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Mini Stroke

  Neurologist ordered MRI over a month ago due to repeated lightheadness,
  muscle pain and general inability to function.  Indicated that should there
  be a problem he would call, if he did not call, should I have any other
  problems I should address them to my primary care physician.  Didn't
  hear, so I assumed all was well with my MRI.  Then I had an intense
  case of lightheadness, slurred speech that lasted all day.  I contacted
  primary care who referred me back to Neurologist.  Couldn't get
  appointment for two weeks even with pleading my case.  I was told
  to get films from Radiology and bring them to appointment.  At
  appointment I was told that they indicated a series of mini strokes and
  follow up tests were scheduled.  Is it possible that these films were never
  looked at.  They indicate that images revealed a few punctate
  hyperintensities in the periventricular white matter bilaterally, predominatly in
  the corona radiata and peritrigonal white matter.  Should this have been
  addressed immediately.  I am very anxious due to the fact that both
  my grandmother and mother suffered severe strokes.  Should test results
  reveal no information to indicate the cause, then what.  And have these
  strokes caused any damage.  Can they tell when they occurred?
Thanks for your question.  The location of the small infarcts in your MRI
scan are fairly typical of those associated with chronic system hypertension.
You did not mention if you had other medical problems, could high blood pressure
be one of them?  The best prevention is the appropriate control of the blood
pressure, which can be managed by your family physician.  Unless the MRI
scan that you have done included a special protocol called "MR-Diffusion"
it is difficult to tell which one of the several lesions (if any) had
occurred recently.  These small stroke, also called "lacunar strokes" usually
involve the occlusion/obstruction of small arterial vessels.  The general
consensus among neurologist is that a daily dose of adult Aspirin (325mg)
helps in reducing the risks of further such strokes (in association with
blood pressure control).  Please discuss these options with your physician.
I hope this information is helpful.  Best of luck.
This information is provided for general medical education purposes only.
Please consult your doctor regarding diagnostic and treatment options.

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