcome to icliniq.com.
I understand your concern and would explain that your symptoms do not seem to be related to a stroke. Low blood perfusion to the brain could mimic this clinical situation. Anxiety too. White matter changes could be related to different possible causes: chronic arterial hypertension, vasculitis, migraines, etc. Coming to this point, I would recommend performing further tests to investigate for possible causes like inflammation tests (complete blood count PCR, ESR), thyroid hormone levels for thyroid dysfunction, a Doppler ultrasound of the carotid arteries to investigate for possible narrowing, an ECG Holter monitoring in order to investigate for possible cardiac arrhythmia. In the meantime, I would recommend taking Piracetam, Ginkgo supplements, and baby Aspirin daily.
Thank you doctor,
Couple other questions. Would white tissue changes alter my senses and dull them? It seems like it happened within two weeks. Also, will this go away with time? The initial symptoms were dizziness and blood pressure going very high. I am worried this could be something that is long term.
Hello,
Welcome back to icliniq.com.
White matter changes do not alter the conscience. They are a consequence of low blood perfusion to the brain, which could be caused by high blood pressure values (vessel spasm or contraction). The alteration in the sense could also be related to low blood perfusion to the brain, causing temporary dysfunction of the brain cells. For this reason, I recommend taking daily baby Aspirin, to help prevent stroke or further increase in the number of white matter changes, Piracetam to help with normal function of the brain and Ginkgo supplements to help vessel dilation in the brain and also improve microcirculation of blood in the brain, leading to improvement in brain function.
In my opinion, this is a temporary situation and you will recover soon. It is very important to maintain a normal blood pressure values, in order to help prevent further deterioration of your situation. For this reason, I would advisea close monitoring of blood pressure values during the day.
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