I am a 48 year old female who had a TIA at the end of October, 2011. When I was admitted to the hospital the CT scan showed an "old infarct" and the MRI showed 3 previous strokes. The neurologist even questioned a 4th. Initially, they thought I might have antiphospholipid syndrome as I had 3 previous miscarriages and my ANA was positive (though weakly). All bloodwork came back normal. The only risk factor I had was hypertension but the neurologist felt it was not high enough to cause a stroke. Often, my BP is actually too low. I was put on aspirin but had another possible TIA a month later though they are not sure. When I went to see the neurologist for my first follow up the week before Christmas, he said that if it happened again, I should start Plavix, be admitted and have the full work up again because of my age. He also is sending me for a bloodtest for CADASIL. I looked it up and was quite upset and scared. I don't think I have it as it is genetic and I don't know of anyone in my family with it. He said I don't need yearly MRI's because it would just stress me out when they couldn't do anything anyway.
I feel like a freak having had so many strokes/TIA's at my age and no one including my family doctor seem to even know what to say to me. I feel like a walking time bomb and often wonder if I will even see next Christmas. I am also having a hard time believing that it was caused by my blood pressure but there does not seem to be any other cause. I have been investigated for the last 4 years for shortness of breath, cough and dizziness with no diagnosis and never expected to have a stroke. I expected many other things but not this. I wonder if it may all be connected.
Do you think just one aspirin a day is enough? Has had anyone else had a similar story to mine? How do you deal with it if they are not sure of the cause so therefore can't treat it?