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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With ALL, Cannot Lift Limbs. MRI Shows Cerebral Hemorrhage. What To Do?

hi...my father(49) has been diagnosed by ALL ( cancer ). He recovered from that. But now 15 days ago he coudnt lift his hand(right), next day his leg(right) and then speech. after ct scan and mri he was diagnosed with cerebral hemorrhage in left brain. in first mri and ct scan spot was less and within 10 days spot inscreased and covered the whole left brain(till central brain line). what do to next...he is in icu ....
Thu, 26 Sep 2013
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Oncologist,  's  Response
Hi, it was good that your father recovered from ALL intially. the development right sided weaknes with left brain hemorrhage needs routine blood investigations like platelet count, abnormal cells in the peripheral smear or bone marrow. The ALL can recur with decreased platelet count with may lead to development of hemorrhage in the brain.u have not mentioned past history of BP or present BP. As he already has a hemorrhage involving whole left brain, neurosurgeon may decide on the possibility of decompression only if his peripheral smear and bone marrow shows no evidence of leukemia.
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Diagnosed With ALL, Cannot Lift Limbs. MRI Shows Cerebral Hemorrhage. What To Do?

Hi, it was good that your father recovered from ALL intially. the development right sided weaknes with left brain hemorrhage needs routine blood investigations like platelet count, abnormal cells in the peripheral smear or bone marrow. The ALL can recur with decreased platelet count with may lead to development of hemorrhage in the brain.u have not mentioned past history of BP or present BP. As he already has a hemorrhage involving whole left brain, neurosurgeon may decide on the possibility of decompression only if his peripheral smear and bone marrow shows no evidence of leukemia.