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Patient with thalamic bleeding - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hello
Doctor :   hi
Doctor :   how can i help u
User :   Need your opinion
On 3rd June 2008 my mother had a thalamic bleeding on right side basal. She is right now hospitalised is currently in ICU since admitted.
The currents observation we have are as follows
1. She is partially conscious. You can say 90% unconscious.
2. When awake she is able to listen & speak(a bit).
3. She is able to move paralytic affected leg & hands by her own.
4. Today doctor informed that there are symptoms of aspiration pneumonia.
If we talk about the past history she never had a complaint of any hypertension or blood pressure issue or neither she is a diabetic patient though the blood sugar count was 197 when checked in the hospital.
On 3rd June 2008 till morning eight thirty she was absolutely fine & then suddently she started vomiting & we could see that she was not able to lift the left side of her body. Immediately she was hospitalised.
Doctor :   ok
User :   Request your valuable advise
Doctor :   sure
Doctor :   ok
Doctor :   what was her blood pressure right now
User :   Its normal
Doctor :   ok
Doctor :   For Administrative and health purposes, Please provide these details -Age: Occupation: Location: Marital Status: Dependants: Yes/No
User :   Age: 58,Housewife,India,Married,Yes
Doctor :   ok
Doctor :   Isolated thalamic bleeding without involvement of the internal capsule or other neighboring structures is extremely rare.
Doctor :   Thalamic hemorrhage often leads to bleeding into the ventricular system
Doctor :   ok
Doctor :   usually there is thalamic bleed,
Doctor :   it involves ventricles as well
Doctor :   prognosis is usually not good in initially comatose patients
Doctor :   r u able to follow?
Doctor :   is she able to breathe on her own?
User :   She is partially concious
Doctor ok
User :   Yes she is breathing on her own
Doctor :   ok
Doctor :   her overcome of recovery depends on various factors
Doctor :   first and foremost thing is to prevent infections
Doctor :   when she is bed ridden
User :   Agree
Doctor :   r u able to follow?
User :   Yes
Doctor :   please ask if u have any doubts
User :   Sure
Doctor :   As of now u can say her prognosis depends on her lung infection
Doctor :   how far she is able to fight it out
User :   How the infections can be prevented, local doctor says there are symptoms of aspiration pnumonia
Doctor :   it is serious problem in all unconscious patient
User :   Doctor says there is cough in the lungs
Doctor :   with proper antibiotics and good chest physiotherapy she must recover
Doctor :   ok
Doctor :   the treating doctor in the ICU would the best person
User :   What antibiotics normally is recommended
Doctor :   to assess her current condition
Doctor :   it depends on the type of infective agent
User :   Agree
Doctor :   it is only after culture
Doctor :   they decide on the particualr antibiotic
User :   Can we fax the culture report for you to advise
Doctor :   after taking in consideration the age, general condition and other
Doctor :   vital parameters
Doctor :   have they done the culture report?
User :   Yes we may get the report today
Doctor :   ok
Doctor :   like i said
Doctor :   the treating doctor in ICU would be the best person to decide wat anti biotic is best, in culture and sensitivity report they mention what anti biotic can used
Doctor :   sure u can send us the fax
User :   Local doctor says that she is responsing very well and health is not descending
Doctor :   thatis good news
User :   Can I have the number please
Doctor :   u can email us
User :   Email ID please
User :   thanks
Doctor :   ur welcome
Doctor :   we wish ur mom a speedy recovery
Doctor :   from our team
User :   Doctor day before yday she was much conscious but yday she was not responding
Doctor :   ok
Doctor :   difficult to say with history
Doctor :   i need to clinical examination to comment on her current status
User :   but normally how much time does a patient takes for healing such brain stroke
Doctor :   there is no time frame
User :   ok
Doctor :   as it depends on the patient physical condition
User :   Local doctor says that she will be better conscious after 10 days
Doctor :   cant say how long she might take to recover
User :   I understand total recovery may take long time
Doctor :   the best person can be the physician who is treating her
User :   I am only concern about her basic recovery. Mom left part of the body was completely dead when she was admitted and today they are perfectly functioning
Doctor :   to comment on her current health status, and recovery
Doctor :   ok
User :   Do you have any facility where doctors from Healthcare magic can assisst us on this case on chargeable basis
Doctor :   we provide online consultation
Doctor :   and if need arises we refer to nearest hospital
User :   ok
Doctor :   as of now we are bangalore based
Doctor :   and operational in bangalore only
User :   Yes I can get your address on website
Doctor :   u can reach us through email
User :   Doctor I am sure you will appreciate my concern as we are worried about her health
Doctor :   ok
User :   and also desperate on not missing any opporunity for her cure
Doctor :   we are based in whitefield
Doctor :   u can mail us
Doctor :   anytime
User :   Oh gr8. I will sure do that today with all the statistics
Doctor :   we will get back to u
User :   Doctor thanks for your kind help. Can I know ur good name pleas
Doctor :   ur welcome
Doctor :   I have to close this window since there is no response from your side, please get back to us if you need further medical advice. We are available from 9AM to 9PM IST everyday.
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