Re: psychological strokes?
There are definitely strokes that occur that don't show up on tests, especially early on. A stroke is either a clot in an artery in the brain or a bleed in a blood vessel.Some people have "mini" strokes, called a TIA, transient ischemic attacks, that don't show up at all. Others can have migraine headaches with a stroke-like presentation. At his age, he deserves a full blown work-up to determine any predisposing factors to clots, such as hereditary clotting disorders (a hematologist would test for this) anti-phospholipid antibodies, carotid ultrasound, echocardiogram (to see if clots are forming in the heart and being thrown off), cholesterol and homocysteine check in the blood. It is imperative to try to find the cause of the stroke, so further strokes can be prevented. I have never heard of "Psychological stroke". Sounds like a cop-out to me. Smoking, high blood pressure, high cholesterol and homocysteine can predispose to vascular disease that can result in strokes. I would pursue this with a different neurologist.