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Dr. Andrew Rynne
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Dr. Andrew Rynne

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Headaches, Loss Of Coordination, Mental Confusion. Done MRI And EEG. On Lisinopril. Will It Suffice?

My husband, 74 years old, has been having headache, loss of coordination and mental confusion every morning starting about 9am for 3 hours. He has had a negative mri, mri, eeg and bloodwork, This has been happening for several months. When it passes he seems to be fine. He was removed from his blood pressure med, One 10 mg lisinopril daily and his cholo med for over 6 weeks with no change
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Mon, 14 Oct 2013
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Neurologist,  's  Response
Hi,
Thank you for posting your query.

The most likely cause of episodic headache, loss of coordination and mental confusion in your husband is transient ischemic attack (TIA). TIA occurs due to reduction in blood supply to a part of brain. The symptoms resolve completely within less than 24 hours, mostly within an hour.

Normal MRI rules out major strokes of brain, however, in TIA (also called as mini strokes), MRI may be normal in 50% of cases.

EEG is normal, and this rules out seizures or epilepsy as a cause of his symptoms. Also, a seizure episode usually lasts for a few minutes, and is unlikely to go on for three hours.

Going forwards, I would suggest he is started on aspirin, and his risk factors controlled (BP, sugar and cholesterol).

I hope it helps.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
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Headaches, Loss Of Coordination, Mental Confusion. Done MRI And EEG. On Lisinopril. Will It Suffice?

Hi, Thank you for posting your query. The most likely cause of episodic headache, loss of coordination and mental confusion in your husband is transient ischemic attack (TIA). TIA occurs due to reduction in blood supply to a part of brain. The symptoms resolve completely within less than 24 hours, mostly within an hour. Normal MRI rules out major strokes of brain, however, in TIA (also called as mini strokes), MRI may be normal in 50% of cases. EEG is normal, and this rules out seizures or epilepsy as a cause of his symptoms. Also, a seizure episode usually lasts for a few minutes, and is unlikely to go on for three hours. Going forwards, I would suggest he is started on aspirin, and his risk factors controlled (BP, sugar and cholesterol). I hope it helps. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist