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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffered Celebral Infarction. History Of Congestive Heart Failure. Has Violent And Compulsive Behavior. Opinion?

Hi! My father is 71 yes old congestive heart failure patient. 20 days back he had a cerebral infarction. After that his agitation and aggressive behaviour has increased. He was always a short tempered person abusive also sometimes. But in the past 15 days he has become violent to. He dozen sleep at all at night and his behaviour is compulsive too. Like every half an hour he goes to the toilet. We consulted a neurologist who prescribed quitipine 25 mg. But since after 3 days also his aggression increased our family doc changed to oleanz 10 mg. But I don't see any difference at all. Sleeping pills also don't work on him. Please help whether which mess is better or I should take a third opinion?
Wed, 5 Jun 2013
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Neurologist 's  Response
Hi,

Based on the details your father has developed post stroke behaviour abnormality ,which is not responding to anti psychotics, other cause of abnormal behaviour can be due to seizure phenomenon (a type of fit with behaviour abnormality), which only can respond to anti epileptic drugs

Hence consult neurologist for clinical examination and EEG is needed to confirm and anti epileptic drugs to be started.

Blood sugar and electrolytes also to be checked

Hope this will help you
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Suffered Celebral Infarction. History Of Congestive Heart Failure. Has Violent And Compulsive Behavior. Opinion?

Hi, Based on the details your father has developed post stroke behaviour abnormality ,which is not responding to anti psychotics, other cause of abnormal behaviour can be due to seizure phenomenon (a type of fit with behaviour abnormality), which only can respond to anti epileptic drugs Hence consult neurologist for clinical examination and EEG is needed to confirm and anti epileptic drugs to be started. Blood sugar and electrolytes also to be checked Hope this will help you