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TIA or possible stroke?

I am a 25 year old male that woke up to a throbbing severe headache with right side facial stiffness two weeks ago. The facial stiffness sufficed after 15 minutes and allowed me to return to sleep. I continued to experience the headaches and later the facial stiffness which led me to go to the ER. In the ER I got a CT Scan and a MRI in which showed  a lesion likely related to prior insult in the left parietal lobe as well as volume loss and relative sparing of the overlying cortex.  I’m not completely sure about these things but I do know that I have sharp pain and weakness in my right arm and leg. I was prescribed Topiramate for the headaches but I believe I was misdiagnosed am I right?
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15695260 tn?1549593113
I wanted to follow up to see if you have any update for us.
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15695260 tn?1549593113
Hello and welcome to the forum. We are glad you found us and will try to help. Have you seen a doctor again to follow up on this?  Is there an update? So, let's talk about the differences between a TIA and a Stroke. A TIA or transient ischemic attack is also known as a mini stroke.  Here are the symptoms, a sudden onset of :
Weakness, numbness or paralysis in your face, arm or leg, typically on one side of your body
Slurred or garbled speech or difficulty understanding others
Blindness in one or both eyes or double vision
Dizziness or loss of balance or coordination
Sudden, severe headache with no known cause

A TIA often has the same cause as an ischemic stroke, a clot that blocks blood supply in your brain but it is very brief and the damage is not permanent. https://www.mayoclinic.org/diseases-conditions/transient-ischemic-attack/symptoms-causes/syc-20355679

One in three people who have TIA's go on to have a stroke and it is often considered a warning sign.

Symptoms of a stroke include:
Trouble with speaking and understanding. You may experience confusion. You may slur your words or have difficulty understanding speech.
Paralysis or numbness of the face, arm or leg. You may develop sudden numbness, weakness or paralysis in your face, arm or leg. This often happens just on one side of your body. Try to raise both your arms over your head at the same time. If one arm begins to fall, you may be having a stroke. Also, one side of your mouth may droop when you try to smile.
Trouble with seeing in one or both eyes. You may suddenly have blurred or blackened vision in one or both eyes, or you may see double.
Headache. A sudden, severe headache, which may be accompanied by vomiting, dizziness or altered consciousness, may indicate you're having a stroke.
Trouble with walking. You may stumble or experience sudden dizziness, loss of balance or loss of coordination.

If you have any of these symptoms, it is imperative that you seek immediate medical attention.  Stroke is caused by the same situation of blood clot in the brain blocking blood flow and supply but the damage can be permanent.

Doctors recommend Think FAST to assess a situation.:
Face. Ask the person to smile. Does one side of the face droop?
Arms. Ask the person to raise both arms. Does one arm drift downward? Or is one arm unable to rise up?
Speech. Ask the person to repeat a simple phrase. Is his or her speech slurred or strange?
Time. If you observe any of these signs, call 911 immediately.


I'm not exactly sure about the findings from your MRI. Have you since followed up with your doctor? That would be very important in your situation.

Facial weakness can also be something called Bells Palsy as well.  
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