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Doctors couldn’t figure out why a Florida woman kept having strokes. The answer turned out to be the way she curled up in bed.
Glenda Bridges had none of the usual warning signs. The 83-year-old Naples, Florida, woman wasn’t obese, didn’t have diabetes, didn’t have high blood pressure. But in the span of just a few days, she had three strokes. She said that one morning she woke up and “had no balance, and my vision was blurry,” according to the Gulf Coast News.
With each stroke, her brain was sustaining more damage, and doctors at NCH (the only Joint Commission-certified comprehensive stroke center in southwest Florida) needed answers fast.
Dr. Viktoria Totoraitis, a vascular neurologist at NCH, noticed something that other doctors might have missed: all three strokes had occurred in exactly the same location in Bridges’ brain. That wasn’t typical. “Blood vessels are like highways,” Dr. Totoraitis explained, “meaning they each go to a specific territory. So when a patient has a stroke, I know what blood vessel supplies that territory.” The fact that every stroke hit the same spot pointed to a single, consistent cause rather than random clotting events.
The strokes were what neurologists call wake-up strokes, meaning Bridges had gone to sleep without symptoms and woken up with them. Research suggests that roughly one in five acute ischemic strokes falls into this category, and they’re notoriously difficult to treat because the exact time of onset is unknown, complicating eligibility for clot-busting medications.
What Dr. Totoraitis needed to know next was exactly how Bridges slept. When she asked, Bridges answered: “On my side, kind of all curled up in a fetal position.” That detail, combined with something else in Bridges’ medical history, several prior neck surgeries and significant cervical spinal arthritis, led to an imaging test with Bridges positioned the same way she slept every night. The results were clear. “When she’s sleeping and curled up like that, because she does have a lot of cervical spinal arthritis, some narrowing, she was pinching off one of her vessels.”
An older woman lying in bed. Photo credit: Canva
The fix required no surgery. Dr. Totoraitis recommended Bridges change her sleeping position and wear a soft cervical collar at night. She also clarified that the fetal position is not dangerous for people without prior neck surgeries. For Bridges, though, the combination of arthritis, surgical history, and a habitual curl was cutting off blood flow to her brain every night.
Since making that small change, Bridges has not had another stroke.
Her case is an unusual one, but it carries a useful reminder: strokes don’t always look the way we expect. The fastest way to identify one remains the F.A.S.T. method: Face drooping, Arm weakness, Speech difficulty, Time to call 911. The sooner someone gets to a hospital, the more brain tissue can be saved.
@benjhandy #handyfacts #dangerous #embarrassing #firstaid #stroke ♬ original sound – Ben
This article originally appeared earlier this year.
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