It sure sounds like you need to see a neurologist to get this sorted out and determine if you had an ischemic stroke or a bleed. That will determine whether you need to be on anti-platelet medication.
The corona radiata is the area between the surface of the brain where the nerve cells are located and the deeper parts of the brain. It contains the axons or cables that carry the messages from the nerves.
It is important that you get serious about preventing another stroke. Here is a link to an article I wrote on Secondary Prevention .
The good news is that you have no residuals from your stroke and it sound slike your physician is on top of preventing another stroke. The key is to manage the risk factors that caused your stroke. It is always a combination of lifestyle and medication. Although you are at an increased risk compared to someone who has never had a stroke, getting serious about what we call "secondary prevention" will dramatically reduce that risk and allow you to love a healthier, happy life.
Botox( botulinum toxin) is a very safe way to decrease spasticity, particularly in small muscles, like those in the hand. The toxin is given in a very weakened strength by injecting very small amounts into the muscle that the doctor wants to weaken. A very small needle is used and you should have only minimal discomfort. It takes 2-3 weeks for the toxin to weaken the muscle. It is important that you combine therapy with the injection, so that the tight muscles can be stretched and relaxed.
Here is a link to a good description of spasticity and its treatment.
It has been a long time since I have heard anyone use the "Black Dog" metaphor for depression. I hope you are winning that battle, but if not, seek help. Depression is common after stroke and is best treated by a combination of talk therapy and medication.
Burning pain and supersensitivity occurs after many strokes. I know you only want to take aspirin, but there are a number of medications that can help. Some of them are antidpressants and you may get some additional benefit. I do not know the names of the medications in South Africa. The names in the USA are: amitryptyline, nortrytyline, gabapentin and Lyrica for starters.We usually start with a very low dose of one medication and slowly increase it. If it does not work, then we can try another. The pain may not totally go away, but the goal is to get it reduced the point where it is just a nuisance.
It is always difficult to make a diagnosis over the Internet. So, my first caution is that you do need to get the advice of your regular doctor. I understand that you do not have insurance, but thefact that this episode was so different than your prior episodes.
If you are a chronic migraine sufferer, then it most likely that this was an episode of "complicated migraine." Migraine can mimic a stroke, but migraine sufferers are also at a slightly increased risk to have a stroke. The type of visual disturbances that you describe are much more common in migraine than any other problem. All of that said, a neurologist should sort this out "face to face", examine you and possibility repeat a scan.
A lesson learned for everyone is that if you think you might be having a stroke, do not call a frined, call 911!
Thank you for your question. There are a number of issues to address. The first is to look at ,Why is he falling?" He may have devloped problems with the nerves in his legs and that is why he is losing his balance. His increased use of alcohol can also contribute to the loss of balance and falling.
At age 81 you can fall, not hit your head that hard and still get bleeding in the brain. As we age, the brain shrinks and there is more space between thebrain and the skull. There are very small veins in this area that can tear and caus bleeding after what seems like trivial trauma. In addition, excessive drinking can alter the ability of the blood to clot and people are more likely to bleed.
You need an agressive plan to alter his lifestyle, manage his medical problems and protect him from falls. This is not easy and can mean alot of work for everyone involved.
I agree that it is a confusing situation. CT Scans are very sensitive at detecting blood in thebrain. If you had an intracerebral bleed, I would not expect your CT Scan to be negative. I agree you need to get a copy of the records and ask for a referral to a neurologist. If you had an ischemic stroke without blood, they may very well want to put you on preventive therapy.
I addressed the issue of taste a bit ago. Here is the answer and links I gave to that person. I hope it helps.
This is a common question and not unusual after a brain injury or stroke. The first place to look is any new medications that may have been added since your stroke. A number of medicines can affect your taste. You can look them up on line and combinme the name of the drug with "loss of taste." and see if that might be the problem.
Changes in taste from a stroke usually improve over a few weeks to months. Some people complain of a metallic taste. Here is a link to an answer I gave a few days ago to another stroke survivor on WebMD.
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