She had multiple TIAs from the age of 65 and eventually had carotid endarterectomy age 67. Medication’ perindopril (blood pressure), simvastatin (cholesterol), aspirin (antiplatelet), clopidpgrel (antiplatelet).
This woman has had multiple transient ischemic attacks or mini strokes since the age of 65 she is now 67. The TIAs caused transient limb weakness, slurred speech and loss of vision.
She initially went to see her doctor and was referred to have a CT scan and a vascular scan of the carotid arteries that carry blood to the brain through the neck. She was referred to a consultant to discuss the possibility of surgery (carotid endarterectomy) to remove the blockage from the artery. She decided not to go ahead with surgery at this stage because she was concerned about the slight possibility of having a stroke during the procedure.
She opted to take medication to prevent blood clot, control her blood pressure and reduce cholesterol. She knew, however, that this was not a long term solution. The TIAs kept occurring and were sometimes more severe. She eventually decided to have the operation but feels that the decision was entirely hers. She opted to have the surgery under general anaesthetic and feels the surgical team were all very sympathetic.
She was interviewed 2 weeks after the operation and was recovering well. She now has to take perindopril to control blood pressure, simvastatin to reduce cholesterol and aspirin and clopidpgrel to reduce the risk of a clot.