Aa
A
A
A
Close
Neurology Community
45k Members
Avatar universal

possible stroke - other possible causes?

Senior adult (upper 70s female, history of depression) showed dramatic change in behavior from August to November.  Caregiver could note the date of change (approx Oct 2).  Previously verbal, modestly mobile, lucid, highly emotionally expressive woman, suddenly shows:   inability to rise from seat or bed alone, incontinence, flat affect, limited signs of recognition of children, strange posture (not resting arms on sides of chair, not putting feet flat on floor), peculiar gaze (wide eyed gaze, full and notable blinks), and no affect.  She responds when spoken to (but limited), but initiates conversations only about needs (to go to bed, to get water, to locate her husband).   NO evidence of paralysis - but could this still be a stroke result?  Want to share advice to caregiver on what questions to ask the woman's GP.
Thanks for any advice.
1 Responses
Avatar universal
Hi.

A dramatic change in behavior and affect could indeed lead to a suspicion of stroke, especially in older persons.  Depending on the area of the brain affected and the severity of the stroke, it is possible for a stroke to cause the symptoms described above without any evidence of paralysis of extremities.

Has an MRI or CT scan been performed? It might be advisable to consult a neurologist to assess her condition and possibly have her undergo brain imaging.
Have an Answer?
Top Neurology Answerers
620923 tn?1452919248
Allentown, PA
5265383 tn?1483811956
ON
1756321 tn?1547098925
Queensland, Australia
1780921 tn?1499305393
Queen Creek, AZ
Learn About Top Answerers
Didn't find the answer you were looking for?
Ask a question
Popular Resources
Find out how beta-blocker eye drops show promising results for acute migraine relief.
In this special Missouri Medicine report, doctors examine advances in diagnosis and treatment of this devastating and costly neurodegenerative disease.
Here are 12 simple – and fun! – ways to boost your brainpower.
Discover some of the causes of dizziness and how to treat it.
Discover the common causes of headaches and how to treat headache pain.
Two of the largest studies on Alzheimer’s have yielded new clues about the disease