Discussions By Condition: Medical Errors

Can't find what is causing Mini Strokes

Posted In: Medical Errors 2 Replies
  • Posted By: rcribb
  • February 2, 2009
  • 02:55 PM

My Husband had his first stroke a year and a half ago, he has had MRI's, CT's, Blood work, Dye test and all other kinds of test but no one can find out what is causing his stroke symptoms. He now has developed a limp and has partial lose of use on his right side, he had to learn how to walk and eat all over again after the first stroke. He has been having Mini Strokes on the average about every 3 or 4 months apart. He can't work, he can't drive, and we are afraid to leave him at home while I try to work and the kids go to school. We have taken him to MUSC in Charleston, SC and they can't find what is causing the strokes if anyone can tell us where to go and what other kind of test to have we would really appreciate it. We are both frustrated and worried.

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2 Replies:

  • Were the strokes caused by bleeding or embolism?
    Felsen 510 Replies
    • February 2, 2009
    • 09:41 PM
    • 0
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  • If these are lacunar strokes, then my suggestion at this point is to have the specialists determine whether small vessel disease is present. If so, then they need to further investigate whether dolichoectasia is observed, which is an elongation and distortion of the larger arteries in the brain. Dolichoectasia is very often found to co-exist with abdominal aortic aneurysm, so it would be wise to evaluate whether an AAA may be present. Subtle cardiovascular features have also been elucidated in these cases as well. There are several more well-known conditions that are responsible for multiple strokes, but most neurologists would have ruled these out at this point in your husband's case. The above scenario is somewhat less common and can escape detection. Again, however, the nature of the strokes must be lacunar (thrombotic). Best regards, J Cottle, MD
    JCottleMD 580 Replies
    • February 3, 2009
    • 02:39 AM
    • 0
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