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Loss of functioning of the arm and leg after having multiple strokes. MRI showing blood clot in the brain. History if hypertension and diabetes

64 year old male had a stroke on 18.11.12. Since then he has had 5 strokes. 4 of them were after 9 hours interval whereas the 5th stroke was after 2 hours of the previous one. Each time, for 40 seconds his left arm and leg stop functioning. An MRI has been carried out and it shows clotting in the brain. Patient had a heart bypass in 2002, also suffers from Sugar and High blood pressure. CSF EXAMINATION/ DF SHOWS: RESULT NORMAL RANGE PHYSICAL EXAMINATION COLOUR COLOURLESS COLOURLESS TRANSPARENCY CLEAR CLEAR COAGULUM NIL NIL CHEMICAL EXAMINATION C.S.F PROTEIN 109 15-45MG/DL GLUCOSE 56 50-75MG/DL CHLORIDE 124 122-132MMOL/L MICROSCOPIC EXAMINATION R.B.C NIL /HPF W.B.C 06 05MM3 TYPE OF CELLS MOSTLY LYMPHOCYTES
Asked On : Fri, 23 Nov 2012
Answers:  1 Views:  43
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Neurologist 's  Response
Nov 2013

Thank you for posting your query.

Based on the description, the patient has suffered from brain stroke. In addition, he has been having recurrent mini-strokes (transient ischemic attacks-TIAs).

Risk factors for stroke in him are high BP, high sugars, and heart disease.

There is no evidence of brain infection as his CSF examination is normal.

Current treatment would consist of blood thinners (such as aspirin or warfarin, etc), statins, control of BP and sugars, and physiotherapy.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad
Answered: Fri, 23 Nov 2012
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