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Doctor insights on:
Mild Ischemic Stroke
1
27yrs old and an elite athlete who suffered a mild ischemic stroke 24hrs ago. Any key decisions my docs are likely to be facing?

What's mild CVA @ 27: Stroke at age 27, athlete or not, is unusual. All strokes should be thoroughly worked up, preferably by neurologists. Since there are so many variables, such as location, causation, associated health issues, that your question cannot be answered with the limited information you are able to present. ...Read more
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2
27yrs old and an elite athlete who suffered a mild ischemic stroke 24hrs ago. Any key decisions my docs are likely to be facing?

Stroke: A young person getting a stroke is unusual. You really need to look for preventable or correctable causes. Cocaine abuse, sickle cell disease, hereditary aneurysms, moyamoya disease etc. ...Read more
3
Tomorrow 92 yo has first visit with nh fp. What tests should be ordered=thin lady w/ past mild ischemic stroke, pelvic fracture, B12 def, mild BP elev?

Depends: What tests have already been done? Check cbc, cmp, b12, tsh, ekg, vitamin d, maybe bone density. Most important is a careful history and thorough physical exam. ...Read more
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4
90yo wf with mild htn but prior ischemic stroke woke abruptly but late. Confused+agitated for 20 min. Ok p oj/could digital home BP of 189/169 be real?

Yes, Go to the ER: She may be having another stroke, i would have her evaluated asap. ...Read more
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5
Why must an ischemic stroke be treated immediately?

Permanent: Damage after approximately 6 hours.
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6
Is it possible to fully recover from an ischemic stroke?

Perhaps: The brain possesses amazing coping and plasticity skills and recovery may seem full and miraculous. Folks do best with small lacunar events, in non-critical areas. Best to prevent future events. ...Read more
7
Is Ischemic stroke is easy to recover for a 58 years old?
Stoke recovery: Is Ischemic stroke is easy to recover for a 58 years old? ANS: Yes and No. It depends on how dense the stroke is. That is how much of the body it affected. The more the slower the recovery usually. The Dsr caring for your stroke is an expert in YOU. Please discuss with them. ...Read more
8
What is the difference between acute ischemic stroke and ischemic stroke?
Acute - Sudden Onset: Acute stroke refers to a stroke that has just occurred. Ischemic stroke may be hyperacute (based on sudden onset neurological symptoms and imaging findings, MRI and perfusion study) and potentially treatable, acute (1-7 d), subacute (7-21 d), and chronic (>21 d). ...Read more
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9
Is full recovery possible in ischemic stroke? To what extend recovery can be done in this case? ( answer in %)

Possible: If it is a small ischemic stroke then full recovery is possible. Unless your are left handed, it would be unusual to have aphasia from a right brain stroke. If you mean right sided weakness that would be more typical. I would need to see the MRI to give you a % of possible recovery that would be possible but certainly improvement from your current condition is a possibility. ...Read more
10
42m ischemic stroke 5 years ago and recovered well. He just had a second stroke a few weeks ago. No cause ID'd. Is life expect. decreased? Im scared.

Stroke: you are young, stay healthy, limit risk factors if possible. life expectancy doesn't change. you are young. take your medicine for prevention and listen to you doctors. ...Read more
11
How to prevent ischemic stroke?

Many things: Optimally address this with your doctor who can best assess your risks. But make sure you are physically active, maintain a reasonable weight, have blood pressure and cholesterol numbers is a reasonable range and possible even aspirin may help prevent this ... ...Read more
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12
Could an ischemic stroke be fatal?

Potentially yes: Most ischemic strokes such as thrombosis or embolism cause significant damage but not immediate fatality. However, intracranial hemorrhage has a 60% mortality within one year, and a ruptured aneurysm causes death in 50% prior to reaching a hospital. The garden variety stroke in certain parts of brain have potential for death depending upon extent. ...Read more
13
What are the differences between a hemorragic and ischemic stroke?

Blood: Ischemic stroke happens when blood supply to the brain gets cut off. Hemorrhagic stroke happens when a blood vessel ruptures and bleed spills into the brain matter. Both cause damage to the brain tissue. ...Read more
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14
What could cause a re-bleed in an ischemic stroke?

Stroke: Stroke is a disruption of blood supply to an area of the brain, resulting in injury to a portion of the brain. This affects the blood vessels as well, as the surrounding supporting tissue is injured and becomes fragile. The increased fragility of these vessels can cause spontaneous bleeding. ...Read more
15
Any correlation between ischemic stroke and mental illness?
Yes: Multiple (generally small) strokes can cause a form of dementia. ...Read more
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16
What happens during an inflammatory response to an ischemic stroke?

Usually there is not: Much of an inflammatory response to a stroke. Ask your neurologist. They will help you. ...Read more
17
Can you do mixed martial arts if you have had a trans ischemic stroke?

Yes & no: Sometimes injury to the arteries of the neck causes stroke symptoms. If this is the cause of the TIA, I think it is best to avoid fighting. Can't say that any fighting sports are good for the brain, whether there has been a TIA or not. The conditioning used for MMA is good for the brain though. Is there a way to do this sport without contact? Just a thought. ...Read more
18
Ischemic stroke and paralyzed right side of the body for a 58 years old is that s worst scenario?
Probably: Yes, worst case scenario
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19
I had an ischemic stroke November 23. Affecting left side.Lately my entire left side is extremely weak. Is this normal?

Be seen: Please be seen promptly. While after a stroke, strength can wax and wane, if it is persistent and/or new, you need to be evaluated. ...Read more
20
Small ischemic stroke 2006 to left cordite. Dizziness really bad now. Turning over when in bed or bending down . Is it related to the stroke? Thanks

Vertigo: It may not be ralated to stroke. It could be benign positional vertigo. Epley's meneuver could help you. I recommend to see a neurologist to get confirmatory diagnosis. If not neurologic origin then see a cardiologist to rule out pre-syncope. ...Read more
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