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Nurse's Mini Stroke Came With No Warning - If It Happens To You, Act Quickly



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No. 30
from misswoosie
Old Jun 30, 2009, 03:54 AM

Default Re: Nurse's Mini Stroke Came With No Warning - If It Happens To You, Act Quickly
Originally Posted by vivacious1healer View Post
I work as a neurology RN, and at our Stroke Certified Center in Chicago, we have seen patient's as young as 17 with a stroke. Coagulation problems, cancer(because of increased coagulation) use of oral birth control pills and history of migraines (bad combo!), hormone replacement therapy, vertebral dissections with heavy weight lifting, and of course alcohol and drug use...specifically crack cocaine! We dubbed these 'Coke Strokes'.
Remember the following are also risk factors for stroke: hypertension, diabetes, high cholesterol, obesity and smoking. Think about all the patients you care for that fit 3 or more of these categories....scary!
Yeah, Hx of migraine, combined with contraceptive pill AND smoking is a bad combo!
We don't see many strokes related to recreational drugs, but we did have one 20 something guy who had a "cokestroke" (great name!). We also recently had a 37 year old who had bilateral multiple infarcts and was found to be in AF. We had suspicions that he may have been taking some substance that was responsible for sending him into Fast AF. This guy is now independently mobile, but has been left with no useful verbal communication and also has receptive speech problems. Tragic. He presented too late for thrombolysis.
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No. 31
from oramar
Old Jul 01, 2009, 09:14 PM

Default Re: Nurse's Mini Stroke Came With No Warning - If It Happens To You, Act Quickly
Originally Posted by misswoosie View Post
Do you have a name for the condition? Sounds very interesting.Thanks!
FMD-Fibromusculardysplagia
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No. 32
from misswoosie
Old Jul 02, 2009, 04:31 AM

Default Re: Nurse's Mini Stroke Came With No Warning - If It Happens To You, Act Quickly
http://fds.oup.com/www.oup.co.uk/pdf/0-19-852973-2.pdfhttp://www.nle.nottingham.ac.uk/webs.../classify.html
One of the ways of classifying stroke involves identifying which bit of the circulation has been affected- ie anterior, posterior and brainstem, and how much.
In the UK the Bamford classification is widely used.It's useful as it can predict prognosis and help with investigations to perform, ie need to look at carotid arteries for anterior circulation strokes, but not for posterior circulation strokes.
Usually, strokes fit into one of the classifications, if your patients symptoms don't then you might consider that this may not be a vascular event (stroke) and look at other diagnosis. Remember the neurological deficit is usually unilateral, but brain stem strokes can be the exception because the lesion is so low in the brain.
You might want to google "locked in syndrome"-that is what the guy in the diving bell and the butterfly had.I think the film illustrates it better-but it is subtitled as he was French.

Originally Posted by Cheesecakelady View Post
Misswoosie, I looked this book up on Amazon. I think I will read it, but it sounds kind of scary. I've had a bit of experience with brainstem problems. My doctor seems unable or unwilling to make a definite diagnosis. I'd like to learn as much as I can on the subject. Thanks.
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No. 33
from Ginger45
Old Jul 08, 2009, 12:27 PM

Default Re: Nurse's Mini Stroke Came With No Warning - If It Happens To You, Act Quickly
Wow. There are alot of young people here. Is is the stress?
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No. 34
from misswoosie
Old Jul 08, 2009, 01:33 PM

Default Re: Nurse's Mini Stroke Came With No Warning - If It Happens To You, Act Quickly
The risk factors for stroke in young people are usually quite different than those for the elderly.
I think there are a few migraines in these posts (which can aslo be a risk factor for stroke,or cause temporary stroke like symptoms)
Other risk factors in young people include congenital heart defects (like the PFO), inherited blood clotting disorders,cocaine use and rarer connective tissue diseases.
I think someone said that women usually present with non-classical symptoms if they have a stroke, but there is no evidence for this.
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No. 35
Old Jul 19, 2009, 12:12 PM

Default Re: Nurse's Mini Stroke Came With No Warning - If It Happens To You, Act Quickly
Originally Posted by leslie :-D View Post
i'm so sorry, gentle.
i hope life takes a better turn for you.

leslie
Thank you to all who wished me luck. The testing showed that I did have a TIA, I am now on meds to correct cholestoral levels and have had no further episodes. My Dr says it may take a while to find the meds that will work for me, but, I will continue to adjust diet, excercise & meds as needed.
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