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Neurology (Expert Forum)
Unusual recurent TIAs
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Unusual recurent TIAs
by pevnid, Jul 19, 2003 12:00AM
My wife is 42 years old. During last 6 month she has recurrent TIAs every month. She has not coagulopathy, ant-DNA, lupus anticoagulant etc. MRI and MRA are normal. TEE- no evidence of thrombus. She has sinus rate. She doesn’t smoke and doesn’t use contraception pills. She gets Aspirin. The clinical picture included abdominal discomfort left arm and leg weakness and head discomfort (heavy head). It may be continues some hours or some days. Follow, appear verbal problems, visual disturbance. It may be continues some hours. General weakness appears after and continues up to 7 –10 days. She has normal EEG. Aspirin doesn’t prevent this TIA. Probably somebody knows this picture or know direction for other investigation and treatment.
Doctor's Answer
by CCF-Neuro-M.D.-CS, Jul 20, 2003 12:00AM
Based on your description the following disorders come to mind. One is porphyria, which is an abnormality of the component in blood which carries oxygen. Other possibilites include complicated migraine, mitochondrial dysfunction (mitochondria produce the energy the body uses), and vasculitis (an inflamation (inflammation) of the blood vessels. To evaluate these possibilities one would need to have blood tests and some more invasive testing. I would recommend a second opinion with a neurologist at a large academic center, such as the Cleveland Clinic. Good luck.
Leinakia.