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The meaning of chronic infarct middle cerebral artery territory required - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1722 Questions
Doctor :   hello
User :   hello . may i know what is chronic infarct (left) middle cerebral arterey territory?
Doctor :   may i know your age and gender please ?
User :   actually my grand mother is suffering from this problem she is 59 years old
Doctor :   ok i will explain to you
Doctor :   does she has any other medical problem ?
User :   yes she is having high blood pressure that is 150/80. and she is lightly diabetic
Doctor :   and is she on medications ?
User :   yes she is under medication in morning she is taking esoprin and nekadia and in afternoon she is taking nekadia and envas and at night she is takin rosevasatin ,dionil , atrova ,alphraxand citinova
Doctor :   ok now coming to your question . Middle Cerebral Artery Supplies most of the temporal lobe, anterolateral frontal lobe, and parietal lobe, these lobes are the areas of the brain, the infarction means a occlusion, and high blood pressure is a common cause , since the blood supply is diminished to these areas of the brain therefore the symptoms arise
Doctor :   its the most common affected artery in the brain
Doctor :   it can cause vision symptoms , speech impairment
Doctor :   body weakness
User :   yes doctor she is lengthening every word and also the words are not clear
User :   and also now a days her forehead and the scalp is becoming too hot
User :   what can we do to cool her head
User :   ?
Doctor :   what all tests have been done ?
User :   and also when she is walking she is wobbling
User :   MRI has been done before a month ago and last Wednesday citiscan was done.
Doctor :   ok
User :   and when her head is becoming hot she is behaving like a mental person but other time she is behaving normal
Doctor :   well you see there is no cure for this condition
Doctor :   surgery can help
Doctor :   you need to consult a Neurophychologist
Doctor :   for analysis
User :   what diet she can take ?
Doctor :   diet has no concern
Doctor :   she needs to make sure her blood pressure stays normal
User :   and what exercise she can do
Doctor :   speech therapy is helpful
User :   doctor she should take balanced diet or some restrictions are there?
Doctor :   she should avoid salt
Doctor :   thats every important
User :   and is there any danger for her life if it is there what precautions we can take?
Doctor :   to begin with
Doctor :   she needs to undergo occupational therapy
Doctor :   Occupational therapists specialize in retraining patients to perform activities of daily living. They teach and develop strategies for the patient and rehabilitation team to enhance patient success in independence. This may include the use of adaptive equipment or compensatory strategies or the redevelopment of skills that were lost because of motor function, perception, and cognitive deficits.
Doctor :   Initially, the focus is often basic self-care. This then progresses to higher-level activities in homemaking and eventually to training for a return to work. These skills frequently require the mobility and strength developed in physical therapy and the cognitive retraining acquired in speech therapy. Caregiver training and education is always part of a patient's treatment; they are imperative aspects of the patient's recovery
Doctor :   also she should be put on medications
Doctor :   she needs a through examination by a neurologist
Doctor :   hypertension as i have told you before should be strictly managed
Doctor :   also her sugar levels need to be controlled
Doctor :   these are the most important parameters
User :   may i know why her head is sometimes becoming too hot like fire and what can we do for it?
Doctor :   Fever appears to be related to stroke severity, infarct size, mortality, and outcome in persons For each 1°C increase in body temperature, the relative risk of poor outcome
Doctor :   so if she as fever she should be given a crocin
Doctor :   have you shown her to a neurologist ?
User :   yes we showed her to a neurologist in hospital in orissa the above medicines are prescribed by him
Doctor :   ok
Doctor :   well like i said she needs to be taken care of all the parameters i have told you
User :   she is given treatment by a medical specialist in IGH of rourkela ,orissa
Doctor :   it will take time and you need to b extremely supportive of her
User :   by doing surgery she wil be perfectly fine or any risk is there?
User :   can she be cured by medication?
Doctor :   risk is always there
Doctor :   not completely but to a very large extent
User :   she is asking to meat fish is fish good for her
Doctor :   yes you can give her fish it has no harm
User :   ok doctor thanks a lot for your co operation
Doctor :   your most welcome
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