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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Strokes?

Im 16 and im a year round athlete im 5 11 and 160lbs a few weeks ago i had 5 stroke in one day, i was in the hospital for 5 days and went through numerous test; TEE,EKG,EEG,catscan and 2 mris with contrast which is how they found the 5 stroke, and also a large amount of blood tests, i had 40 different doctors trying to figure out why and yet no answere do you have any idea what could have caused them
posted on Fri, 14 Mar 2014
Twitter Sun, 15 Mar 2015 Answered on
Twitter Mon, 16 Mar 2015 Last reviewed on
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Neurologist,  's  Response
I read your question carefully and I understand your concern.

Since you seem to have had so many tests I suppose they have excluded blood vessel disease by imaging or coagulation issues by blood tests (although I don't know exactly what those tests are).
So the most probable culprit in these cases is often the heart. I understand routine EKG was normal, but often there is episodic arrhythmia which might be missed on a single EKG. For that there are some more prolonged investigations in place, starting with 24 h Holter EKG and followed when that reveals nothing by investigation for a week or an entire month (by implanting a device which continuously follows your rhythm-not available everywhere though depends on where you live).
At the end of the day there is a percentage of stroke cases where after all exams have been done the cause can not be found.

I hope to have been of help.
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What Causes Strokes?

I read your question carefully and I understand your concern. Since you seem to have had so many tests I suppose they have excluded blood vessel disease by imaging or coagulation issues by blood tests (although I don t know exactly what those tests are). So the most probable culprit in these cases is often the heart. I understand routine EKG was normal, but often there is episodic arrhythmia which might be missed on a single EKG. For that there are some more prolonged investigations in place, starting with 24 h Holter EKG and followed when that reveals nothing by investigation for a week or an entire month (by implanting a device which continuously follows your rhythm-not available everywhere though depends on where you live). At the end of the day there is a percentage of stroke cases where after all exams have been done the cause can not be found. I hope to have been of help.