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Cause for sudden unconsciousness and its cure? - Online Doctor Chats

Date : 08-Jun-2013
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1716 Questions
Doctor:Good afternoon
Doctor:Please proceed with your query
User:My father is admitted to XXXXXXX nursing home (Dahisar) for being unconcies, Plain Brain CT report as below. Need to onsult a specialist for Brain related problems (Neurologist) Plain CT Brain & Extended Diffussion Weighted MRI Study Protocol: Ultrafast multislice multiplanar plain CT scan of brain was performed. MRI was performed using single shot EPI sequences Observations: Multiple patchy areas of restricted diffusion are seen in the bilateral parafalcine frontal,caudate nucleus and right perisylvian, parietal region. Bilateral periventricular white matter hypo densities are seen. Rest of the supra and infratentorial parenchyma are unremarkable. The Ventricles. Sulci and cisterns appear normal. No midline shift is seen. Visualized skull base appear normal. Conclusion: Findings are suggestive of fresh (Subacute) nonhaemorrhagic infarcts in the bilateral parafalcine frontal, caudate nucleus and right perisylvian, pariental region. Bilateral periventricular white matter ischaemia.
Doctor:I have read through the report
Doctor:It seems like your father suffered ischemic injury to the brain
Doctor:Is he still at the hospital
User:ya i want to conslt a Neorulogist
Doctor:Yes sure, you can
User:he was normal till saturday
Doctor:You can post a query to a Neurologist
Doctor:and get his opinion
User:sunday he had loose motions and got fainted after that he is just
Doctor:Would you like assistance on that?
User:ya i want to show all the reports and XXXXXXX some one physially some specialist
Doctor:We can help you on this
Doctor:Please let me know your place of location
User:then he satarted bluffing all old and new days talks mixed after admision he is rsting but no movement in eyes and is not eating just lying down
Doctor:Thank you
Doctor:We shall assist you on this
Doctor:Please confirm your contact number
Doctor:Is there anything that you would like to discuss here?
User:what doesthis report mean?
Doctor:This report means to say that your father is not getting enough blood supply to the brain structures
Doctor:There is ischemia occurring
Doctor:He is having subacute infarcts
Doctor:which have occurred on a sudden basis
Doctor:May I know his age?
User:74, ok and what culd be the cause
Doctor:Is he a Hypertensive?
Doctor:Does he take medications on a regular basis for any chronic illness?
User:on coo minded but very sensitive
User:ya diabitis and presure tabs are regular
Doctor:These may be sort as a reason for his infarcts in the brain
Doctor:Diabetes and Hypertension with age factor, all contribute to the infarct in the brain
User:ya but all off a sudden? this is first time this thing has happended
User:and hes veryactive and healthy
Doctor:Yes, unfortunately, these episodes occur on a sudden basis
User:now how ca u help me to get him out of this situation
Doctor:First, his blood pressure and blood sugar levels to be brought to normal immediately
Doctor:To prevent complications from occurring
User:hes on bed since sunday only hands and XXXXXXX are moving no movement in eyes and no sense of pain
Doctor:Then we can slowly move on to the management with the help of a Neurologist
User:ya they are normal and heat / idney are normal
Doctor:we need to increase the blood flow to the brain
User:i mean eart and Kidney are ok
Doctor:This can be done by anti-coagulants
Doctor:The doctors in the ICU should be doing this by now
Doctor:I am glad
Doctor:Regarding his eyes and pain sensation, it would take some time
Doctor:but he will progress gradually
User:ok so this canbe curred right
Doctor:It is better to observe him in the hospital setting until all is fine with him
Doctor:Yes, it is possible
Doctor:Do not lose hope
User:ok please help to get a second opioion from some experienced Nerologist
Doctor:We shall do it
User:may be i he can visit here and cehck my dad and give his opinion
Doctor:I shall ask our customer care team to call you and guide you on this
Doctor:We have a few good neurologists on the panel
Doctor:You can seek one of theirs' opinion
Doctor:I am sorry
Doctor:I did not understand what you meant
Doctor:can you please repeat?
User:If you suggest some good Nerologist then i can reqest him to visit this hospital as i have the ermission to call my known specialist for second opinion
Doctor:Please give us some quick time
Doctor:We will get back to you on this
User:usually how long it takes to cure this type of pbms
Doctor:It depends on how the patient progresses
Doctor:Good result is seen by 3 weeks time
User:oh ok great
User:so i need to wait for call ?
Doctor:Please wait for us to call you at the earliest
User:but till monday he was able to open his mouth and eat now that also has stopped
Doctor:It may be because the area of infarct is increasing
User:he used to turn himself and try to get get up even all movents have stopped
User:infarct is what exactly pls aelabrate
Doctor:Infarct means an area in the body with no or minimal blood supply
User:oh ok thx
Doctor:Eventually the tissues die in the area due to lack of blood and oxygen
User:that means his health is deproving
Doctor:I am sorry, I cannot comment on it as I have not seen the patient
Doctor:Hope for the best always
Doctor:Stay positive
Doctor:He should do good soon
User:k great pls assistwith the specialist
Doctor:Will do that
Doctor:Is that all for now?
User:Usually what is good diet at this stage as we are giving him liquid by nouse
Doctor:At this stage, usually patients are given nothing by mouth
Doctor:The nurse will take care of the feeding through a nasal tube
Doctor:Pleasure is mine
User:I will wait for your call thanks once again
Doctor:I wish your father quick recovery
Doctor:Please wait for a call from us
Doctor:We shall call you soon
User:Pray to lord, Thanks
Doctor:My prayers to your father
Doctor:Bye for now
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Doctor:It seems like you are not responding
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Doctor:Bye for now
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