Are worsening symptoms post-stroke an emergency?

1 answer | Last updated: Jan 20, 2011
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Caring.com User - James Castle, M.D.
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James Castle, M.D. is a neurologist at NorthShore University HealthSystem (affiliated with The University of Chicago) and an expert on strokes.

You are absolutely right to be concerned, and it is unacceptable to simply look at this as a natural progression of his original stroke. Strokes are virtually always worst within See also:
How to Tell if Someone Is Having a Stroke

See all 42 questions about Stroke Signs and Symptoms
the first 2 weeks. It would EXTREMELY uncommon for a stroke to worsen this far out, and therefore makes me think that something else is going on. He could have either suffered another stroke, or have some other long term complication such as a medication side effect or infection (pneumonia, urinary tract infection, etc.) If you are unhappy with what his Primary Care Physician is telling you, I would either see another physician or take him to an Emergency Room for evaluation and further work-up. At a minimum, he needs routine blood tests, urine sample, head imaging, and a review of his medications. A chest x-ray might also be warranted.

Your suspicions are correct. This is not normal. I would act on it right away.

Good luck!

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