On May 23, I was at work when a co-worker noted that I was slurring my speech and appeared to be talking out of the right side of my mouth. Both she and my boyfriend also noticed that my emails and texts were riddled with spelling and syntax errors. I am a bit of spelling and grammar snob, and this was unusual for me. After a few hours, I went to the ER.
An MRI revealed that I had a stoke, specifically "acute infarcts in the right superior frontal gyrus, with a larger infarct in the right anterior parietal lobe." While in the hospital, I had an echocardiogram with bubble study and a CT of my brain and carotid arteries. These tests all came back normal or negative or whatever medical speak is for good. Blood work revealed slightly elevated cholesterol. The treating neurologist told me that my stroke(s) were caused by migraines.
I am a 42-year old non-smoker. I do not have high blood pressure, diabetes, or heart disease. I am overweight and discovered at the hospital that I have slightly elevated cholesterol. I was diagnosed with migraines in 2009 and prescribed 60 mg propanylol daily and 100 mg sumatriptan. In the few days before the stroke, I had a bad migraine and took sumatriptan. In October 2013, I was in a car accident and suffered whiplash and a torn meniscus in my knee. Since then, my migraines increased substantially.
I see the neurologist for a follow up appointment on June 19. I am taking 81mg of aspirin , 20 mg of lipitor, and 80 mg propanylol. I do not get enough sleep and have a high-stress job. I am working on getting enough sleep, managing stress, and eating at regular times. I have given up diet coke and reduced my coffee intake to one coffee a day with no espresso. I am trying to identify my migraine triggers and avoid them. I am worried about suffering another stroke. I also neglected to ask the neurologist what to do if I have another migraine. Do I need to go to the ER? I felt a migraine coming on last night (my first since suffering a stroke) and freaked out. A xanax, OTC advil migraine, and a good night sleep helped. Am I at a higher risk for suffering another stroke?
Thanks for listening. Any advice or information is greatly appreciated. Thank you! Julie