Doctor insights on:
Is Hemispheric Infarct The Same As Stroke
If an MRI shows infarcts as well as periventricular ischemic changes does this mean a person has had an actual stroke rather than just a tia?
When the blood supply of a tissue is compromised by whatever mechanism, the tissue will stop working and if blood flow is not restored, the tissue will eventually die ("infarct", both verb and noun). The clinical picture that runs with development of an infarct ("heart attack"; ...Read more
Impression states: small lacunar infarct in the right cerebellar hemisphere. Is that considered a stroke? should I be doing anything about it
Stroke. : That finding would be considered a stroke, yes. You should be on medications, and you should have your blood pressure and blood sugar checked/monitored. You may want to consider seeing a Neurologist as well. And more testing may be required, such as 2d echocardiogram and carotid Doppler. ...Read more
I had a TIA and I was diagnosed with pfo. My doctor suggests me to close it he say its better die in an infarct than live with a stroke if it happens. Do you agree?
Depends: If you are young and relatively healthy then you should survive a surgical procedure. Anticoagulation may also be an option to prevent stroke. My best recommendation however is to get a second and perhaps third opinion first and then make up your mind. You may be surprised by the differences of opinon. Make sure that the hospital and doctor where the surgery is has a good rating. ...Read more
What are the chances for a teenager to get a heart attack, stroke, or infarct? And reason of what could cause them.. Other than drugs
Old lacunar infarcts or bilateral benign cysts found in basal ganglion. Seeing neuro soon. Possible cause of my migraine w/ stroke like symptoms?
Unlikely,: Not unique for an MRI to show white matter lesions in pts who have history of migraine, especially complex episodes, either classical or hemiplegic. Strokes with migraine, seems most associated with auras, cigarette smoking, and hormonal use. The root cause of your episodes is genetic, which changes your brain glutamate sensitivity. ...Read more
Since a right sided lacunar infarct the vision in my right eye is changing. at this point everythin is blurry in that eye. is this from the stroke?
Knowing meth, cocaine, heroine ect are a danger to the heart.. Is it possible to get a heart attack, stroke, or infarct later during recovery? If so, why
If you injected the drug under unsanitary conditions and bacteria settled on your heart valves and colonized there you could send septic emboli to different parts of your body, especially your brain.
multiple septic brain emboli in infectious endocarditis. ... Cardiac ultrasonography showed mitral valve vegetations consistent with infective. ...Read more
Multi infarct stroke dementia patient, will stopping ssri antidepressant have a negative impact after some time and patient has shown improvement? Is it addictive or have a downer. Any ALT antidep's?
Vascular dementia: These days multi infarct dementia is referred to as vascular dementia. After a stroke there is evidence that ssri antidepressants help prevent post stroke depression. There is a little but not a lot of evidence that ssris help those with vascular dementia. Ssris are not addictive. For specific advice about using any antidepressant it would be best to see a mental health expert. ...Read more
What specifc therapy can be given to multi infarct stroke dementia patient, 67, to improve cognitive functions and part memory loss. Also need tips for the caregiver to understand the patients needs?
Support groups: A support group for caregivers of dementia patients or alzheimer's patients can be very helpful. There you can find out from others what their troubles have been and what they have tried. The alzheimer's association or the alzheimer's foundation of america have good online websites with information that often applies to all types of dementia including multiinfarct or vascular dementia. ...Read more
What tests can we do to check effect of dabigatran on patient with heart problems, multi infarct stroke dementia? Recently moved to d'tran from warfarin after stroke. Any interaction with antideprests
Are there any non standard or special new treatments for multi infarct stroke dementia patient with loss of memory, cognitive functions?
No: At the present time, there is no new or novel treatment in patients who already had a stroke. There is only prevention of future strokes. ...Read more
Will ssri antidepressants work to improve cognitive functions and memory loss of a recent multi infarct stroke dementia patient, age 67. How long should he take them until we see an improvement?
Diplopia:-mri brain isch chngs & infarcts. Now thirsty esp at night & constant salty taste in mouth. Could mini stroke be cause or what else?
Yes, no, maybe so: "mri brain isch chngs & infarcts" isn't specific enough. The isch chngs & infarcts can't be just anywhere. Diplopia from strokes tends to improve at least partly; is yours? As for thirsty esp at night & constant salty taste in mouth: Strokes don't cause that. My guess is it's a med side effect, maybe the bisoprolol. Avoid "ministroke"; the term is so poorly defined it's essentially meaningless. ...Read more
Diplopia:-mri brain isch chngs & infarcts now thirsty esp at night & constant salty taste in mouth. Could mini stroke be cause or taste disturbance ?
Possible: But why does a 48 year old get these strokes? Need more info. ...Read more
7 month after TB meningitis MRI say chronic lacunar infarct in left thalamus right basal ganglia she's only 22yr having mild stroke symptoms. Can she be fine? She's on TB meds & tizanidine+baclofen
7 month after TB meningitis MRI say chronic lacunar infarct in left thalamus right basal ganglia she's only 22yr having mild stroke symptoms. Can she recover? She's on TB meds and baclofen+tizanidine
Recent MRI due to headaches discovered brain infarction. Could that be the cause of my headaches and is it possible to figure out when i had a stroke?
Not all strokes same: An MRI can tell a tremendous amount about a stroke, including approximately when it happened, the size, and the location. Many people have microvascular disease that leads to small strokes as they age, and they rarely have much significance. An acute stroke, on the other hand, is an emergency. Have a closer look at the MRI report and talk to your doctor about the details of the implications. ...Read more
Re: MRI brain - can a lesion be a scar from a previous stroke and if so how long would it take an infarction to become a scar / lesion? (lft occip)
SHORT TIME: The basic sequence is first localized inflammation of about 24-48 hrs maximally, and then localized cleanup from glia, macrophages, and microglia for about 4-6 wks., any recovery of myelin takes about 4 wks after healing starts, and maximal scarring occurs about 3-4 months. So if you did have a stroke, a focal MRI lesion shows the prior location. ...Read more
Dear doctor, i had right thalamic lacunar infarction in 1996 & take clopidrogel 75 daily. What else can I do to prevent stroke.
See below: Reduce salt, control blood pressure to <130/80 mm hg, control cholesterol (or better vegetarian diet), reduce weight, stay active daily (walking is good enough), reduce stress, do something enjoyable each day (to reduce stress), no smoking, keep on top of your health with your doctor (be your own advocate, especially in india). ...Read more
Opposites: Hemophilia is a defect of blood coagulation such that the blood does not clot. Heart attacks and strokes are a result of clots forming in the arteries feeding the heart and brain respectively. These latter clots can be formed locally due to damage to the blood vessels or an increased clotting tendency, or from clots that embolize from somewhere else in the body. ...Read more
I have sporatic heart area pain, tightness during stressful situations and as I am engaged in sex for the past 3 weeks. I am 58 years old, my brother at 57 just died of a heart attack, mio-infarction and my father died of a massive stroke 5 years ago.
Consultant thai hospital says clopidogrel Aspirin Warafin are all indicted for 89yr Afib who had Mycardial Infarction after stroke and 50% risk True?
AFib + MI: The 50% number sounds high, but Coumadin would be for reducing stroke risk of atrial fibrillation, and the aspirin/Plavix are for stent placement after MI. So, triple therapy is likely indicated. This should be for the shortest period as possible then reduce to 2 agents, most commonly Plavix and Coumadin. Triple therapy of aspirin/plavix/Coumadin has a high bleeding risk, so avoid risky things. ...Read more
Lack of blood flow.:
"Ischemia" means a relative lack of blood flow (i.e., less blood flow than expected or less flow than noted on a prior scan).
Peri-infarct means around the area of cell death (infarction).
Upload the report & images on HealthTap Prime to discuss in more detail. But the basic gist is that around the area of death, there is an area of less blood flow than there should be. ...Read more
It depends on the: age, location, associated complications, speed of diagnosis and treatment, country of event and many other factors. In the US when treated within 90 minutes the prognosis is excellent. ...Read more
Infarcts: Infarcts are areas of heart muscle damage or scars. They can be deemed to be acute or old depending on associated EKG patterns. Q waves are often patterns of myocardial infarction. The above abnormalities are felt to be on the bottom and front of the left ventricle and possibly on the septum which is a wall between the left and right ventricles. This is a significant amount of heart muscle damage. ...Read more
Contour abnormality consider anterolateral infarct consistent with inferior infarct probably old what does that mean?
Need moreinformation: Was this a nuclear stress test? infarct means a prior heart attack you mention two different walls of the heart . Tests can have artifacts and can sometimes have false positives - will need more information such as history , indication for the test , risk factors for heart disease etc ...Read more