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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Brain Clots Causing Strokes Be Prevented?

Good day, My dad had another brain clot today after one year from the first one, the strange thing is that it happened for about 20 minutes and gone, he is fine now and everything back to normal? Is there a medical explanation for this, and what should we do as a precaution to prevent another stroke?
Mon, 29 Sep 2014
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Neurologist 's  Response
You are describing what has a high probability of being a Transient Ischemic Attack or TIA= in lay terminology, "ministroke." The typical duration of such an attack is under an hour. However, if this just happened now then, the chance of his suffering a stroke in the next 7-30 days is significantly higher than the normal population. Therefore, I would not delay in taking him to a hospital (preferably one with a program of Stroke Excellence such as a teaching center or academic institution) and explaining the situation. They can then, check him over (even if he's back to normal) and make sure he doesn't require something immediately done or even an overnight stay for a more indepth workup this week and consultation with a neurologist.

I'm afraid if you go to a standard community hospital they are likely to do a few tests and then, if he's neurologically back to complete normal they will discharge him and tell you to follow up with a neurologist but that is not how you want this handled. Good luck at finding an appropriate place to take your dad for a workup tonight (well, it's night time here).

If you found this information to be useful then, your small bit of written feedback and STAR RATING will be greatly appreciated.

Also, do not hesitate to contact me directly in the future by looking me up on this network and sending questions to my specific attention (Dariush Saghafi, M.D.). You may also get to my specific webpage at:

http://doctor.healthcaremagic.com/doctors/dr-dariush-saghafi/68474

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How Can Brain Clots Causing Strokes Be Prevented?

You are describing what has a high probability of being a Transient Ischemic Attack or TIA= in lay terminology, ministroke. The typical duration of such an attack is under an hour. However, if this just happened now then, the chance of his suffering a stroke in the next 7-30 days is significantly higher than the normal population. Therefore, I would not delay in taking him to a hospital (preferably one with a program of Stroke Excellence such as a teaching center or academic institution) and explaining the situation. They can then, check him over (even if he s back to normal) and make sure he doesn t require something immediately done or even an overnight stay for a more indepth workup this week and consultation with a neurologist. I m afraid if you go to a standard community hospital they are likely to do a few tests and then, if he s neurologically back to complete normal they will discharge him and tell you to follow up with a neurologist but that is not how you want this handled. Good luck at finding an appropriate place to take your dad for a workup tonight (well, it s night time here). If you found this information to be useful then, your small bit of written feedback and STAR RATING will be greatly appreciated. Also, do not hesitate to contact me directly in the future by looking me up on this network and sending questions to my specific attention (Dariush Saghafi, M.D.). You may also get to my specific webpage at: http://doctor.healthcaremagic.com/doctors/dr-dariush-saghafi/68474