Hello doctor, I am looking for a second opinion on a possible stroke. Can anyone look at MRI scans online? I had symptoms of "wake up" stroke. I woke up with complete numbness on the right side, unable to make a fist, weakness when trying to stand, dizziness and confusion around dates (I did not know what month it was), issues with spatial awareness and remembering. I felt like I had the worst hangover of my life. After 10 hours with no feeling, I went to A and E. The junior doctor said she would expect to see paralysis and not just numbness. I had CT which I was told was "clear" and sent home. I was told I was too young and not fat so not at risk of a stroke. After one week, movement improved in the right arm, after four weeks symptoms were 90 % better. I still have some confusion with dates/times/numbers/spatial awareness and some new dyslexia. I have developed a deep pain in the right arm. It started with one point in my elbow and one point in my shoulder, now I have a heavy and deep consistent pain. I have been choking on my food a lot and I have had chest pain. I also was experiencing pain in both my calves. Around six months ago, I had temporary episode of visual disturbances and I was unable to tell if the soup was hot or cold and I burnt my mouth. I needed to lie down. Symptoms only lasted an hour or two but I had problems with depth perception after. I was advised it was a migraine. A few months later, I felt sick but could not vomit. Extreme dizziness. Lay down and body became rigid then relax, rigid then relax, then came the headache. It was like someone clashing two symbols at the side of my head. It came in a few seconds bursts, relief for 20 minutes and returned. The headache lasted several hours. I had an MRI and was told the lesions were "non-specific" and that the diagnosis was "functional". I am 100 % sure that these events were not functional. I also had blood taken and my homocysteine was 25. I had another MRI after the wake-up stroke symptoms. I was told there are new lesions but because of my age (33), they are choosing to ignore it.
Hello. I read carefully your question and would explain that your symptoms could be related to migraine or a possible seizure. A stroke cannot be excluded, but it is really less likely with a normal MRI. I would like to directly review your MRI reports and give a more professional opinion on the new lesions. Can you please upload both your MRI reports? I would also recommend performing an EEG to investigate for seizures. Thyroid hormone levels should be done too. Hope you will find this answer helpful. Kind regards. For more information consult a neurologist online -->