How can a doctor be unquestionable a CVA (stroke) have occur.?

I was seen surrounded by A&E 4 days ago as I had become unwell at work. The doctor said I may have have a 'mini stroke' and he would arrange for me to be seen in out patients. I go home and within an hour had a phone call for asking me to attend clinic the next morning. I went and be seen by a consultant physician who, after some questioning and prodding sent me for an instantaneous CT scan. She got the results there and later and said the scan was ok but that I had have a full stroke the day before and that it have happened in the hindmost of the brain. How can she say this if the scan was ok? I hold some numbness around the lip and a slight droop of the lip but that is all. I decline to be admitted for a lumbar puncture but have to own further tests including MRI on Monday.
I feel a bit overwhelmed as I don't get the impression ill, just a bit 'wooly'.does this nouns more like a mini stroke or something like Bells Palsy fairly than a stroke. I ask because of the medications she wants me to give somebody a lift.

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Answers:    symptoms can be a stronger indication of a stroke rather than the CT brain scan itself. in certainty it has been said that a stroke does not show up straight away on a brain scan. considering you own numbness around your lips and a droop it definitely sounds resembling you had a stroke. the MRI should give more indepth details. I aspiration you the best with your recovery.

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Goodness beforehand something else
happens, have it monitored habitually.
Ther doc might be offering
short term emergency ways
to bring down the risk of recurrence.
Some strokes are horribly more unbearable.
A chollestral reducercould help lower coagulation
if you have aterial clogging.

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She probably saw an nouns of damage in the brain. The scan could be ok because no further trash was being done, by a bleed for example. My daughter have a cva and by the time she was scanned the clot have passed, but the damage was in that. Take the meds, the next time would certainly be worse. SHREYA have kindly given you all the details surrounded by length. Its very useful. Take charge of yourself allthe best. You will be in top form soon, not to worry. Asprin should oblige to thin the blood and take away the blood clots that are the basic cause of all your troubles. Be involved, do exercises, eat fresh fruit and veg and lots of water and do YOGA every year.

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hi, the tissue damaged by a stroke has to die first past it shows properly on a scan, usually a week or more, the lower down the back of the brain it is, the harder it is to see. Yes it sounds like a full blown stroke to me. The doctor could diagnose the CVA fron clinical signs ie blood pressure, droop, numbness...
Then after, the CT is perform to decipher whether or not it was a stroke, if so which category a haemmorage or an infarct. Yours seem to have been an infarct.
Depending on the position of the infarce have a bearing on recovery and the possibility of it happening again.
I would imagine that theCT be inconclusive thats the reason they want to do an MRI. Really you should have gone ahead beside the LP. It may be that the Physician is querying something different than a CVA which is possible, though more likely to enjoy been an infarct by what you are saying.
PS an infarct is when a clot of plaque or a blood clot blocks sour a blood vessel, cutting off the blood supply momentarily to the brain.
You may powerfully be going for a Carotid doppler (a scan of the arteries in the neck) to see if theres any stenosis if so they may offer you an operation to rectify this and to lend a hand prevent any further CVAs. Has the physician put you on Perstantin 200mgs (Dipyridamole) and asprin 75mgs? oh and also a statin like atorvastatin 20mgs or simvastatin 40mgs ?

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Doyou mean "Persantine"?
Dipyridamole (generic name) Persantine (brand name) is used near other drugs to reduce the risk of blood clots after heart valve replacement. It works by preventing excessive blood clotting.
ACE inhibitors: ACE stands for angiotensin converting enzyme. Levels of angiotensin, a chemical which narrow blood vessels, are restricted by the drug, causing the arteries to dilate and governing to a fall in blood pressure.
Types of ACE inhibitor include enalaparil, captopril and lisinopril.
Side-effects include a trickle in blood pressure, especially when combined with diuretics for the first time.
A transient ischemic attack (TIA) is focal brain ischemia producing sudden neurologic deficit that last < 1 h. Diagnosis is clinical. Carotid endarterectomy, antiplatelet drugs, and warfarin decrease risk of stroke after absolute types of TIA.
Exams and Tests:
Because symptoms and signs may have completely disappeared by the time one gets to the hospital, A diagnosis of a TIA may be made on a person's medical history alone.
A physical nouns should include a neurological exam, which may be abnormal during an episode but normal after the episode have passed.
Blood pressure may be high. The doctor will use a stethoscope to listen to your heart and arteries. An abnormal nouns called a bruit may be heard when listen to the carotid artery in the neck or other artery. A bruit is cause by irregular blood flow.
Tests will be done to rule out a stroke or other disorder that may cause the symptoms. Tests to diagnose a TIA may include:
* CBC and PT tests to rule out a blood disorder
* Head CT scan or cranial MRI
* Carotid duplex (ultrasound)
* Echocardiogram
* Cerebral arteriogram
Additional test and procedures may include:
* Blood glucose
* Blood chemistry
* Serum lipids
* ESR (Sedimentation rate)
* Tests for syphilis
* ECG
* Chest x-ray
Your doctor may use these tests to check for hypertension, heart disease, diabetes, high blood lipids, vasculitis, and at a tangent vascular disease.

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Because early treatment can help keep a tight rein on loss of function and sensation, everyone should know what the early symptoms of stroke are. People who have any of these symptoms should see a doctor straight, even if the symptom goes away quickly.

Most strokes, whether ischemic or hemorrhagic, typically motive one or more of the following symptoms:

Sudden weakness or paralysis on one side of the body (for example, half of the obverse, one arm or leg, or all of one side)
Sudden loss of sensation or abnormal sensations on one side of the body
Sudden difficulty speaking, sometimes near slurred speech
Sudden confusion, with difficulty understanding speech
Sudden dimness, blurring, or loss of hallucination, particularly in one eye
Sudden dizziness or loss of harmonize and coordination, leading to falls

Symptoms of a transient ischemic attack are the same, but they usually disappear inwardly minutes and rarely last more than 1 hour.

Why Strokes Affect Only One Side of the Body ?

Strokes usually impair only one side of the brain. Because nerves in the brain cross over to the other side of the body, symptoms appear on the side of the body differing the damaged side of the brain.


Symptoms of a hemorrhagic stroke may also include the following:


Sudden severe headache
Nausea and vomiting
Temporary or persistent loss of consciousness
Very high-ranking blood pressure

Other symptoms that may occur early include problems near memory, thinking, attention, or learning. People may be unable to endorse parts of the body and may be unaware of the stroke's effects. The peripheral area of vision may be reduced, and hearing may be to some extent lost. Dizziness and vertigo may develop or persist. Control of bowel or bladder function may be lost.

Later symptoms may include stiffening and spasms of the muscles (spasticity) and inability to control emotions. A stroke can bring depression, or people may feel depressed because of the stroke.

In most family who have had an ischemic stroke, loss of function is usually greatest directly after the stroke occurs. However, in going on for 15 to 20%, the stroke is progressive, causing greatest loss of function after a day or two. In relatives who have had a hemorrhagic stroke, function usually is lost progressively over minutes to hours.

Over days to months, some function is usually regain because even though some brain cells die, others are only stressed and may restore your health. Also, certain areas of the brain can sometimes switch to the functions previously done by the damaged part—a all your own called plasticity. However, the early effects of a stroke, including paralysis, can become lasting. Muscles that are not used usually become permanently spastic and stiff, and raw muscle spasms may occur. Walking, swallowing, physically saying words clearly, and doing on a daily basis activities may remain difficult. Various problems with memory, thinking, attention, research, or controlling emotions may persist. Depression, impairments within hearing or vision, or vertigo may be continuing problems. Control of bowel or bladder function may be for always impaired.

Complications:
When a stroke is severe, the brain swells, increasing pressure within the skull. Increased pressure can desecrate the brain directly or indirectly by forcing the brain downward in the skull. The brain may be forced through the rigid structures that separate the brain into compartments, resulting in a serious problem call herniation (see Head Injuries:Introduction). The pressure affects the respiratory center in the lower part of the brain stem and can rationale irregular breathing, loss of consciousness, coma, and death.

The symptoms caused by a stroke can head to other problems. If swallowing is difficult, people may inhale food, fluids, or other particles from the mouth. Such inhalation (called aspiration) can make happen aspiration pneumonia, which may be serious. Difficulty swallowing can also interfere with eating, resulting surrounded by undernutrition and dehydration. Not being able to move can result surrounded by pressure sores, muscle loss, and the formation of blood clots in deep vein of the legs and groin (deep vein thrombosis). Clots can break off, travel through the bloodstream, and block an artery to a lung (pulmonary embolism). If bladder control is impair, urinary tract infections are more likely to develop.

Diagnosis:

Symptoms suggest the diagnosis, but tests are needed to give support to doctors determine the following:

Whether stroke has occurred
Whether it is ischemic or hemorrhagic
Whether direct treatment is required

Computed tomography (CT) or magnetic resonance imaging (MRI) of the brain is done. These tests can detect most hemorrhagic strokes, except for some subarachnoid hemorrhages. These test can also detect many ischemic strokes but sometimes not until several hours after symptoms appear. The blood sugar level is measured now because a low blood sugar level (hypoglycemia) can cause symptoms similar to those of stroke.

Doctors evaluate empire who have had a stroke for problems that can contribute to or basis a stroke, such as infection, a low blood oxygen level, and dehydration, Tests are done as needed. People are asked about depression. The wherewithal to swallow is evaluated, sometimes with x-rays taken after a radiopaque dye such as barium is swallowed. Depending on the type of stroke, more tests are done to identify the create.

Prognosis:

Certain factors suggest that the outcome of a stroke is likely to be poor. Strokes that rationale unconsciousness or that affect a large element of the left side of the brain (which is responsible for language) may be particularly grave.

In adults who own had an ischemic stroke, problems that remain after 6 months are likely to be irreparable, but children continue to improve slowly for lots months. Older people fare less economically than younger people. For people who already enjoy other serious disorders (such as dementia), recovery is more limited.

If a hemorrhagic stroke is not massive and pressure inwardly the brain is not very high, the outcome is feasible to be better after than that after an ischemic stroke. Blood (in a hemorrhagic stroke) does not damage brain tissue as much as an inadequate supply of oxygen (in an ischemic stroke) does.

Prevention:

Preventing strokes is preferable to treating them. The chief strategy for preventing a first stroke is managing the major risk factors. High blood pressure (see High Blood Pressure) and diabetes (see Diabetes Mellitus (DM))should be controlled. Cholesterol level should be measured and, if high, lowered to reduce the risk of atherosclerosis (see Cholesterol Disorders: Treatment). Smoking and use of amphetamines or cocaine should be stopped, and alcohol should be constrained to no more than 2 drinks a day. Exercising regularly and, if overweight, losing weight abet people control high blood pressure, diabetes, and high-ranking cholesterol levels. Having regular checkups enables a doctor to identify risk factor for stroke so that they can be managed quickly.

If empire have had an ischemic stroke, taking an antiplatelet drug can curtail the risk of another ischemic stroke. Antiplatelet drugs make platelets less possible to clump and form clots, a common cause of ischemic stroke. (Platelets are tiny cell-like particle in blood that help it clot contained by response to damaged blood vessels.) AspirinSome Trade Names
ECOTRIN
ASPERGUM
, one of the most successful antiplatelet drugs, is usually prescribed. One adult's tablet or 1 children's tablet (which is about one fourth the dose of an adult aspirinSome Trade Names
ECOTRIN
ASPERGUM
) is taken respectively day. Either dose seems to prevent strokes roughly speaking equally well. Taking a combination tablet that contains a low dose of aspirinSome Trade Names
ECOTRIN
ASPERGUM
and dipyridamoleSome Trade Names
PERSANTINE
(an antiplatelet drug) is slightly more effective than taking aspirinSome Trade Names
ECOTRIN
ASPERGUM
alone. ClopidogrelSome Trade Names
PLAVIX
, another antiplatelet drug, is also slightly more important than aspirinSome Trade Names
ECOTRIN
ASPERGUM
alone. It may be given to people who cannot tolerate aspirinSome Trade Names
ECOTRIN
ASPERGUM
. Some people are allergic to antiplatelet drugs or similar drugs and cannot whip them. Also, people who have gastrointestinal bleeding should not lift antiplatelet drugs.

If an ischemic stroke or a transient ischemic attack is due to blood clots originating in the heart, warfarinSome Trade Names
COUMADIN
, an anticoagulant, may be given to inhibit blood clotting. Because taking warfarinSome Trade Names
COUMADIN
and an antiplatelet drug or taking aspirinSome Trade Names
ECOTRIN
ASPERGUM
plus clopidogrelSome Trade Names
PLAVIX
greatly increases the risk of bleeding, these drugs are occasionally used together for stroke prevention.

Treatment:

Anyone with symptoms of a stroke should seek medical attention fast.

Doctors check the person's vital functions, such as heart rate, breathing, temperature, and blood pressure, to kind sure they are adequate. If they are not, measures to correct them are taken immediately. For example, if family are in a coma or unresponsive (as may result from brain herniation), mechanical airing (with a breathing tube inserted through the mouth or nose) may be needed to help them breathe. If symptoms suggest that pressure within the skull is dignified, drugs may be given to reduce swelling in the brain, and a monitor may be put contained by the brain to periodically measure the pressure.

Other treatments used during the first hours depend on the type of stroke. These treatments include drugs (such as antiplatelet drugs, anticoagulants, drugs to break up clots, and drugs to control high blood pressure) and surgery to remove blood that have accumulated.

I hope it works! :-)

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