From "A Ministroke Can Have Major Consequences/So-called transient ischemic attacks can eventually lead to cognitive declines as steep as those following a full-on stroke, new research finds" (NYT).
Message: seek immediate treatment.
19 మే, 2025
"When she tried to call her other dog, 'I couldn’t speak,' she said. As she walked downstairs to let them into the yard, 'I noticed that my right hand wasn’t working.'"
"But she went back to bed, 'which was totally stupid.... It didn’t register that something major was happening,' especially because, reawakening an hour later, “I was perfectly fine.' So she 'just kind of blew it off' and went to work."
From "A Ministroke Can Have Major Consequences/So-called transient ischemic attacks can eventually lead to cognitive declines as steep as those following a full-on stroke, new research finds" (NYT).
From "A Ministroke Can Have Major Consequences/So-called transient ischemic attacks can eventually lead to cognitive declines as steep as those following a full-on stroke, new research finds" (NYT).
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27 కామెంట్లు:
Our Dad had a TIA which may have been brought on by a subdural hematoma from a bicycle accident. He was on the phone with me while my sis and her husband were helping him load up stuff in prep for a move back by then. He didn't sound like he was all there, so I got Sis on the phone and suggested that he see a doctor about it. Sure enough, it was a mild TIA and they caught the hematoma as well.
Yeah, any episode of that sort is a big red flag. A warning sign. I was reading the miles davis autobiography and he had someting similar. Only his hand kept on not working. Eventually he got it back to normal, but couldn't play.
Heinlein had a TIA while skiing... which, I've heard, led to his wife's having to publish I Will Fear No Evil out of his "ugh, maybe someday after a whole lot of work" file, to keep the bills paid. And then he made a "full recovery" and kept writing and publishing, but sadly there was no more The Moon Is A Harsh Mistress or Stranger In A Strange Land to be had. I still thought some of his late books were fun, but he surely did indulge some rather unsavory fantasies.
My 84-year old mother has experience a number of TIAs through the years. She's still of fairly sound mind, but they have taken their toll. Never, ever, ignore the signs of a stroke. An emergency room will examine you immediately.
Hold your arms out straight and flex your hands. If one hand moves differently than the other, go.
Husband had a covid stroke in 2020. He's recovered, but we learned to be hyper-aware.
I have to think ‘I Will Fear No Evil’ is the titular bible for transsexuals. Their fantasy all prepared for them, in lurid detail.
My wife had a TIA a couple of years ago. It didn't have any effect on her body, but she suddenly started to look around for our dog who had died a couple of weeks before. When I told her that she was shocked and grieved, so I stopped telling her that. She didn't understand why we were going to the hospital and literally every minute or so she would ask me where we were going and why.
At the hospital they gave her some medicine which has to be taken within 3 hours of the onset of the TIA and a few hours later was back to her old self with no long lasting affects. So, yeah, immediate treatment.
Old high school teacher had a bad stroke that affected speech and left her right side paralyzed. While under care revealed she had 4-5 such transient incidents in previous year, but always recovered within an hour. Never sought medical care. Thought it was all part of aging as opposed to major red flags.
I think my father might have suffered more than one of these during his last 5 years of life but only once sought our aid which was, in fact, a hemorrhagic stroke.
I had a TIA last year; I lost control of the left side of my body. I went to the doctor and he ordered an MRI and CT scan but insurance denied it. I was told I could pay $30K out of pocket if wanted to continue. Not sure why I pay for insurance.
>Kate said...
Hold your arms out straight and flex your hands. If one hand moves differently than the other, go.<
That is true, but as stroke screening advice it is dangerously incomplete.
Unequal movement of the hands or arms is a significant warning sign, but its absence does not come close to ruling out stroke or TIA, or to being a go/no go indicator. Approximately half of those experiencing stroke or TIA don't have this finding. And there are many such patients who experience other symptoms that indicate possible stroke/TIA (look them up).
If you even remotely suspect stroke, go to the hospital immediately. No one will fault you for being mistaken. Stroke is so incredibly treatable these days. But you must not tarry.
With all the information and data 'out there', there are becoming fewer and fewer channels to reach a large audience to educate on these issues and things like it.
A family member had a couple similar to what ron winkleheimer describes. Just a nearly complete (though temporary) loss of memory and general confusion. Both times the family member went to the ER. I witnessed the second one; very strange and jarring to see something like that go down. It’s been nearly a decade since the last one, so that’s good.
Interestingly enough, the family member can remember “not remembering.”
@Shackleton
My wife says that she doesn't remember anything from that morning, it was like she woke up in the hospital and it was afternoon.
Couple of years ago half my face started drooping suddenly. Called 911 right away, ambulance came. Cut right to the front of the line at the ER. Seven or eight hours and an MRI later, turned out to be Bell's Palsy, not a stroke, thanks be to God. Took about nine months for the symptoms to go away, but otherwise no harm done (not that cosmetic harm to this face is much of a loss). Anyway, the ER will take it very, very seriously if you have any sign of a potential stroke, so don't dally.
My late mother was experiencing increasing memory loss but had no physical problems. Dr. had an MRI done just to confirm brain had no abnormalities. Turns out she'd suffered many micro strokes and 27% of her brain was dead.
TIA is becoming an obsolete diagnosis. As our imaging gets better and better it is almost always possible to see changes on CT or even more so, MRI. If you have an event that lasts a short while without obvious sequelae you have been warned. Heed said warning and not only get seen asap at onset of event but make the needed changes to lifestyle afterwards.
I'm a retired MD and have seen......a lot. After a certain age I won't be doing Everything Possible regards some diagnoses. But I do not intend to be left impaired and a burden to my family, so stroke prevention I'll go there and then some.
I had what I am sure was a TIA five years ago, although the doctors would neither confirm nor offer any other explanation.
I was heading for a stem cell transplant in a week or so, and had just had a Hickman line ( tubes that feed directly into my jugular) installed the day before. I went in for a blood draw, and they flushed the line. That must have dislodged a small clot or something.
Less than a minute later I got a weird headache, and my left hand/wrist went floppy. I could move it, but it was weak with no fine motor skills.
I informed the lab tech, and they made some calls, got a wheelchair, and took me up to the stem cell clinic where they had real doctors and nurses. A few minutes more until they got someone who could do a neuro exam, and by that point it had resolved on its own.
“When she tried to call her other dog…”
I try to call my other “babe”; she calls me “miel”.
I only call my homies “dog”, and only then in a jesting manner.
Wow. This just happened to me about three weeks ago now. Bunch of tests, no bleeding. They think massive dehydration and high blood pressure, but I’m noticing an issue with my right hand grip, I’m a little off walking and I’m having trouble forming sentences. I umpired two rounds of baseball state playoffs after it happened and did three hard days of fishing. The doctor was incredulous. Im kinda scared, but they’re saying it’ll smooth out…probably.
Acknowledge unusual symptoms and go to the ER. Advocate for you and yours, and don't hesitate to be contrarian. A co-worker's detached retina was diagnosed and treated later than it could have been because the doctor was considering only the possibility of a stroke that would have impacted vision.
How strangely coincidental the Times runs this story today. We learn Joe has cancer. We also learn that the sudden return to DC last year when Joe "fell ill" in Las Vegas was actually a TIA event. That's confirmed in Tapper's new tell-part-but-not-all book about a cover up that didn't fool anyone except the "journalists" at CNN, MSNBC, WaPo and the Times itself. So now the NYT just rolls out a helpful BOLO for these symptoms.
I'm ready for them to stop tiptoeing around and just admit they didn't want to report on Biden's infirmity because it would help Trump. Surely the Old Gray Lady can work up that much empathy for their audience
Three years ago, I had a stroke. Initially, I thought it was just exhaustion, but three nights in, I discovered I could no longer play the piano with my left hand. I thought "hmm, that seems bad," then went to sleep. The next morning, after calling my doctor for advice, I went to the emergency room, where they ran some tests and found a blood mass pressing against my brain. I was quite fortunate, honestly, that I've emerged with minimal deficits despite sleeping on it for three days.
Ironically, when my grandmother had a ministroke a few years earlier, I had been the one to push hard for her to go to the hospital, after my mother commented that her speech had sounded unusually slurred on the phone. I just hadn't thought I'd have a stroke (or even a ministroke) at my age.
You just scared the hell out if me Balfegor. I think what I thought was dehydration is actually a combo with the exhaustion. Oh well, going to the doctor Thursday. I now have more questions.
About 14 years ago, I had what was thought to be a TIA. I was helping out the owner of a restaurant that I had designed by taking the place of the pantry person who had quit. All of a sudden, I noticed that my left hand was not responding to my direction. I observed it again immediately so I pulled away from my station and asked a line cook to come over to me. I sat down. I asked him if it appeared that I was slurring my words and he said yes. I asked him to have the owner call 911. The EMTs did some "tests" and nothing was seemingly out of the ordinary. They took me to the local ER and tests were ran and while the symptoms had not re-appeared after I left the kitchen, they thought I did have a mild TIA (if there is such a thing). I did have high BP going on at the time. Thanks to Obamacare I had no insurance nor medication coverage. It never occurred again, thanks be to God.
Re: donald:
My main symptom (up until I discovered that I had lost fine motor control in my left hand) was that I was having great difficulty enunciating -- unfortunate, given that I was representing a witness in agency testimony for the three days after the stroke. But it was evidently not apparent to friends, family, and longtime colleagues. Most of the time, it's probably nothing, but better safe than sorry.
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