cortical vein thrombosis?
22/f D 10 LSCS,had h/o high grade fever with GTCS like episode with post ictal confusion.her mri brain and mr venography was done,her routine investigation were wnl,what can be the DD,which anti epileptic can be given as she is breastfeeding.
Consider IV leveteracetam Lorazepam LMWH. Steroids. Evaluate the cause of veinus thrombosis.
Brain insult by hyperpyrexia EPTOIN 3-5 mg / kg wt in 3 devided doses Gardinal Syp 3–5 mg / kg wt in three devided doses
EPTOIN .. LEVETERACETAM. SODIUM VALPROATE.. ARE SAFE ANTIEPILEPTIC DRUGS DURING BREAST FEEDING.. NEED'S TO R/O CAUSE OF.. VENOUS THROMBOSIS..
avd to neurosurgeon opinion, Rx Dashmularishtha 20ml bd Arjuna tab 2bd Galo ghan 2bd Sudarshan ghnavati 3tid
tab bhrutaht vata chintamani tab yogendra ras i m using these medicines in pediatric patients an found excellent results in mentioned condition this is combined study along with pediatrician,
Kindly post the full MRI. Single set part only posted
Consider IV leveteracetam Lorazepam LMWH. Steroids. Evaluate the cause of veinus thrombosis.
CVT is very Common in India, in Post natal rural women in India,it's a false belief that they don't drink enough water and stay dehydrated, because of the false notion they become weak and Chronic illnesses may come.Rx IV fluids only NS, RL no glucose, Anti coagulation therapy, anti platelet therapy ,IV Dexamethasone,4 mg 6 th hourly, Oral hydration, warfarin as per INR anti epilectic drugs such as Barbiturates are time tested drugs, with Antibiotics to prevent Brain infection ,Breast feeding can be continued if Patient is kept clean surroundings..
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D DIMMER TEST D-dimer tests are used to help rule out the presence of an inappropriate blood clot (thrombus). Some of the conditions that the D-dimer test is used to help rule out include: Deep vein thrombosis (DVT) Pulmonary embolism (PE). An elevated D-dimer level is not normal. It is usually found after a clot has formed and is in the process of breaking down. ... A negative D-dimer test means that a blood clot is highly unlikely. A positive D-dimer test doesn't meanthat you have a clot. D-dimer testing is of clinical use when there is a suspicion of deep venous thrombosis (DVT), pulmonary embolism (PE) or disseminated intravascular coagulation (DIC). It is under investigation in the diagnosis of aortic dissection. A positive D-dimer result may indicate the presence of an abnormally high level of fibrin degradation products. It indicates that there may be significant blood clot (thrombus) formation and breakdown in the body, but it does not tell the location or cause. In univariate analyses, an elevated D-dimer level qualified as a prognostic parameter associated with increased mortality risk in patients with brain tumors, lymphomas and in those with breast, lung, stomach, colorectal, pancreatic and prostate cancers. The accuracy of the D-dimer test depends on the patient setting. The D-dimer test is accurate in outpatients, but in hospitalized patients, the accuracy of the elevated D-dimerresult may reflect clots or medical conditions other than PE that lead to an increase in D-dimer concentration.
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