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Doctor insights on: Cortical Vs Subcortical Stroke

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Brain MRI findings. Tiny nonspecific periventricular and subcortical white matter. Possiblities mini strokes, vasculaties, ms. I shuffle my feet & drop?

Brain MRI findings. Tiny nonspecific periventricular and subcortical white matter. Possiblities mini strokes, vasculaties, ms. I shuffle my feet & drop?

Nonspecific finding: White matter changes that are nonspecific are sometimes over reported or under-reported on MRI studies. They may be misread and really suggest MS, they may be a finding with no clinical relevance. Usually it is the latter.

It sounds like the brain MRI did not help that much. So you shuffle your feet and drop? What do you mean by drop? Do you have numbness? Why was the brain MRI done? ...Read more

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My eeg report says mild focal sub cortical dysfunction. What does this mean?

My eeg report says mild focal sub cortical dysfunction. What does this mean?

Eeg interpretations: It is really difficult to interpret the squiggles on an eeg. Much more difficult than the squiggles of an ekg. You really have to sit down with your neurologist and have a discussion about your condition which is much more important than the meaning of the wiggles on the paper, and have a discussion about your prognosis (outlook). ...Read more

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What is the meaning of chronic ischemic changes in bilateral frontparietal sub cortical white matter. What is the medicne for this?

What is the meaning of chronic ischemic changes in bilateral frontparietal sub cortical white matter. What is the medicne for this?

Aspirin...: Blood supply to the mentioned areas are compromised. HTN, DM, Vasculitis, Atherosclerosis, Embolism, can be responsible. Starting with aspirin and doing WU is better. ...Read more

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What is a dry stroke?

What is a dry stroke?

Ischemic: A dry stroke is due to a cut off or reduction in circulation to a portion of the brain, usually due to closure of a blood vessel from a blood clot. This is different from a "wet stroke" in which a blood vessel break or is disrupted, causing bleeding or hemorrhage into the brain. ...Read more

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What does stroke mean?

What does stroke mean?

Brain attack: 2 kinds of stroke: ischemic or hemorrhagic. Ischemic (either thrombotic or embolic) is like a clogged drain in your house. Hemorrhagic is like a burst pipe. In either case, you don't get water flowing where you need it. Same w/stroke - you lose blood flow to vital areas in your brain (are there non-vital areas?). Without blood flow, brain dies. So if you think you're having a stroke, call 911. ...Read more

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What to do about stroke?

What to do about stroke?

Stroke: Once a stroke occurs the focus needs to be on rehab and prevention. The sooner you begin rehab, the more likely you are to regain abilities. Also proper blood pressure and cholesterol control as well as improved lifestyle - ie improved diet/exercise are needed to prevent another from happening. This should all be done under the watchful eye of your physician - may benefit from medicine as well. ...Read more

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How is a stroke diagnosed?

How is a stroke diagnosed?

By the neurologist: It needs history, physical examination, lab and xray testing and frequent monitoring of the patient's symtoms by the nursing staff. ...Read more

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Who is at risk for stroke?

Who is at risk for stroke?

Lots of people: Diabetics, anyone with cardiovascular disease, high blood pressure not controlled, high cholesterol especially with known plaques, those with a strong family history, atrial fibrillation, mechanical valves and more. ...Read more

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Can stroke affect eyesight?

Absolutely: You can have a vascular occlusion within the eye which can affect the sight in that particular eye. You can have a stroke in the visual cortex which can block portions of your vision. Strokes have also affected color vision, facial recognition, visual memory and other visually related functions. These conditons are best analyzed by a neuro-ophthalmologist. ...Read more

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What procedures help stroke?

What procedures help stroke?

Carotid surgery: It depends on type---
carotid stenting--
carotid endarterectomy--
merci retrieval to remove a blood clot
aneurysm embolization. ...Read more

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What medications treat stroke?

What medications treat stroke?

Prevention is best: Although tpa (alteplase) is important, best to avoid need for this. Be mindful of risks, such as hypertension, diabetes, high blood fats, smoking, some illicit drugs (cocaine, etc), hyperhomocysteinemia, obesity, concurrent heart disease. Preventatives include the antiplatelet drugs, such as clopidogrel, aggrenox, and to a lesser extent aspirin. Some new anticoagulants can be considered. ...Read more

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Needto know more about strokes?

Needto know more about strokes?

Resources for stroke: You can learn more about stroke at the American Heart Association website

http://www. Strokeassociation. Org/STROKEORG/ ...Read more

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How can you recognize a stroke?

Neuro changes: Loss or alteration of vision, speech, balance, thinking, sensation, strength which lasts as little as 30 seconds could represent a stroke. The longer the symptoms last the more likely a stroke is occurring. Don't take a chance. Better to check it out quickly. ...Read more

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Does zynapse cure a stroke pt.?

No: A stroke means some brain cells have died, usually after loss of blood supply. Lost cells can't be replaced. Bigger stroke = more disability. However, our brains are flexible (esp when younger). Often remaining cells can adapt + we see variable improvement during rehab. I don't know any pills proven to speed this up, but u have to look for specific studies, not just general claims for supplements. ...Read more

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Who is at greater risk for stroke?

Who is at greater risk for stroke?

Depends: Strokes are more common in men under 75 and women above 75. And african americans are twice as likely to have a stroke. Some other factors for stroke include: high blood pressure, history of previous strokes, women who smoke while on hormonal birth control, diabetes, heart disease such as atrial fibrillation, high cholesterol and atherosclerosis. ...Read more

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Does tia's lead to larger strokes?

Yes: Tia happens when blood supply to a certain area of the brain gets cut off temporarily. This causes a neurologic deficit - weakness, numbness, visual deficit or difficulty with speech. While TIA usually resolves, it indicates that there is a problem with your heart or blood vessels that can cause another TIA o stroke. It is heard to predict size of stroke from a tia, but it can certainly be large. ...Read more

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How can you diagnose a stroke or tia?

How can you diagnose a stroke or tia?

See below: Thorough neurologic examination is the first step in diagnosing a stroke or tia. A neurologist may develop concern based on typical neurologic defecits. If indicated, MRI is the best test for identifying or ruling out a stroke. If the symptoms are similar to a stroke but there is no stroke on MRI and/or the symptoms resolve, it is more likely to have been a transient ischemic attack (tia). ...Read more

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What are cortical vision impairments?

What are cortical vision impairments?

Brain problem: Cortical visual impairment is when visual function is affected by changes in the brain rather than changes in the eye. Cortical visual impairment can be caused by developmental brain defects, head trauma, strokes to the occipital lobe and some other things. ...Read more

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How can you diagnose a stroke or tia?

How can you diagnose a stroke or tia?

Symptoms, exam, scan: The patient's clinical symptoms and exam will usually suggest a stroke, and a brain scan, particularly an mri, will show a stroke. A ct of the brain can also show a stroke, but it is not as sensitive as the mri. ...Read more

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How frequently can mini strokes occur?

How frequently can mini strokes occur?

TIAs: Can occur every few minutes. These are crescendo tias. Very dangerous to have multiple frequent tias. High risk of stroke. Please see your doctor soon or go to er. See stroke. Org for more info. ...Read more

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What are the symptoms as a mild stroke?

Think "FAST": The acronym "fast" summarizes what to look for and what do if you think someone is having a stroke: 1)face-ask the person to smile. Does one side of the face droop? 2) arms-ask the person to raise both arms. Does one arm drift downward? 3) speech-ask the person to repeat a simple phrase. Is their speech slurred or strange? 4) time-if you observe any of these signs, call 9-1-1 immediately. ...Read more

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Which kind of stroke causes speech loss?

Which kind of stroke causes speech loss?

Several: A stroke that affects broca's area in the dominant hemisphere will affect expressive speech and possibly comprehension. This can be due to ischemic stroke eg a plaque rupture and/or blood clot, hemorrhagic (bleeding) or embolic (drifting blood clot) types of stroke. A stroke of other (posterior) areas may garble the speech but not affect language otherwise. ...Read more

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What are the symptoms of a major stroke?

Location dependent: This depends upon the location of the stroke. It could include weakness, language difficulties, sensory abnormalities and visual loss. Other possibilites include personality change, neglect of one side of the body, transient visual hallucinations, inability to swallow, facial weakness and numbness, gait disorders, tremors and spasticity. The list is not all inclusive. ...Read more

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What will happen when you have a stroke?

What will happen when you have a stroke?

Stroke: Symptoms of stroke depend on what area of the brain is affected. Common symptoms include: facial droop or numbness. Arms or legs weakness. ...Read more

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What can cause someone to have a stroke?

What I say: Smoking and high blood pressure are probably the two most common causes of stroke. Atrial fibrillation is an important risk factor, diabetes mellitus and high cholesterol can also lead to a higher risk of stroke. ...Read more

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How many strokes can you have and survive?

How many strokes can you have and survive?

The answer varies: There is not a single answer to this question.

It may be a person can survive more than ten strokes, or die after just one. It really depends on where they are, how large they are, and whether any bleeding or recovery occurs. ...Read more

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Is it unusual to survive multiple strokes?

Actually common: With our current stroke treatment medications and rehab steps, we not only can prevent many strokes, but also can restore patients to improved functioning. A number of patients experience several very small "lacunar" lesions which cause impairment but not death. ...Read more

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What is the definition of subacute stroke?

What is the definition of subacute stroke?

Stoke: 1 week to 1 month after onset is subacute. 1 day to one week is acute. After 1 month the stroke is chronic. ...Read more