Concluded Case

ICH

Sudden Loss of Consciousness Chief Complaints Sudden Loss of Consciousness History Hypertensive Vitals 140/90

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Concluded answer

A left sided extensive left anterior and middle cerebral arterial infarcts most likely an embolus involving the left major cerebral arteries . A case where emergency thrombolysis is indicated. Followed by tab Rosuvastaton 20 mg + Aspirin 150 mg + Clopidogrel 150 mg O.D . Patient needs a cardiac evaluation by ECG , Echocardiography, 24 hour Holter monitoring to look for source of embolism. Also a MRI - Cerebral angiography is needed

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A left sided extensive left anterior and middle cerebral arterial infarcts most likely an embolus involving the left major cerebral arteries . A case where emergency thrombolysis is indicated. Followed by tab Rosuvastaton 20 mg + Aspirin 150 mg + Clopidogrel 150 mg O.D . Patient needs a cardiac evaluation by ECG , Echocardiography, 24 hour Holter monitoring to look for source of embolism. Also a MRI - Cerebral angiography is needed

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Left ICA malignant infarct with hemorrhagic transformation.. Significant edema and midline shift Consider decompression craniotomy , contact neurosurgeon Explain poor prognosis

Acute intracerebral hemorrhage lt hemisphere H Bleed is leaked in lt superior ventricle There is mid line shift to rt AC CEREBRAL STROKE

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Appears to be an old big infarct with encephalomalacia, without any residual mass effect. Loss of consciousness may be post ictal.

Left extensive fronto perietal and occipital infarct with edema ,and midline shift

Pt. must be sent to a neuro-surgeon for emergency care

Bilateral ACAs and left MCA infarcts

Sir, do the infarcts appear acute or chronic
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