Is there a Cure?
There is no specific treatment, but depending on the reasons:
•Anti-anxiety
•Sometimes Beta Blockers (propranolol or atenolol)
•Behavioral psychotherapy to reduce stress

This study included 74 articles and 106 confirmed or possible cases around the world, and shows that most cases are in girls (76.5%) with an average age of 13 years old, If anyone more interested here’s the website https://www.wjgnet.com/2218-6190/full/v11/i2/7.htm

CASE:

• A 30-year-old woman comes with sudden onset of right-sided weakness and difficulty speaking. She has a history of migraines but no other chronic illness. On exam, she has right facial droop, right arm and leg weakness, and expressive aphasia. CT scan is normal.

At first I said it’s something with the Facial Nerve but here the weakness is on the right arm and leg too so it’s beyond the Cranial nerves

So sudden unilateral weakness + aphasia points more to a stroke

And because it’s on the right side the it is definitely in the left hemisphere (since it controls speech for most people)

The CT is normal because early ischemic strokes often don’t show up immediately, so What to do next?

Get an MRI
Immediate assessment:
ABCs (Airway, Breathing, Circulation)
Check vitals, O2 sats
Quick neurological exam
Neuro consult as soon as possible
Check Blood glucose (hypo/hyperglycemia can mimic stroke, ECG and coag
If it’s 4.5 hrs or less give (Alteplase)
Why? It’s a clot-buster, thrombolytic it dissolves blood clots by activating plasminogen.
0.9 mg/kg IV (10% bolus, rest over 1h)
BP <185/110 before + during
If large vessel occlusion (LVO):
Mechanical thrombectomy.

It’s a survival mechanism, Neurons depend heavily on glucose. When you’re starving (severely), and your body runs out of stored fat and muscle, it gets desperate and starts breaking down brain tissue for energy.

If starvation is prolonged, even gray matter shrinks. But it’s not always bad!

Let me Tell you when,
During intermittent fasting (not starvation), During exercise.

It’s basically your body’s way of recycling old parts and making room for better ones, Maintains brain health and Clears toxic proteins and preventing diseases like Alzheimer’s.

So it’s All about the body Balance, you know what they say “Healthy body, Healthy mind.”