James Castle, M.D., Neurologist


James Castle, M.D. is a neurologist at NorthShore University HealthSystem (affiliated with The University of Chicago) and an expert on strokes.


Recently Published on Caring.com

is it possible that after a surgery a stroke can make a person completely paralized? — Feb 06, 2012
I am very sorry to hear about his situation. The unfortunate answer is "yes", a stroke can leave a patient nearly completely paralyzed. It is good that he has some moveme...
Will a RIND stroke show up on an MRI? — Feb 06, 2012
RIND is a term that isn't used very much anymore. It was an older term that referred to a stroke which resolved somewhere between one day and one week after onset. That s...
someone help me — Feb 06, 2012
The first thing to consider is whether or not the patient is safe to swallow all foods. If they have a swallowing dysfunction because of their stroke, you will need to hav...
Devices that Help Stroke Patients Living Independently — Feb 06, 2012
Sorry to hear about her situation. Unfortunately, I am not aware of any such devices, mostly because the "language centers" of the brain that control speech also control r...
After several strokes, my uncle's behavior is inappropriate -- what can we do? — Nov 02, 2011
Sorry to hear about this. It sounds like he might be suffering from "Frontal Lobe" dysfunction, most likely from all the strokes. This causes people to be disinhibited an...
Is two minutes of numbness in the toes of right foot sign of stroke? — Oct 04, 2011
It is hard to say with certainty what this episode represented. It is true that a stroke (or in this case, it would be better defined as a TIA - Transient Ischemic Attack ...
Is it normal to have migraines after a stroke? — Sep 30, 2011
I have had several patients who get migraine headaches after a stroke. The first thing I always try to do is make sure nothing dangerous is causing the headaches - usually...
What can I do to ease the right hand "clutching" I'm experiencing after my stroke? — Sep 29, 2011
Having a tendency to flex the muscles of the hand is very common after a stroke. I would recommend starting by setting up an appointment with a Physiatrist (Physical Medic...
Is confusion normal at night for stroke survivors, and will my father get better in a skilled nursing facility? — Aug 22, 2011
Sorry to hear of your predicament. It is hard to know how much of his confusion is due to a new stroke versus how much is "delerium". "Delerium" is common in elderly hosp...
What should be do prior to calling 911 if my sister has another stroke? — Aug 09, 2011
The symptoms you describe above do not sound consistent with a stroke. Typically, a stroke would involve weakness or numbness on just one half of the body, often accompani...