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Multiple Strokes & Empty Sella Syndrome - What's Next?


My mom recently found out that she had multiple i.e. silent strokes in her brain due to the close arteries/blood vessels, and she has Empty Sella Syndrome. Her MRI showed several stroke and flatten pituitary glad...Her GP requested that she does a 24 hr urine sample, which I am unsure how her urine relates to her brain but I am freaking out!!  My mom is 68 years old AA female who suffers from high blood pressure (hypertension), which she can stand to become healthier and lose some weight but at this point what can we do?   Her symptoms are dizzy spells, waddling while walking, aching pain throughout her body at times and falling.  Grateful, she hasn't hurt herself but if anyone can provide insight to what is going on or what questions should I ask her GP I would grately appreciate it...Her GP will be referring her to a Neurologist this week as well...What should we ask him/her?  Ive read on the internet that if a person had multiple strokes then the grand-mal seizure that can lead to a massive stoke, which can come within the next 3-6 months.   I cant stomach my mother passing away right now although I know one day that day is inevitable.

Please help me!!!
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Thank you as I will definitely discuss the possibilities of the information mentioned above...We provided the 24 hr urine sample last Tuesday, which she sees her GP on Monday. Per her GP, the urine sample will tell him which direction to go...My concern are the silent strokes and how to prevent them
Going forward? Her GP did state that my mom is on too much education so he is taking her off a few hopefully that will help with the other symptoms.  My mom currently has hypertension (high blood pressure) which she is on meds for it...again, thank you for the information!
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351246 tn?1379682132
I am sorry to hear about your mother’s medical problems. Though not of much significance, a seemingly empty sella turcica can be a sign of high BP or of benign intracranial hypertension in presence of your mother’s persisting symptoms. The former can be diagnosed by careful BP monitoring. For this to test the adrenal gland function, 24hour urine sample will be required. Other than this she may need to wear a holter for holter test, undergo cardiac exam, ultrasound/CT scan of abdomen to look for renal artery stenosis, lipid profile, liver and kidney function tests.
Spinal tap is both diagnostic and curative of benign intracranial hypertension. It can also be due to injury. Do discuss these possibilities with your neurologist. Take care!

The medical advice given should not be considered a substitute for medical care provided by a doctor who can examine you. The advice may not be completely correct for you as the doctor cannot examine you and does not know your complete medical history. Hence this reply to your post should only be considered as a guiding line and you must consult your doctor at the earliest for your medical problem.
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