Left sided weakness

A 27 year old bodybuilder male presents with severe headache, left sided weakness and urinary incontinence after doing heavy exercises. He was well oriented to time place and person. Lab reports: Platelet count - normal, toxicology screen - negative. CT shows left side hemorrhage and midline shift. Advise the case management.

4 Likes

LikeAnswersShare

Hemorrhagic stroke in an young patient. Lett sided weakness with left side ICH, not going well. IS IT SUPRATENTORIAL OR INFRATENTORIAL BLEED ??. Needs good clinical evaluation. Ref the Case urgently to The Neurosurgeon to exclude AVM / aneurysm bleed.

Left sided hemorrhage with midline shift Hemorrhage has cause damage to left side. Right side is predominantly unaffected But pressure from hemorrhage of left side is causing midline shift to right side, because of which there is a risk that right side will also get damaged Preservation of right side is of utmost importance Decompression craniectomy on left side will take off pressure in right side, it will help in preservation of right side High blood pressure is most likely cause of hemorrhage, strict and rapid control of blood pressure is necessary

no experiance of treating such a condition with ayurveda medicine. controlling the vitals should be the first step controll hypertension by using godhrut,sutshekar,sarpagnadha ghan vati,shwet parpati etc. using raktastambhak medicine like nagkeshar,praval pishti,kamdudha ras,durva to stop bleeding

* ICH ** CVA Left sided haemorrage with.idline shift. Iv mannitol 100.l ivbd Inj dexona 1amp iv bd Multivitamin and antioxidant iv slowly. Inj ceftam IgM iv bd. Maintain IO Chart and corrtion of electrolytes imbalance. Catheterization. Ryles tubr. Regular monitoring and constant evaluation required. If not responding to treatment than Surgical intervention to reduce cerebral oedema or pressure. I CU admission and oxygen inhalation till reports complied.

Thanks Dr Dinesh Gupta
0

View 1 other reply

? ICH .. ? HEMORRHAGIC STROKE.. NEED'S.. NEUROLOGISTS OPINION FOR FURTHER MANAGEMENT..

Tnx Dr Ashok Leel sir
0

Posting ct film would be better Although young hemorrhagic stroke is not uncommon. D/d Hypertensive ich Avm rupture CVT may be due to use of steroid for body building Other causes can be there Pt must be under direct supervision of neurologist

SUGGESTIVE. OF LEFT. SIDED. INTRACRANIAL HEMORRHAGE AND MIDLINE. SHIFT NEEDS IMMEDIATE. DECOMPRESSION ..

Where is the ct film. Please keep now. If the bleed is small&ganglonic conservative. Big one decompressive craniectomy may be considered.

Cas of acute stroke with left hemiparesis Need to be under observation Monitor vitals BP GRBs Urine output Repeat all inv like electrolytes Go for carotid Doppler

If haematoma then refer to NEURO surgeon for BURR hole

Load more answers

Diseases Related to Discussion

Cases that would interest you