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Doctor insights on: Is Hemispheric Infarct The Same As Stroke

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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?

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?

Yes: Tias do not show up on mris because the decreased blood flow (ischemia) is not severe enough and doesn't last long enough to cause a stroke (infarct). ...Read more

Dr. Walter Husar
3 doctors shared insights

Infarction (Definition)

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


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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?

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

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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

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

Congenital obesity: Congenital abnormalities like patent ductus arteriosus, tetralogy of fallout, patent foramen ovale. Valve issues. Occasionally heat prostration and electrolyte issues (2 a day football practices in august). Childhood morbid obesity, endocrine issues. ...Read more

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Old lacunar infarcts or bilateral benign cysts found in basal ganglion. Seeing neuro soon. Possible cause of my migraine w/ stroke like symptoms?

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

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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

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

Yes: 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.
Archneur.Jamanetwork.Com/article.Aspx?Articleid=1151759
multiple septic brain emboli in infectious endocarditis. ... Cardiac ultrasonography showed mitral valve vegetations consistent with infective. ...Read more

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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?

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

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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?

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

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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

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

Yes but not readily: There is a test that measures dagtriban but not readily available. You can see if someone is toxic by looking at inr and if >1 than dose maybe high. ...Read more

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Are there any non standard or special new treatments for multi infarct stroke dementia patient with loss of memory, cognitive functions?

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

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Diplopia:-mri brain isch chngs & infarcts. Now thirsty esp at night & constant salty taste in mouth. Could mini stroke be cause or what else?

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

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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

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

Tb meningitis.: Usual rule of thumb is best revery in 6 months altho some recvery seen up to two years. Based on your description of mri, recovery very very unlikely. You use word chronic in your description. ...Read more

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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?

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

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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)

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

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Dear doctor, i had right thalamic lacunar infarction in 1996 & take clopidrogel 75 daily. What else can I do to prevent stroke.

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

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How are hemophilia, myocardial infarction(heart attack), and stroke related to blood clotting?

How are hemophilia, myocardial infarction(heart attack), and stroke related to blood clotting?

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

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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.

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.

Hello. : Hello. Chest pain and tightness can occur as a physiologic response to anxiety. However with your strong family history, it would be worth it to have a comprehensive evaluation to include an ekg and blood work, if you haven't done so. Take care. ...Read more

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Consultant thai hospital says clopidogrel Aspirin Warafin are all indicted for 89yr Afib who had Mycardial Infarction after stroke and 50% risk True?

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

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What is the definition or description of: infarct?

What is the definition or description of: infarct?

Tissue death: It means an area of tissue death due to lack of oxygen most commonly associated with heart attacks and strokes. ...Read more

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Wwhat is peri -infarct ischemia?

Wwhat is peri -infarct ischemia?

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

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What is an old inferior infarct, old anterior infarct, and possible septal Q-waves?

What is an old inferior infarct, old anterior infarct, and possible septal Q-waves?

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

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Contour abnormality consider anterolateral infarct consistent with inferior infarct probably old what does that mean?

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

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What is anteroseptal infarct?

Heart Attack: Infarction is a heart attack, anteroseptal describes the location, which is the front wall of the heart, and the wall between the ventricles. This generally would have been cause by an occlusion in the left anterior descending coronary artery. (lad). ...Read more

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What do you mean by small chronic infarct?

Well...: It means that it is old, small, and an area that died due to lack of oxygen. These are common in older folks on ct's and mri's of the head, expecially with history of high blood pressure. ...Read more

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What makes a lacunar infarct chronic?

All chronic: Infarct means death of tissue secondary to obstructed blood flow. Lacunar is a tiny area. Once event has occurred, the nerve cells do not grow back locally, but compensatory pathways arise. Key lesson, therapies can prevent stroke events. Talk to your doctor. ...Read more

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What is chronic infarct right thalamus?

Old stroke: Chronic implies longer than 3-6 months. Brain infarct is a stroke, due to blood vessel obstruction. Risk factors might include hypertension, diabetes, high cholesterol, and the presence of an old stroke predicts future stroke risk. So, likely best to start an anti-platelet drug. Discuss this with your doc. ...Read more

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Can you tell me about spinal cord infarct?

Can you tell me about spinal cord infarct?

Spinal infarct: Spinal cord infarct is the same as a stroke- sudden decreased blood flow within part of the CNS (central nervous system). Compared to the brain, the spinal cord receives much less blood flow, but like the brain, it can suffer from a stroke. A spinal cord infarct is less common than a (cerebral) stroke. It also tends to affect the legs, as motor supply to the legs must pass through the spinal c. ...Read more

Dr. James Chapman
3 doctors shared insights

Infarct (Definition)

It means an area of tissue death due to lack of oxygen most commonly associated with ...Read more