I've been trying to get this on the "Ask a doctor" forum but it is always full & not taking new questions....
A very dear 48 year old friend had a hemorrhagic stroke 11 months ago. The bleed was on the right side of her brain and resulted in a tennis ball sized clot. The neurosurgeon described that this in turn put pressure on the left side of her brain as well. Post stroke deficits are limited function of left arm and leg, swelling of left limbs as well as cold to the touch, moderate short term memory loss, lack of physical and mental endurance. Taking Depakote ER, Paxil and Amitryptiline. She will also take Motrin when she gets a headache or her knee starts swelling from standing or walking too much.
She has experienced 2 episodes described as possible seizure by her doctor, although they couldn't confirm seizure. The first was 6 months post stroke, the other (yesterday) at 11 months. Both occurred while working (part-time). Work involves standing at a demonstration and sales booth for long periods (a biz she has owned for 20 years). Both episodes started with a clawing of her left hand, light headedness, difficulty speaking then followed by collapse or fainting and momentary loss of consciousness (1 to 2 minutes tops). This time she hit her head on the floor fairly hard resulting in a large goose egg and minor bleeding. In both episodes she speaks and thinks clearly within a few minutes. Blood pressure immediately following is just slightly elevated. Her blood pressure is typically within acceptable range whenever it is checked.
My question is...what are the possible causes? We are getting very vague answers. Her neurosurgeon is our hero and a very competent surgeon in a small town. Is it time we look into specialists not available here? What type of specialists should we search for? This last occurrence followed 3 weeks of high stress and periods of missed sleep after the loss of her uncle, then her brother to drowning. The first occurrence she was well rested but was obviously excited that day about her business and was charging like a bull. Other than the obvious that she needs to pace herself, do we need to be concerned and take action?