They might be transient ischemic attacks (TIAs), also known as "mini-strokes". Typically, these aren't found on an MRI and may not even show up on a CT scan of the head, especially if the episode only lasted a few seconds or minutes (they can last up to several hours, at which point some irreversible damage to the brain is done).
The standard for diagnosing these is based upon the symptoms the patient described they experienced, clinical evaluation, an echocardiogram (to rule out an embolic source), an ultrasound of the carotid arteries in the neck (to rule out stenosis), and then a whole barrage of bloodwork--including C-reactive protein and erythrocyte sedimentation rate. Has your daughter had any of this done? Doctors will also tell a patient believed to have suffered a TIA to begin taking aspirin daily, a preventative measure.
If she suffered an actual stroke, it is likely there would be some evidence on the MRI/CT scans. TIAs aren't so easy to diagnose, and they're considered "warning signs", meaning that the likelihood of a patient who experienced one or more TIAs to have an actual stroke is much higher than it was prior to the TIA(s).
Sometimes partial seizures can mimic a stroke, depending on which part of the brain it is occurring in. During a partial seizure, the patient is fully conscious and is usually capable of remembering everything that happened, even after the seizure ends. This might be worth looking into.
She's fourteen years old, and smoking? That's very sad to hear...not only because she is so young, but also because that is terrible for her health and could potentially be contributing to the situation at hand.
Just my thoughts. I wish you and your daughter well--please keep me posted on how it all goes.
Thanks for your comment and advice. Yes the prospect of them being T'IA's is a real one and Hosp. Staff seem in two minds as to whether it's actually this or has more of a psychological basis, they're actually strongly suggestive of it being a Conversion Disorder. The general reluctance we have in acknowledging them as TIA's is that Trisha's symptoms don't last for seconds, minutes or even hours, but 3-5 days at a time.
I'm unsure if she had an echocardiogram or ultrasound done, Trish did have extensive blood work done, but my understanding is that they all came back with no abnormality detected. Interestingly enough they have put her on aspirin daily, though compliance is an issue here, so I'm guessing the Hospital at least is covering their bases,
It's difficult for Marion and I as we live interstate approx. 5 hours away, Communication between Trish and us is happening but strained,as we've expressed our horror that Trish continues to perhaps risk her very life by her poor choices as she's now had possibly 2 cerebral events in less than 3 years, and she refuses to acknowledge the risk other than to say she's cautious (whatever that means) and give up smoking.
It's of NO use trying to talk with my ex as she's VERY defensive of her "Mothering skills" and sees nothing wrong in providing either cigarettes or money to purchase them. This would be the same woman who when Trisha was 12 purposely gave her wine until she was so drunk she collapsed unconscious ("to teach Trisha a lesson").
So given that Trisha has been smoking since age 12 & sexually active as well since then, mine, my Wife Marion and my Son Leigh (22 yo) have little influence over what transpires within their house, even though Trish looks up to Leigh and he's lived with them for 6 months (now moving out due to volatile nature of the accepted house standards).
So it's a wait and see from our perspective, although I'm now forced into contacting Child Protective Services to see if they can at least influence the "parenting" that doesn't happen within the custodial Home.
i had that happen to me it was bells palsy might not of spelled that right where half my face just quit working . its thought to come fromsome kind of infection but u might look into it
Hi thanks for your input, but no it's not Bells Palsy, the symptoms have resolved and Trish is now back at School. The Hospital have hung their hat on Trish having a condition known as Conversion Disorder whereby the patient experiences real physiological symptoms but they have a psychological basis brought on a lot of the time by stress or trauma
wow thats interesting maybe thats my problem . how do they fix it ?
Psychological help & GOOD parenting from Trisha's custodial "Mother", I'm hopeful the psychological help will assist but I believe there's NO hope of Trisha's "Mother" ever knowing how to be a decent parent.
So time will tell, my Wife and I can do is parent from afar, but from what we hear the problems within the home environment are huge. Despite that Trisha refuses to live with us.