Will numbness every go away and am I likely to have another stroke?

1 answer | Last updated: Sep 05, 2010
kennithsims asked...
more
 

Caring.com User - James Castle, M.D.
Caring.com Expert
Send a Hug or Prayer
Send a Hug or Prayer
A
James Castle, M.D. is a neurologist at NorthShore University HealthSystem (affiliated with The University of Chicago) and an expert on strokes.
100% helpful

You have probably gotten unclear answers because there is no clear answer. In my experience, most people assume we have great data to give an exact answer to a question See also:
How can I encourage my mother to be more independent after her stroke?

See all 133 questions about Stroke Prognosis and Recovery
like this. Unfortunately, no such data exists. I often compare a Stroke Neurologists ability to predict the future with that of an Economist or a Weatherman - which is to say, very unreliable.

With regards to your numbness, in general, stroke symptoms tend to improve slowly but steadily for about 6 months, then level off. The best way to predict improvement is for you to chart your progress on a graph over time. You can extrapolate the line out to about 6 months from the time of the stroke (keeping in mind that the improvement slows the farther out from the stroke you are).

The possibility of having a recurrent stroke depends entirely on the cause of the initial stroke. I find it somewhat hard to believe that the hole in your heart is the clear-cut cause. "Holes in the heart", or "PFO"'s, are found in about 25% of the population, and are rarely the cause of a stroke. That, together with the fact that 1)your strokes were so close in time to each other, and 2)the hole was "too small" to close, all seem very suspicious that the true source has not been identified.

Given your age, I would recommend an evaluation including MRI of the brain, non-invasive angiogram of the head and neck - either CT angiogram or MR angiogram (a stand alone ultrasound of the neck is not sufficient in someone your age), a hypercoaguable (clotting) panel, and a prolonged cardiac electrical monitor. I assume you have already had an ultrasound of your heart based on what you wrote.

Only when a cause of the stroke is known can a reasonably accurate guess as to the recurrence risk of the stroke be given.

Was this answer helpful?
 

 
Ask a question Ask a question | Add an answer Add an answer