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Does TIA Cause Sudden Finger Numbness?
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It was most likely a TIA.
Detailed Answer:
Hello and thanks for your query here at HCM.
I have read your question and understand your concerns.
This is more probably a TIA than CVA, because the neurological symptoms are improving/subsiding and there was no evidence of hemorrhage or cerebral infarct on CT scan.
Best imaging tool to evaluate TIA/stroke in early hours is brain MRI (diffusion weighted imaging).
Despite no evident damages this time, your father should evaluated further about conditions that predispose to TIA/CVA, these include blood pressure monitoring, blood lipid levels, Doppler ultrasound of neck vessels, use of aspirin etc.
I suggest you to discuss with your father's primary care Doctor about prescription of further tests needed for this purpose.
Hope you found the answer helpful.
I remain at your disposal for further questions and clarifications.
Greetings.
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Further examinations needed to achieve a correct diagnosis.
Detailed Answer:
Welcome back.
I have examined x-rays of the cervical spine.
It is true that there is degenerative cervical spine disease at C4-C5-C6 levels with bone spurs and narrowing of discs spaces.
However, sudden onset of symptoms, is not a characteristic of degenerative spine disease, unless there was a trauma (falling etc.).
To achieve a correct diagnosis, neurological examination and imaging studies such MRI are needed.
Only after full workup we can say that there was a brain issue (such TIA), or degenerative changes of the spine are responsible for your father's symptoms.
So, discus with your father's Doctor about getting examined further.
Hope I helped you.
Greetings.
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Steroids could improve edema. Surgery should be considered too.
Detailed Answer:
Hello again and thanks for being on follow up.
I have read the MRI report carefully.
Edema of the cervical cord could be improved by steroids use, but this is not 100% sure.
Steroids and mecobalamin can be used together.
Since there is spinal canal stenosis and spondylolisthesis (slipped vertebrae) too, surgery (decompression and stabilization) should be considered.
This should be discussed with a spine surgeon or a Neurosurgeon.
Hope I helped you.
Best regards.
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