Dr. Evans explains if it is typical for a woman to have multiple strokes.
The biggest risk factor for stroke is having already had a stroke. The highest risk period of time is actually right after the first stroke in the first couple of months. And so, that’s why it’s critical that if the first stroke is simply a warning of a stroke, what’s called a TIA, where someone has maybe five minutes that the right side of their body didn’t move correctly or of two minutes where they couldn’t see out of one eye. Even if that goes away, it’s critical that they go to an emergency room and be evaluated because sometimes the doctors can find what are called modifiable stroke risk factors, things about the person’s health condition that can be changed and sometimes changed right now that will influence their risk of stroke for the rest of their life, and that’s the goal of what’s called secondary stroke prevention.
After the first stroke, what do we do to as quickly as possible change somebody’s risk of another stroke? When I educate non-neurologist doctors about stroke, it’s always about the critical nature of responding to minor strokes and warnings of strokes just as aggressively as we respond to a catastrophic stroke because it’s always that second one we need to prevent.
About Dr. Evans, M.D.:
Dr. Evans joined the Neurosciences faculty in July 2005. Dr. Evans received a BS in Chemistry, Magna Cum Laude, from the University of Southern California, and a MD from UCSD. After a year of Internal Medicine training at Loma Linda Medical Center, he returned to UCSD for his residency in neurology. He has received several awards for academic excellence during his training and was the 25th Anniversary Scholar for the UCSD School of Medicine. He was named the valedictorian of UCSD’s National Center of Leadership in Academic Medicine’s class of 2006. He is a full-time clinical neurologist at the UCSD Neuroscience Center at Alvarado Hospital Medical Center.