70 yrs male h/o sudden falled on ground 1 day back while walking, followed by weakness of lt upper and lower limbs bp was 260/120 pr 100/mt conscious after m20%,epsolin,lasix, antibiotics,methylcobalamin,neurocetam, aspirin,rosuavas,depin now well please suggest ur valuable opinions

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Malignant hypertension followed by haemorrhage in right thalamic region with intraventricular extension with left sided hemiparesis due to crodzed fibres from RT thalamic bleed Managed nicely Further treatment required is Tab Eptoin 300 mg O.D Tab Rosuvastatin 20 mg O.D Tab olmesartan 40 mg + Cilnidepine 10 mg + chlorthalidone 12.5 mg Tab piracetam + citicholine

When no seizure then why Eptoin sir.
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Small hypertensive bleed RT thalamus with speck of bleed in tge 3rd & posteriir horn if rt lateral ventricle. No hydrocephalus. No indication to give mannitol.why antibiotic for ICH?HOLD ASPIRIN.NEEDS GOOD CONTROL OF BP.

The case is well discussed he is a c/o malignant hypertension and suffer from cva due to intracerebral hemorrhage extending rt ventricle at present aspirin should be avoided only reduction in bp to optimum will give solace to pt so far hemiparasis will recover with physiotherapy here i agree to dr Manorama for treatment advice.

ACCLERATED HTN CVA LT HEMIPLEGIA DUE TO RT CEREBRAL HGE HE HAS DYSLIPIDAEMIA RX BP CONTROL SLOWLY UPTO 160 / 90 ROSUVASTATIN HOLD ASPIRIN .... PHYSIOTHERAPY E C G ECHOCARDIOGRAM EEG CREATININE ,SUGAR ( BLOOD )

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One big contradiction in this case...... By history & investigation, it is very clear that this is a case of 'Cerebral HEMORRHAGE... None of the intellectual doctors would like to prescribe 'ASPIRIN' in this case.... ????? ????? ????? ????? Fake case?? Cooked details??

Thanks for your tag @Dr. Satish Kumar . I agree with @Dr. Manorama Rajan .

RT. Thalamus bleed(ICH), BP needs to be managed, would also prescribe an MRI to be done for further investigations.

Agreed@Dr. Manorama Rajan mam

Manage hypertension : correction of bp must not be sudden but gradual. Evd may be needed later Ask for neurosurgeons opinion

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