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additional ?s after a TIA
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Wendy1229 posted:
Why would a CT SCAN come back fine and then a MRI 8 hours later be postive for Stroke if the MRI sees more why isn't that the standard of care instead of a CT Scan?

And is it normal to feel tired easily after having TIA?. I have days where I am just exhausted and honestly I am not doing that much.

I was also asked if I had any long travels before the TIA and I didn't however I do sit quite a bit at work and on weekends I can sleep 10 hours straight. Is that to much being still? I am freaked out over that now.

Thanks
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Richard C Senelick, MD responded:
We use a CT scan as screening test in the emergency room to decide if someone is a candidate for tPA ( clot buster.) It is fast and much less expensive than an MRI. It is also very sensitive to showing us any blood in the brain. An MRI scan may show "spots" in the brain or a stroke that is not seen on a CT Scan. What happened to you is not unusal. The question is whether what they are seeing on the MRI scan matches the symptoms you had in the ER?

The treatment will be the same. I assume you had a complete workup for your TIA. Did they look at your heart, carotid arteries, blood work and arteries in the brain? Did they determine why you had a TIA. Do you have hypertension, diabetes or high cholesterol? This is important to prevent another TIA or stroke, although 30% of the time we cannot determine the cause.

I don't think travel or sleep has anything to do with it. Were you evaluated by a neurologist? If not, it would be a could idea to get a referral.

Good Luck.
After your stroke you may be experiencing a new normal, but remember what George Eliot said- It is never too late to be what you might have been. You still can achieve new goals.


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Richard C. Senelick M.D. is a physician specializing in both neurology and the subspecialty of neurorehabilitation. He did his undergraduate and medic...More

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