Concluded Case

Brain Heamorrage with progressive Hemiplegia

60 Years Old Patient Losing his command & Muscle tone Gradually day by day. Both d Left Extremities affected. No facial Involvement. Depressed Repeatative talk 15 days back H/o 100 KM walk due to lockdown,Severe Fatigue (Exausted),Weakness on d day. Fear of Current Pandemic situation & Unsecurity toward Occupation in Mumbai. May be on that day Severe Fatigue or Dehydration that may lead to Hypotension & Hypoglycemia could be cause for decreased perfusion to brain & so on. I Look forward for Your Input & valuable Suggestions. thanks

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Concluded answer
With history of dehydration and acute stroke also consider of cerebral venous sinus thrombosis , if possible venogram to do
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With history of dehydration and acute stroke also consider of cerebral venous sinus thrombosis , if possible venogram to do
Thank you doctor
0
Acute brain infraction mild anemia. So, brain MRI CVA
Thank you doctor
1
acute brain infarction mild anemia brain MRI CVA
There is no features of hemorrhage. Cerebral venous sinus thrombosis is more likely. Treat with fluids and electrolytes, enoxaparin, antiplatelets. Renal function.

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