Concluded Case

LOC in a patient with hemiparesis

74 years old male - a known case of hypertension and hemiparesis since last 3 years . Hypertension is controlled . He suddenly developed increasing drowsiness since last 3 years E2 V4M 5 MRI Scan was done Comments on MRI scan and its interpretation is welcomed

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Concluded answer

T2 hyperintense well demarcated lesion in the left gangliocapsular area with dialatation of ipsilateral lateral ventricle suggestive of old stroke.Inaddition perilesional and periventricular hyperdensity with ill defind hypodensity rt caudate nucleus & Corona radiate suggestive of CSVD. FLAIR multiple hyperintensity noted including temporal gray matter rt side suggestive of multiple infarctions/ CSVD

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T2 hyperintense well demarcated lesion in the left gangliocapsular area with dialatation of ipsilateral lateral ventricle suggestive of old stroke.Inaddition perilesional and periventricular hyperdensity with ill defind hypodensity rt caudate nucleus & Corona radiate suggestive of CSVD. FLAIR multiple hyperintensity noted including temporal gray matter rt side suggestive of multiple infarctions/ CSVD

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RT side periventricular lesion in rt parietal lobe in cuadate region is fresh cerebral stroke Intracerebral hemorrhage leakage in rt ventricle Lt side lesions are probably old infarcts So pt is probably now in lt side hemiparasis or hemiplegia as well Treat as CVA

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I agree with Dr Manorama Rajan and Dr Shivraj Agarwal regarding their interpretation of the MRI scan . Characteristic feature of this MRI scan was Large area,of encephalomalacia with HEMOSIDERIN RIM in right basal ganglionic region and right corona radiata Also small acute infarcts in right frontal and Parietal lobes,associated dilatation of left lateral ventricle and small focus of haemorrhage in right occipital lobe

Acute hhg in lt cistern Known pt of hypertension with hemiparesis Opinion of neurologist Intubation

आयुर्वेद के अनुसार रोगी वात व्याधि से ग्रस्त है। चिकित्सा संबंधी योग,,, बृहत वात चिंतामणि रस स्वर्ण युक्त 1 रत्ती एकांग वीर रस 2 रत्ती रस राज रस 1 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। महारास्नादि क्वाथ 25 ग्राम सुबह-शाम खाने के बाद दें। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Hydrocephalus

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