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What Does The Following MRI Report Indicate?

Posted on Sat, 8 Jul 2017

Question: Hi, my mother gas faced a stroke due to blood clot on left side of brain and is currently in hospital under ICU observation. This happened around 10.45 am and she was immediately taken to hospital and where she reached around 11.30 am and procedures were started by Doctor. Doctor conducted MRI and other tests and recommended to give blood thinner drug, given around 50 ml (body weight around 55-60 kg) between 12.30 pm to 1.30 pm, after which she was moved to ICU. She us in ICU since last 8 hours and under observation. Due to stroke, she is not able to speak and no body movement on right side. Attached is MRI report please advice next step

Answered by Dr. Neeraj Kumar (37 minutes later)

Brief Answer:
Continue treatment under Neurologist care

Detailed Answer:
Hello,
I have gone through your question and understand your concern.
The treatment given immediately at hospital was right.
In blood clot, thrombolysis is indicated in appropriate patient within 4 and half hours.
The damage due to blood supply block is minimized by this therapy.
The damage and clinical recovery depends upon site and area of brain damaged.
The recovery in terms of speech and power may take weeks to months.
Hospitalization and Icu care may be required for 1-2 weeks.
Cardiac evaluation, carotid doppler, blood sugar, Lipid profile, renal function and liver function test should be done.
Maintain blood pressure and blood sugar.
Hope you found the answer helpful.
Do get back to me for further information.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Neeraj Kumar (11 hours later)

Thanks Dr XXXXXXX I have attached latest report of CT scan undertaken in morning. As per Doctor handling the case, clot has been controlled and has not further expanded. However, right side body movement is very miniscule and speech has got impacted. As per CT scan finding, hypodense area noted in left ganglio capsular region causing mass effect as effacement of frontal horn of lateral ventricle suggestive of interact. Doctor plans to shift from ICU to ward. Please advise

Answered by Dr. Neeraj Kumar (33 minutes later)

Brief Answer:
Continue treatment as advised by doctors

Detailed Answer:
Hello,
Its good to hear that the clot is removed and no further progression of stroke occurred due to timely thrombolysis.
Now, the management is to control blood pressure, physiotherapy and postural care.
Ward management will be ok.
Prolonging ICU stay increases chances of infection.
As discussed earlier, clinical improvement in speech and power may take time. The area involved are having functions of motor power and speech.
Speech therapy and physiotherapy will be helpful.
Wishing her good health and early recovery.
regards
Dr N Kumar

Above answer was peer-reviewed by : Dr. Nagamani Ng