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Avatar universal

Stroke no stroke ???

Hi all,

My dad was told he had a stroke 10 years ago along with the TIA's.  He had the classic symptoms, the doc ran the CAT, MRI, Doppler on neck and so on.. He was told he had a small stroke and that the arteries in his neck were 35 to 50% blocked. He has been on plavix and blood thinners since...   Since the doctor said he had a stroke, he usually would have small to medium spells where he would have the same symptoms as the first and the doc said must be TIA's.....   Well he had a fairly large TIA 2 weeks ago, numbness in face, problems talking. He went to doctor today who is the same from the begining , the doc does blood work and the doppler on the neck again. Nothing changed in 10 years. He recomends a nurologist who says there is no  evidence of stroke or TIA's?????
The doc who first said he had a stroke and had the tia was now saying no signs of stroke and no reason to worry?
The doc and nuro are the same from the 1st incident 10 years ago. They do want to do another mri, cat scan saying it has been 10 yrs but wtf. Tell a person they had a stroke, medicate them for ten years for it and then say nope, no stroke....... My dad has been unable to get any kind of decent health insurance because of this. I told him to find new doc for second opinion..... Any other options?????

thanks in advance!










1 Responses
Avatar universal
Hi,
Stroke is diagnosed through several techniques: a neurological examination, CT scans (most often without contrast enhancements) or MRI scans, Doppler ultrasound, and arteriography. The diagnosis of stroke itself is clinical, with assistance from the imaging techniques. Imaging techniques also assist in determining the subtypes and cause of stroke. There is yet no commonly used blood test for the stroke diagnosis itself, though blood tests may be of help in finding out the likely cause of stroke.
Strokes can be classified into two major categories: ischemic and hemorrhagic. Ischemia is due to interruption of the blood supply, while hemorrhage is due to rupture of a blood vessel or an abnormal vascular structure. 80% of strokes are due to ischemia; the remainder are due to hemorrhage.
The first episode 10 years back did have a cause-arteries in the neck blocked 35-50%.This second episode was a TIA.A transient ischemic attack (TIA, often colloquially referred to as "mini stroke") is caused by the temporary disturbance of blood supply to a restricted area of the brain, resulting in brief neurologic dysfunction that usually persists for less than 24 hours.The clot could be from another origin.
He does need to be worked up completely which makes your decision absolutely correct in wanting to get a second opinion.Even if a stroke is ruled out again you will at least be sure of the diagnosis.
ref:http://en.wikipedia.org/wiki/Transient_ischemic_attack
http://en.wikipedia.org/wiki/Stroke




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