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Newport Beach, CA
A 47-year-old female asked:

Iam 47 /female had a day of sudden numbness in left arm lasting <5min. 5 hrs later left sd of face . also have pfo and history migraines(never like this) tia or migraine? 2 m.d.'s debate dx.do i close pfo

2 doctor answers5 doctors weighed in
Dr. Dwain Rickertsen
Family Medicine 36 years experience
Family practice: It could be a complexed migraine however something more serious may be going on. It sounds like you have several drs involved. Have you been seen by a neurologist. You should have several studies done. Carotid ultrasound , echocardiogram, and MRI of the brain. Other neurological conditions need to be ruled out as well. Take an Aspirin a day and keep your dr informed what is going on.
Dr. Bennett Machanic
Neurology 52 years experience
DIFFICULT CHOICE: If your pfo is closed, technically is not a major procedure, there is a potential of controlling migraine (not fully proven yet), and protection against future paradoxical embolism through the pfo. The timing of your event is far more consistent with a blood clot than a classical migraine event, but gather that no primary source was discovered. Would go to academic center and get opinion.

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Last updated Sep 28, 2016

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