Just found out I’ve had a silent mini stroke!

Posted by ginger123 @ginger123, Sep 21, 2024

After a fall, my doctor ordered a CT scan, and an “incidental” find was a silent mini stroke (not TIA) in a small vessel. Age indeterminate, so not sure how long I’ve had it.
I’m scheduled for Carotid artery Doppler, and a coronary artery CT. Doctor put me on .81 aspirin, and awaiting results of scans.
I’m quite concerned that this increases my risk for a large stroke, or more mini strokes. I’ve changed my diet, losing weight, getting cholesterol down (which wasn’t overly high) and watching BP, (which is normal). I’m 73 and otherwise in good health…. I thought!
Have you had similar findings? What have you experienced?
Thank you. I love our Mayo Clinic group.

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@lizjohn

I recently had an incident where everything went white. My husband took me to the hospital to get evaluated. After spending 4 hours in ER, I found no results whatsoever as to what happened. I had an EKG and a CT. all negative. Just had a ablation and a watchman for Afib done 2 weeks ago. Dr. recommended I have an MRI to determine if I had a mini stroke but didn't do it then. How do I get a doctor to take me serious? Am frustrated.

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2lizjohn, your frustration is understandable. It's somewhat puzzling why the ER dr didn't order the MRI while you were there, but your primary care provider can certainly do that. From my mother's experience, a TIA would not always show up on an MRI, but she had classic symptoms. Seeing white was not one of those. Not to confuse you or frustrate you further, but I wonder if you might want to contact an opthalmologist. I did that when everything in my world turned black. No cause was found at that time, howeverI felt bette r knowing she could see the nerves in my eyes and if there had been a concern, she would have followed through with treatment. Reason I return every 6 months, especially now that I've had a stroke.
I sincerely hope your frustration subsides and you can get the care and help you need.

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I recently had an incident where everything went white. My husband took me to the hospital to get evaluated. After spending 4 hours in ER, I found no results whatsoever as to what happened. I had an EKG and a CT. all negative. Just had a ablation and a watchman for Afib done 2 weeks ago. Dr. recommended I have an MRI to determine if I had a mini stroke but didn't do it then. How do I get a doctor to take me serious? Am frustrated.

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@gloaming

Her health team must be apprised of the lastest event, and of the previous one and when it took place if they don't already know. Sadly, and I am not a health expert, not a physician, but it does sound to me like a TIA. About all you can do for now is to read up on TIAs, what if any treatment can be undertaken, including prophylaxis, which is almost always a DOAC (Direct-acting Oral Anti-coagulant), and what she (and you) can/should do in order to stem their onset in the future.
These signs are often an indication of systemic inflammation. The adhesion of plaque and thrombosis are both exacerbated by inflamed tissues, including portions of the vascular system. Your physician and perhaps a neurologist will know where to take this from here.

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Sure. She saw her health team today. They are at a lost and she's very atypical. They ordered more blood work and redoing older tests.

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@keithl56

What did her MRI show?

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Nothing. After the major "mini"-stroke last Feb she had all sorts of tests (MRI, CT, bubble test) and nothing came up. They just assumed it was a mini-stroke and put her on plavax and cholsterol meds.

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@guyrien

My wife is in her early 50s. In very good health. No smoking, just social drinking (4 oz a night), just 10-15 pounds above her high school weight.

About 3 years ago she had some facial twitching and slight speech slurring. She was in her late 40s and didn't realize it was her first mini-stroke. Recovered within an hour or two.

About 1 year ago she had a major episode. Speech slurring, severe facial twitches. Taken to ER and kept over night. All tests/scans returned negative. So just put on blood thinners and cholesterol meds. Doctors think it was a mini-stroke but no damage per scans.

Today she had a third event. She had gone off her blood thinner for a week as it was causing lots of bruising and she was going to talk to the doctor about a replacement. This was a slight event. Face/arm/lips were numb. Fully recovered with 2 hours.

All events effect her right hand side.

We are at a lost what to do. She feels like a ticking time bomb.

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What did her MRI show?

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@guyrien

My wife is in her early 50s. In very good health. No smoking, just social drinking (4 oz a night), just 10-15 pounds above her high school weight.

About 3 years ago she had some facial twitching and slight speech slurring. She was in her late 40s and didn't realize it was her first mini-stroke. Recovered within an hour or two.

About 1 year ago she had a major episode. Speech slurring, severe facial twitches. Taken to ER and kept over night. All tests/scans returned negative. So just put on blood thinners and cholesterol meds. Doctors think it was a mini-stroke but no damage per scans.

Today she had a third event. She had gone off her blood thinner for a week as it was causing lots of bruising and she was going to talk to the doctor about a replacement. This was a slight event. Face/arm/lips were numb. Fully recovered with 2 hours.

All events effect her right hand side.

We are at a lost what to do. She feels like a ticking time bomb.

Jump to this post

Her health team must be apprised of the lastest event, and of the previous one and when it took place if they don't already know. Sadly, and I am not a health expert, not a physician, but it does sound to me like a TIA. About all you can do for now is to read up on TIAs, what if any treatment can be undertaken, including prophylaxis, which is almost always a DOAC (Direct-acting Oral Anti-coagulant), and what she (and you) can/should do in order to stem their onset in the future.
These signs are often an indication of systemic inflammation. The adhesion of plaque and thrombosis are both exacerbated by inflamed tissues, including portions of the vascular system. Your physician and perhaps a neurologist will know where to take this from here.

REPLY

My wife is in her early 50s. In very good health. No smoking, just social drinking (4 oz a night), just 10-15 pounds above her high school weight.

About 3 years ago she had some facial twitching and slight speech slurring. She was in her late 40s and didn't realize it was her first mini-stroke. Recovered within an hour or two.

About 1 year ago she had a major episode. Speech slurring, severe facial twitches. Taken to ER and kept over night. All tests/scans returned negative. So just put on blood thinners and cholesterol meds. Doctors think it was a mini-stroke but no damage per scans.

Today she had a third event. She had gone off her blood thinner for a week as it was causing lots of bruising and she was going to talk to the doctor about a replacement. This was a slight event. Face/arm/lips were numb. Fully recovered with 2 hours.

All events effect her right hand side.

We are at a lost what to do. She feels like a ticking time bomb.

REPLY
@lisalucier

Hi, @ginger123 - sorry to hear about the wrong CT scan but happy to hear about your normal MRI with no stroke.

You'd mentioned that the “incidental” find of a silent mini stroke caused horrendous stress. How are you doing lately?

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Thank you for asking! I’m doing very well. So thankful to receive the correct MRI report. It’s made me very aware of the importance of maintaining a sense of inner peace and acceptance as I age. So, I guess that was another positive of the initial misdiagnosis.

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@pkh3381

I have had 3 TIA's and I am curious. What is the difference between a silent mini stroke and a TIA? Initially, I worried about the possibility of a major stroke, but I don't worry anymore becuae, as the gentleman siad, the worry increasees your risk. Everything I have read says that you should not have any "side effects" of the TIA, but it definitely affected my writing ability. When I sign my name on a document, I get a brain freeze part way through [I do have a long name] and I have to deliberately force myself to continue writing. Take care of yourself and thanks for sharing.
P

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Mini strokes are ischemic infracts, strokes. TIAs are not the same , but can lead you to strokes. Much luck you find help in stopping them

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I am sorry your worried and anxiety is up I'm sure. I found out I've had many ischemic strokes in my right and left hemispheres, celebra areas. They started around 65 and I'm 66 now. I'm forgetting things is why they did the MRIs and many other tests too. I have Connective tissue disease that could be the culprit still don't know. I don't have risk numbers on my cholesterol and my blood pressure is on the low side to low. No showing of blockages anywhere. Crazy!! Like you I think a big stroke is coming. Hugs to you!!

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