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Posted By CCF Neurology MD - AY on September 18, 1998 at 04:50:01:

In Reply to: stroke posted by amy on September 18, 1998 at 02:41:06:

about a week ago my father complained of chest and arm pain.  when i suggested a mild heart attack he did not take me seriously and failed to see a doctor.  he then came home a couple nights ago with a terrible black eye.  apparently he had gotten in to a dispute that ended in violence and was hit in the head with a 2x4.  He refused once more to go to the doctor.  he did not show any signs of concusion so we dissmissed it.  last night he came home Very shooken up and seemed to lose controll of his left side.  he has been under a great amount of stress lately and i suspect that he is perhaps haveing a mild stroke.  Yet dispite all that has happened he still refuses to go to the Doctor.  it would help if i have documentaton of stroke symptoms.  and i plan to call 911 if he refuses once more.

Thanks for your question.  There are indeed quite a number of points of
concern in your father's scenario:
1. The "chest symptoms": besides needing an thorough evaluation on its own,
    cardiac problems can greatly increase the chances of a stroke because of
    increase chances of a blood clot formation inside the heart.
2. The "black eye": a head trauma that was suffuciently hard to cause an
    orbital hematoma, specially if you don't the exact circumstances how it
    happened should also be evaluated, preferably by a CT scan of the head.
    There can be at least two problems: a) a skull fracture; b) a hematoma
    (collection of blood) inside the skull, compressing his brain.
3. "Loosing control of his left side" and possibly confused/disoriented:
    those could definitely be symptoms of a stroke.
Other symptoms that would indicate a stroke: "droopy face" on one side;
complaints of complete numbness on his left side; very unsteady gait;
problems with his speech (either "slurred" or what he says doesn't make
any sense); any loss of consciousness.
Given what has already happened to him, I would definitely have your father
be seen by a physician as soon as possible.
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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