Concluded Case

Sudden onset -Unilateral hemiparesis

80 years old with history od,sudden onset right hemiparesis - both upper & lower limbs Know hypertensive on Telmisartan 40 + chlorthalidone 12.5 mg O/ E - B.P --150 / 80 mm Hg GCS - 15 Hemiparesis right upper and lower limb

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Concluded answer

Left frontal parasagittal acute ischemic infarction with periventricular T2 hyperinsities bilaterally with age related cortical atrophy and ventricular dialatation. Acute ACA infarction with CSVD . Suggest Medical management as per stroke protocol with physio .

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Ischemic stroke..? Hemiplegia..? Opinion for neuropathologist.. Symptoms of stroke include trouble walking, speaking and understanding, as well as paralysis or numbness of the face, arm or leg.. immediately

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Left frontal parasagittal acute ischemic infarction with periventricular T2 hyperinsities bilaterally with age related cortical atrophy and ventricular dialatation. Acute ACA infarction with CSVD . Suggest Medical management as per stroke protocol with physio .

Infaction left frontal lobe extends towards thalamus region... Dx- sudden onset hemiparesis cause ischemic stroke Rx- Iv pipzo clindamycin Pan emset mannitol leveracetam pcm Tab aspirin....Vital monitoring I/O monitoring...

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Ischemic stroke lt frontal e xtending to lt thalamus Opinion of neurologist

Rt hemiplegia
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Drugs can be used to treat issues related to the Upper Motor Neuron Syndrome. Drugs like Librium or Valium could be used as a relaxant. Drugs are also given to individuals who have recurrent seizures, which may be a separate but related problem after brain injury. Intra-muscular injection of Botulinum toxin A is used to treat spasticity that is associated with hemiparesis both in cerebral palsy children and stroke in adults. It can be injected into a muscle or more commonly muscle groups of the upper or lower extremities. Botulinum toxin A induces temporary muscle paralysis or relaxation. The main goal of Botulinum toxin A is to maintain the range of motion of affected joints and to prevent the occurrence of fixed joint contractures or stiffness.Surgery may be used if the individual develops a secondary issue of contracture, from a severe imbalance of muscle activity. In such cases the surgeon may cut the ligaments and relieve joint contractures.

Area of infarction Left fronto parital lobe Stroke

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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 योगेन्द्र रस 1 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। महारास्नादि क्वाथ 25 ग्राम सुबह-शाम खाने के बाद दें। यह कार्य लगातार रोजना एक माह तक करें। योग परिक्षित है। पिछले 45 वर्ष से प्रयोग कर रहा हूं।

Lt ACA territory infarct.

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Cerebral vein thrombosis

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Infarct in left frontal lobe

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