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Brain stroke. MRI said Acute Infarct in Left fronto temporo parietal region. Meaning?

Hi, My mom is in India and doctor seemed to have mentioned she had brain stroke . The following are MRI results. How can it be cured, does it require any surgery. I would like to bring her to US for treatment but without insurance, I am not sure how expensive this treatment is. She feels pain in her left hand . Please suggest what s best. ********************************************************* MRI Brain(Plain): MRI of Brain has been done by taking multiecho, multiplanar technique There is altered signal intensity appearing hypeintense on T2, DWI & FLAIR images seen involving left fronto temporo parietal region - S/o Acute infarct Impression: Acute Infarct in Left fronto temporo parietal region *****************************************************************
Asked On : Wed, 12 Sep 2012
Answers:  2 Views:  750
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Internal Medicine Specialist 's  Response
Dear friend, welcome to HCM !

I read with concern the report you posted.
Your mother has a blood supply deprivation of the left sided brain structures involving a large area (fronto-temporo-parietal) causing the stroke (paralysis).
Many factors would determine the outcome and we need to know them all to comment on the likely outcome and costs.
She would need aspirin on long term basis.

But if this large area of infarct swells up even with medical treatment (which does happen once in a while) and causes compression of the surrounding brain, these patients may need decompressive craniectomy (skull cap removal) to relieve pressure in the skull.
This decision will depend on the GCS scale and repeat CT/ MRI scan if needed. In large infarcts, aspirin may not be given.

She will need long ICU and ward stay. Sometimes outcomes are grim and may result in demise.
Your doctor in India is the best judge to decide and a neurology and if needed, a neurosurgery opinion is must.

The costs in USA are at least more than 5 times here and India has excellent treatment facilities here for stroke management as is ours. (I manage strokes daily in a big tertiary care centre).

So, the decision is yours where to treat.

I hope to have satisfied your query well.
Please revert if you need any more help here.
Take care and please keep me informed of your progress.
Good Luck!
I hope to have answered your query satisfactorily.
Thank you!
Answered: Sun, 16 Sep 2012
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Radiologist Dr. Ganesh Sanap's  Response
Hi, welcome to HCM. I m Dr.Ganesh

Acute infarct is due to blockage of any artery supplying the part of brain. The region mentioned i.e. left fronto-temporo-parietal region quite large region of the brain. The description -altered signal intensity appearing hypeintense on T2, DWI & FLAIR images seen involving left fronto temporo parietal region , is nothing but the changes occuring in brain after infarct which are detected by MRI.

The treatment of acute infarct depends on duration of illness. we can thrombolye(lysis of blood clot) withn the 6 hours. otherwise no such active tratment can be done after 6 hours. Management is basically for reducing intracranial tension.

For longterm recovery, physiotherpy and control of underlying disease like diabetes or hypertension is necessary.

thanking you.
Answered: Mon, 17 Sep 2012
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