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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What do these following lab reports indicate?

Answered by
Dr. Ishu Bishnoi

Neurologist, Surgical

Practicing since :2007

Answered : 830 Questions

Posted on Wed, 22 Mar 2017 in Brain and Spine
Question: dear Doctor -
1) patient was having right sided weakness , difficulty in speech.
a) mechanical Thrombectomy done . Ct brain done - b) craniotomy done .
c)on 4/01/2017 patient sudden went into cardiorespiratory arrest. Patient declared dead on 5/01/2017.
patient was having coronary artery diseases since 2002.
can current hospitalisation is complication of Coronary artery diseases.

Answered by Dr. Ishu Bishnoi 24 minutes later
Brief Answer:
Cause of stroke or CVA in your patient

Detailed Answer:
Hi XXXX, sorry for your loss.

I have reviewed your reports. I can understand your agony. The coronary artery disease usually does not cause thrombus in brain artery i.e. middle cerebral artery (MCA). But MCA thrombosis will be commoner in those patients who are having vascular (arterial) disease like atherosclerosis, arteriolosclerosis. In coronary artery disease, the heart vessels are damaged due to atherosclerosis or arteriosclerosis. These changes are common to all blood vessels in such patient. This is the reason behind diseased middle cerebral artery in your patient.

Another possibility is migration of blood clot (embolism) from heart or coronary artery into middle cerebral artery. This is less likely as in his discharge summary it is clearly mentioned that the MCA had thrombus (no embolus). Heart can produce embolus due to atrial fibrillation in coronary artery disease. This embolus can travel to MCA and can cause block.

I think this will answer your query. If still in doubt, do let me know.
Thanks. Take care.
Above answer was peer-reviewed by : Dr. Nagamani Ng

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