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Neurology (Expert Forum)
Could this be a TIA ?
This forum is for questions and support regarding neurology issues such as: Alzheimer's Disease, ALS, Autism, Brain Cancer, Cerebral Palsy, Chronic Pain, Epilepsy, Fibromyalgia, Headaches, MS, Neuralgia, Neuropathy, Parkinson's Disease, RSD, Sleep Disorders, Stroke, Traumatic Brain Injury.
Could this be a TIA ?
by josemanuelcruz, May 11, 2002 12:00AM
Dear Dr.,
I´m 37 y caucasian man, non-drinker, non-smoker, BMI=22, usually healthy. No heart or vascular diseases close family history. Do annual checkups´s (did this year already), including medical examination, ECG, blood and urine tests; that are usually fine (Total Cholest.=164,HDL=71,Triglicerids=48, Glucose=79,…). I’m usually in the high normal range BP (130-140/80-90), at home (taken 2 times a month). Have some isolated episodes of mild HBP, till 155/95 (situations of more stress–that my physician says is anxiety and I don’t need hypertensive medication). I have sedentary life but I walk all week days to my office, and home again–This means 2 times about 1,1 km (nearly 2 x 0,7 miles) a day (2 times about 15/20 min each), 5 days a week.
Some days ago I was lunching and, between soup and main dish, I felt some difficult to swallow, started to be with my face hot and felt week and lightheadness/dizzy (it´s difficult to describe the symptom well) like when it seems that we are nearly fainting. This last only a few seconds (5-10s, maximum). Then I recovered but my heart started to beat more quickly (high 90’s) for some time. No other symptoms. The room was with much people and some sweltry. Questions are:
-Seems this to be a TIA?
-If not, moment difficult to swallow could have any relation between trying to inspire air and swallow at same time?
-Could it only be a moment drop of blood pressure?
-Are TIA’s always warning symptoms that a stroke is coming some soon?
-If not, what else could be in origin of TIA’s?
-What are my probabilities of having a stroke?
Thank
I´m 37 y caucasian man, non-drinker, non-smoker, BMI=22, usually healthy. No heart or vascular diseases close family history. Do annual checkups´s (did this year already), including medical examination, ECG, blood and urine tests; that are usually fine (Total Cholest.=164,HDL=71,Triglicerids=48, Glucose=79,…). I’m usually in the high normal range BP (130-140/80-90), at home (taken 2 times a month). Have some isolated episodes of mild HBP, till 155/95 (situations of more stress–that my physician says is anxiety and I don’t need hypertensive medication). I have sedentary life but I walk all week days to my office, and home again–This means 2 times about 1,1 km (nearly 2 x 0,7 miles) a day (2 times about 15/20 min each), 5 days a week.
Some days ago I was lunching and, between soup and main dish, I felt some difficult to swallow, started to be with my face hot and felt week and lightheadness/dizzy (it´s difficult to describe the symptom well) like when it seems that we are nearly fainting. This last only a few seconds (5-10s, maximum). Then I recovered but my heart started to beat more quickly (high 90’s) for some time. No other symptoms. The room was with much people and some sweltry. Questions are:
-Seems this to be a TIA?
-If not, moment difficult to swallow could have any relation between trying to inspire air and swallow at same time?
-Could it only be a moment drop of blood pressure?
-Are TIA’s always warning symptoms that a stroke is coming some soon?
-If not, what else could be in origin of TIA’s?
-What are my probabilities of having a stroke?
Thank
Doctor's Answer
by CCF-Neuro-M.D.-JT, May 11, 2002 12:00AM
Could represent a number of things including TIA, though this is less likely. Panic attack/anxiety, cardiac dysrhythmia (sudden change in cardiac rhythm leading to abnormally high or low beats), and transient drop or rise in blood pressure are all possiblities. An oversimplified rule of thumb in patients who have true TIAs (which represent a momentary decrease of blood to the brain leading to neurological symptoms), 1/3 will go on to have a stroke, 1/3 will have another TIA and 1/3 will have no further episodes. As you are relatively young with no known stroke risk factors except for ?borderline high blood pressure, the risk of stroke is speculatively low. However, the blood pressure needs to be carefully monitored. You can have it checked yourself at local drugstores or places like Wal-mart to avoid the white coat syndrome. In a young man with transient rises in blood pressure another consideration is a disorder called pheochromocytoma in which you secrete abnormal amounts of adrenaline which produces the BP problems transiently and symtpoms of flushing, dizziness,etc... It's not common, but something to keep in mind and can be checked with blood/urine tests. GOod luck
