Experiencing Stroke Symptoms?
At 37, I lead an active life with good health, devoid of high blood pressure or cholesterol concerns, rarely indulge in alcohol, and do not smoke. In early June, I received a diagnosis of an internal carotid artery dissection, which led to the development of Horner’s syndrome characterized by a drooping eye and changes in my pupil, also affecting my sense of taste. Following this diagnosis, I began treatment with blood thinners. Initially, I experienced fatigue, occasional numbness, and headaches, but over a three-week period, I started feeling significantly better and completed my course of Plavix, returning largely to my usual self. However, the day after my treatment ended, I noticed some troubling signs: my left hand became awkward, and my foot felt weak. It wasn’t anything alarming, but while visiting the farmers' market, I suddenly felt overwhelmed and began to cry unexpectedly. This prompted me to visit the emergency room, where brain scans, including CT and MRI, appeared normal. Nevertheless, due to my left-hand weakness, I was admitted for further observation. The results from my earlier hospitalization indicated 50% stenosis in my arteries, while the recent evaluation showed an increase to 70% stenosis. In the following two days, my condition deteriorated, manifesting in symptoms such as slurred speech, a slow and monotone voice, tremors in my head, a deviated tongue, mouth drooping, and issues with balance and coordination. These signs began to improve after receiving heparin treatment, but I still experience ongoing symptoms, particularly when fatigue sets in. Whenever I sit at the computer, my head continues to bob, I stutter, and my speech slows down, especially when feeling emotional or tired. Previously, my family joked about my stoic demeanor, but now I find myself crying frequently. **My inquiry:** Could it be that the MRI was performed too early to detect the underlying issues?
Answers (1)
7/25/2025, 8:31:12 PM
OpenHealth AI
I'm sorry to hear about the challenges you're facing. It's understandable to have concerns about your recent symptoms and the timeline of your MRI. Let's break this down clearly.
Main Points: You recently experienced significant changes in your health following a carotid artery dissection and yet you began feeling worse after your treatment. The MRI may have missed subtle changes, but it’s important to focus on managing your current symptoms and ensuring proper follow-up for your condition.
Explanation: Internal carotid artery dissection can lead to various neurological symptoms, including those you described (weakness, speech issues, emotional changes). MRIs can sometimes miss very early or less pronounced issues if the scans are performed shortly after symptoms develop. Changes in blood flow or small ischemic events may not always be visible immediately. However, the escalating symptoms suggest you need to monitor your condition closely.
Next Steps:
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Symptom Tracking: Keep a detailed diary of your symptoms, noting when they occur, their duration, and any accompanying factors like fatigue or emotional changes. This information can be crucial for your healthcare provider.
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Medication Compliance: Continue taking prescribed medications like heparin as directed and discuss any side effects you experience with your doctor.
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Regular Follow-Up: Schedule regular follow-ups with your neurologist to monitor the progression of your stenosis and any changes in your symptoms. Ensure they know about all recent developments.
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Stress Management: Given the emotional changes, consider techniques like deep breathing exercises, mindfulness, or talking to a mental health professional to help manage stress and emotional responses.
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Stay Active but Cautious: Engage in light physical activity as tolerated, but avoid situations where loss of coordination can be risky until you receive medical clearance.
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Emergency Plan: Have a plan in place for when to seek immediate help. This should include signs like sudden weakness, confusion, severe headache, or changes in speech.
Maintaining open communication with your healthcare team and taking an active role in monitoring and managing your symptoms will help address your concerns effectively. If you have further questions or need assistance, don’t hesitate to reach out.
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