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Suggest Treatment For Left Sided Hemiparesis In An Elderly Person
my mother is 70 years old. diagnosis:acute cva-left ul hemiparesis ct brain showed well defiened hypodense foci in corone radiate of b/l frontal an parietal lobes s/o lacunar infracts.b/l old lacunar infracts.Right central sulcus?CALCIFIED granloma..she was managed with antiplatelets stains with other supportive medications. A cadiac evaluation ws done who advised CV Doppler,physioterapy was planned. both carotid arterial systems show increased intima medial thickness. partially calcified plaque measuring 0.7x0.25cm noted in right proximal ICA,causing 38% area stenosis. she had got stroke while wasing the vessals and it was at 2016 feb. now she can walk slowly but sometimes is falls down.
Mon, 2 Jan 2017
Hello and welcome to 'Ask a Doctor' service.
Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. As per her CT report, please find my advice below:
1) Do treatment for stroke as usual and check her neurological clinical signs time to time which needs some times to improve due to her age.
2) Tell your doctor to control BP and treat the underlying conditions associated with this CVA.
I think (CAROTID ARTERY) which needs to be evaluated by CTVS expert and repair by endovascular methods which will remove any risk in future. Also do ECG and ECHO.
I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me.
Wishing you all the best.
Thanks,
Dr. Uday Nath Sahoo
Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. As per her CT report, please find my advice below:
1) Do treatment for stroke as usual and check her neurological clinical signs time to time which needs some times to improve due to her age.
2) Tell your doctor to control BP and treat the underlying conditions associated with this CVA.
I think (CAROTID ARTERY) which needs to be evaluated by CTVS expert and repair by endovascular methods which will remove any risk in future. Also do ECG and ECHO.
I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me.
Wishing you all the best.
Thanks,
Dr. Uday Nath Sahoo
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