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Hello, Welcome to JustAnswer and thank you for your question.
Is he at a hospital now ?
no he is at home
are these symptoms of weakness new
or they were present when he was examined by doctor
in the hospital ?
difficult to tell he is asleep the only symptoms before goingto sleep was that he could not chew his lunch on the left side of his mouth and numbness in his left fingers and could not hold anything
These are not symptoms of a minor stroke this is a full stroke
He needs to be hospitalized if he is unable to move his left side or part of mouth
he needs blood thinner medicine and CT scan of not already done within 24 hours
when he was last at the hospital all his symptoms healed within the hour
These symptoms with a history of migraine can be due to PFO
PFO is a small hole in the heart which normally does not effect the heart function.
it makes blood clots from legs to move to brain and this may be the possible cause which is being missed in his case.
So admission in hospital and echocardiogram should be considered.
He has now got movement back in his fingers and in his mouth will the echocardiogram be relevent
if these symptoms of stroke of mini stroke are happening again and again then these cannot be simple be due to migraine,
In most of these cases i have seen that a diagnosis of PFO is made years after his symptoms.
because PFO is a small hole between upper chambers of heart
it is missed normally unless you are seeing for it specifically.
It can be close without an operation
it will stop his migraine and stokes
In his case if his previous CT scan brain, neck and doppler scan of neck arteries are normal
then PFO is a very possible diagnosis.
PFO and ASD both can cause this, ASD is almost same to PFO.
does he have to go immediately to have this or do we just get reffeered throught the gp as his previous ct scans were all normal
As he is having these episodes of stroke again and again so it is best to take him to his GP ASAP
GPs mostly miss PFO because they are nor trained for this.
A cardiologist is a best doctor who can give a best opinion on this case.
neurologist and cardiologist are the doctors whom he should be visiting.
not a GP
He is booked this afternoon for 4.50 is that soon enough and if they are not trained what am i asking them to check
This seems ok
they are only trained for general symptoms
while this case needs specialty doctors.
you can simply ask him and tell him about our chat.
will the gp refer us to the appropriate neurologistgist or cardiologist
I have worked in UK it is very slow system.
yes he can do that but you have to stress on it and tell him to treat it as emergency case.
as he is at risk of more stroke attacks which might not be small or minor.
Let me know if you have questions.
what does PFO , ASDstand for
patent foramen ovale
and atrial septal defect.
I hope this answers your questions.
Let me know if you have queries.
Do rate my reply as positive to credit the answer, thank you
will the pfo be seen with an exray and can it be dealt with straight away
It needs transthoracic or esophgeal echo
which is a simple ultrasound test
yes it can be dealt easily without surgery but cardiologist has to prepare patient before this.
can i not then ask the gp to do an ultra sound
simple ultrasound machine are not meant to see heart chambers
because probe is large and unable to see between ribs
so will the cardiologist or the neurologolist have this equipment available to check or should i just go back to watford general where he was checked last time and ask for the pfo as they obviously were not looking for that
yes they have this equipment in their clinic.
so as long as i make an immediate appointment with the apprpiriate doctor they will be able to identify whether it is a pfo and advise accordingly
yes it is correct.
is there anything other than the pfo or asd that it could be
This can be a clot in the left heart due to any dysfunction which might be breaking away regularly
this will also be seen on echo
Do you have questions ?
I hope chat was helpful ?
so either the cardiologist or neurologist could deal with the dysfunctional chamber if this is the case?
cardiologist will first evaluate his heart which is most likely cause and will also review the CT scans done previously
and then refer him to neurologist if needed.
could this amount to bigger surgery?
normally with the lesions i have mentioned it is only a procedure like we do for stent implantation
regarding surgery it can only be told after his echo
I have given you an extra 35 minutes on chat
which will now finish in 2 minutes.
Thank you for this
You are welcome.
Do rate reply as positive to credit the answer, thank you.
I am so glad we had this chat and hope this will be the end of his episodes
i am very hopeful that he will recover fully.
Thank you again I do not have anymore questions