
Since 1/15/2019, I Have Had Daily TIAs. My Symptoms Include:

dizziness (vertigo) or lightheadedness
sudden, severe weakness throughout my body
slurred (or garbled) speech
difficulty walking
sleepiness
Sometimes I have left or right leg paralysis, inability to write other than scribbles, or right facial droop.
It starts with my blood pressure is normal 116/55 but my heart rate is 30-45 points higher than normal at 91-114. Then my bp rises to 156-195. Sometimes I pass out for up to five hours and can’t be aroused at all. It lasts for 2-6 hours then resolves completely. I looked up the symptoms and it fits perfectly with a condition called vertebrobasilar insufficiency. Do you think that is possible? If so, what should I do about it?

dizziness (vertigo) or lightheadedness
sudden, severe weakness throughout my body
slurred (or garbled) speech
difficulty walking
sleepiness
Sometimes I have left or right leg paralysis, inability to write other than scribbles, or right facial droop.
It starts with my blood pressure is normal 116/55 but my heart rate is 30-45 points higher than normal at 91-114. Then my bp rises to 156-195. Sometimes I pass out for up to five hours and can’t be aroused at all. It lasts for 2-6 hours then resolves completely. I looked up the symptoms and it fits perfectly with a condition called vertebrobasilar insufficiency. Do you think that is possible? If so, what should I do about it?




Yes, your symptoms are suggestive of vertebrobasilar insufficiency.
Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
I have gone through the detailed history you have given.
Yes, your symptoms are suggestive of vertebrobasilar insufficiency.
In my opinion, you should immediately rush to emergency room and get done clinical examination and MRI of brain with angiography if brain vessels.
Try to meet neurologist (neurophysician) earliest.
Don't wait at home, rush to emergency as this can be life threatening.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

Yes, your symptoms are suggestive of vertebrobasilar insufficiency.
Detailed Answer:
Thanks for your question on Ask a doctor forum.
I can understand your concern.
I have gone through the detailed history you have given.
Yes, your symptoms are suggestive of vertebrobasilar insufficiency.
In my opinion, you should immediately rush to emergency room and get done clinical examination and MRI of brain with angiography if brain vessels.
Try to meet neurologist (neurophysician) earliest.
Don't wait at home, rush to emergency as this can be life threatening.
Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.



I think you should go to ER.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
In my opinion, you should go to ER and get detailed neurological examination and MRI of brain done at the earliest.
Because all your symptoms are more suggestive of brain pathology.
And if this is neglected, it can be life threatening.
So better to first rule out brain pathology.
If MRI is normal then no need to worry.
Hope I have solved your query.
I will be happy to help you further. Wish you good health. Thanks.

I think you should go to ER.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
In my opinion, you should go to ER and get detailed neurological examination and MRI of brain done at the earliest.
Because all your symptoms are more suggestive of brain pathology.
And if this is neglected, it can be life threatening.
So better to first rule out brain pathology.
If MRI is normal then no need to worry.
Hope I have solved your query.
I will be happy to help you further. Wish you good health. Thanks.



Start anti platelet.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
I have gone through the MRI report you have mentioned.
In my opinion, you should start anti platelet and blood thinner drug.
I will suggest to see a neurologist and start on these medicines, if these are not started already.
I will be happy to help you further. Wish you good health.
Thanks

Start anti platelet.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
I have gone through the MRI report you have mentioned.
In my opinion, you should start anti platelet and blood thinner drug.
I will suggest to see a neurologist and start on these medicines, if these are not started already.
I will be happy to help you further. Wish you good health.
Thanks


How can I know if I have any of these diseases?

How can I know if I have any of these diseases?
Your diagnosis should be ischemic changes.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
In my opinion, your diagnosis should be ischemic changes and hence anti platelet and blood thinner should be started.
I am more interested in your neurologist view on this MRI report.
Didn't he started anti platelet drug?
Do you have any skin lesions or joint pain?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.

Your diagnosis should be ischemic changes.
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
In my opinion, your diagnosis should be ischemic changes and hence anti platelet and blood thinner should be started.
I am more interested in your neurologist view on this MRI report.
Didn't he started anti platelet drug?
Do you have any skin lesions or joint pain?
Please reply me answers of above asked questions, so that I can guide you better. I will be happy to help you further. Wish you good health. Thanks.



Yes, you should definitely restart it.
Detailed Answer:
Thanks.
I can understand your concern.
Yes, you should definitely restart it.
No need to worry for bleeding from small vessels.
And it is strongly indicated in your case.
So restart Xeralto.
I will be happy to help you further. Wish you good health.
Thanks.

Yes, you should definitely restart it.
Detailed Answer:
Thanks.
I can understand your concern.
Yes, you should definitely restart it.
No need to worry for bleeding from small vessels.
And it is strongly indicated in your case.
So restart Xeralto.
I will be happy to help you further. Wish you good health.
Thanks.


http://stm.sciencemag.org/content/10/448/eaam9507.full
Science Translational Medicine 04 Jul 2018:
Vol. 10, Issue 448, eaam9507
DOI: 10.1126/scitranslmed.aam9507

http://stm.sciencemag.org/content/10/448/eaam9507.full
Science Translational Medicine 04 Jul 2018:
Vol. 10, Issue 448, eaam9507
DOI: 10.1126/scitranslmed.aam9507
Who prescribed you Cilostazole?
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Yes, you should definitely start Xeralto.
No question about this.
And who prescribed you Cilostazol?
Are you self medicating?

Who prescribed you Cilostazole?
Detailed Answer:
Thanks for your follow up question on Ask a doctor forum.
I can understand your concern.
Yes, you should definitely start Xeralto.
No question about this.
And who prescribed you Cilostazol?
Are you self medicating?

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