
Is Numbness In Leg A Sign Of TIA?



My brother had two TIA events , one 15 years ago @ age 48, and another a few month ago. My father had XXXXXXX strokes at age 60 as well, but lived to about 85 , but was effected by further Tia's in later live.
I now recall a event that makes me wonder if I had a potential TIA myself.
My age is 50, and at age 44 while raising out of a chair my left leg gave completely way.. I can not recall any tingling or numbness but the leg seemingly felt paralyzed a very odd sensation. My whole body gave way standing up, but I was able to hold onto the table.
The whole event lastet only seconds.
What is the likelihood that this may have been a TIA event?
Thank you for your help. XXXXXXX from California
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I understand your concern and would explain that your symptoms may be caused by a TIA, affecting the anterior cerebral artery territory in your brain, which is responsible for one leg.
It is not unusual to occur only a motor deficit during TIA.
A hypoperfusion of the leg related to sitting position (from a possible vessel compression) could also justify this clinical event.
Your should know that your family history imposes you to a higher risk for TIA too.
Do you have any other cardio vascular risks like hypertension, diabetes, etc.? Do you smoke? What is your body weight? Are you obese?
Although this episode has happened some years ago and it has not been repeated, based on your age, family history and this episode, a complete check up would be necessary to determine your future risk for possible repeated TIA or stroke.
I recommend consulting with your GP for a careful physical examination and some tests :
-resting ECG and cardiac ultrasound
-Doppler ultrasound of the neck vessels
-blood lab tests (complete blood count, fasting glucose, PCR, sedimentation rate, blood electrolytes, thyroid hormone levels, kidney and liver function tests, blood lipid profile, blood levels of homocysteinemia, coagulation tests, etc).
A brain MRI coupled with MRA sequences would be necessary to investigate for possible ischemic events and examine better the anatomy of intracranial and cervical vessels.
You should discuss with your attending physician on the above mentioned issues.
Meanwhile, I recommend taking aspirin 80mg, 1 tablet each day, besides statins to help you prevent future possible TIA (based on your age, family history and this past event).
Feel free to ask any other questions whenever you need!
Hope to have been helpful!
Best wishes!
Dr. Iliri

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