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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Light Headedness, Slurred Speech And Impaired Motor Function?

A 54-year-old Type-A male business executive had been experiencing migrainelike headaches. One afternoon he also experienced light-headedness, slurred speech and mildly impaired motor function on his right side. One of his colleagues rushed him to the emergency room of a nearby hospital where blood pressure, blood gases, electrolytes, and an ECG were run. His blood pressure was 195/100 mm Hg, which he said was typical of what he had experienced during the past two years. Blood gases and electrolytes were normal. The ECG showed no arrhythmias but did demonstrate a left axis deviation. The gentleman was admitted to the hospital and a cerebral angiogram was performed which showed left cerebral hemorrhaging. 1. What is the diagnosis of this individual s disorder? 2. What are the major contributing factors to this disorder? 3. What could have been done to prevent this problem? 4. What are the early warning symptoms prior to the complication? 5. Why did the ECG show a left axis deviation? 6. Why was there impaired motor function on the right side from cerebral hemorrhaging on the left side?
Tue, 29 Mar 2016
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Physical Therapist or Physiotherapist 's  Response
hi,

as you mentioned the symptoms it looks like the patient had an early stroke. During the brain stroke every single minute is important. Stroke can be assessed by experiencing the slurred speech, slowing of Motor functions, unable to respond to commands. the first thing need is to get admit to a near by hospital with a CT or an MRI facility. If the brain stroke is on the left side on the CT or MRI scan than the symptoms will be on the opposite side due to the pyramidal tracts of the nervous system. The design of the human body and it's control system by nature is made such that left side of the brain support the right side of the body. once stroke comes rushing into and emergency room is always advised. within 3 hours of the first symptom noticed is of priority and importance. Any delay in every minute will damage the brain more. as the blood supply to the brain is restricted by the clot and the damage to the neural tissues keeps continuing. So as soon as one notices the symptoms the earliest you should reach to the emergency room and start the treatment. Well, what could have lead to stroke will be the high blood pressure findings are in common. ECG can be normal can be abnormal . ECG is done to rule out certain factors and focus the whole treatment plan on the brain stroke. that is the reason the ECG is always taken. Brain Stoke can be confined by symptoms and later my MRI or a CT scan. post stroke if the physical disability is found then a physical therapist is taken into consideration Alon with the medication prescribed by the neurologist and the cardiologist. if patient has diabetes than a diabetologist should be contacted for the medical part. I hope I have answered your query. if any you have in particular to ask or didn't understand I will surely help you in it.
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What Causes Light Headedness, Slurred Speech And Impaired Motor Function?

hi, as you mentioned the symptoms it looks like the patient had an early stroke. During the brain stroke every single minute is important. Stroke can be assessed by experiencing the slurred speech, slowing of Motor functions, unable to respond to commands. the first thing need is to get admit to a near by hospital with a CT or an MRI facility. If the brain stroke is on the left side on the CT or MRI scan than the symptoms will be on the opposite side due to the pyramidal tracts of the nervous system. The design of the human body and it s control system by nature is made such that left side of the brain support the right side of the body. once stroke comes rushing into and emergency room is always advised. within 3 hours of the first symptom noticed is of priority and importance. Any delay in every minute will damage the brain more. as the blood supply to the brain is restricted by the clot and the damage to the neural tissues keeps continuing. So as soon as one notices the symptoms the earliest you should reach to the emergency room and start the treatment. Well, what could have lead to stroke will be the high blood pressure findings are in common. ECG can be normal can be abnormal . ECG is done to rule out certain factors and focus the whole treatment plan on the brain stroke. that is the reason the ECG is always taken. Brain Stoke can be confined by symptoms and later my MRI or a CT scan. post stroke if the physical disability is found then a physical therapist is taken into consideration Alon with the medication prescribed by the neurologist and the cardiologist. if patient has diabetes than a diabetologist should be contacted for the medical part. I hope I have answered your query. if any you have in particular to ask or didn t understand I will surely help you in it.