Questions posted in the Neurology and Neurosurgery Forum have been answered by doctors from The Cleveland Clinic Foundation.

Subject: Stroke?
Forum: The Neurology and Neurosurgery Forum
Topic Area:
Posted by M.G. on November 07, 1997 at 14:42:13:


I had the sudden onset of neurological symptoms on Feb. 17, 1997 following pain in the upper right
of my back. It progressed gradually until the 17th when suddenly it was
painful to just breath. My hands were tingling and I wasn't able to tie my
shoes or sign my name properly at the E.R. I was diagnosed with Pleurisy.
After several weeks of "strange" weakness and tingling I went to see a Neurologist who tested for
possible M.S. MRI of the brain and spine, Spinal Tap and Evoked Response tests all
of which were normal. She referred my to a cardiologist who suspected a
possible embolic episode. He then referred me to another Neurologist the
"top gun" at Beaumont Hospital in Royal Oak, Mi. He examined me and found
an obvious weakness in my left arm and the left side of my face. He is convinced
I had a small stroke (not a T.I.A.) due to a blood clot (somewhere). I had
a T.E.E. with no obvious sign of the embolism. Throughout the month of August
I noticed complete restoration of strength in my left arm. My other chief complaint
is fatigue. This symptom has been there ever since Feb. 17th. Some days
are worse than others but upon ANY physical activity, I'm gassed! (I'm 43 years
old). He along with my cardiologist decided to place me on anticoagulants.
I've been taking Coumidin for almost a week now.
My questions are: is there any specific test for a stroke due to a blood clot?
Could they just be "fishing" and maybe theirs another problem such as M.S.?
I was also tested for possible Lupus and the blood tests were negative?
In addition to the fatigue, I have muscle spasms (only when laying down) in my
left leg and just recently have been experiencing them in my hands and forearms.
I occasionally have minor pain in the back of my neck.

Thank You so much for your time.

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