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Mechanism of stroke.
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Mechanism of stroke.

Dear Dr, My father had a stroke and later MRI and Carotid Doppler showed occluded left Internal Carotid and reversed left
vertabral. Others patent.
MRI showed extensive ischemic changes in the white matter of both hemispheres, consistant with small vessel disease.
He has no cortical infarcts and the MRI looks the same on both sides. My q's
1) Do you think the occluded L I.C.A would cause this pattern
of damage, or more likely to be a small white matter artery
responsible.
2) his early recovery was good but now complains of "stiffnes"
in his left leg and poorer balance. He has som physio but
is not improving.
3) His Dr won't explain why the occluded vessel can't be operated on Re C.E.A.
Any suggestions much appreciated.
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