A 72 Yr Old Was Incoherent With Slurry Speech While

Posted on Sun, 16 Aug 2020

Question: A 72 yr old was incoherent with slurry speech while having evening tea. There was slight delay reached the hospital. The current CT scan shows the image attached. The BP recorded after the event was 220/??. She is put on ventilator and in coma. She had history of high BP. A past history of MI with two angioplasty with stent in 6 years back. What is the prognosis?

Answered by Dr. Sudhir Kumar (35 minutes later)

Brief Answer:
There is a large brain hemorrhage on the left side.

Detailed Answer:
Hi,

Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and would try my best to help you.

I have noted the clinical details and seen the attached CT image.

There is a large brain hemorrhage (bleeding) on the left side of brain, involving thalamus and internal capsule with extension into lateral ventricles. The bleeding has occurred due to high BP.

Surgery is needed as a life-saving procedure. Mortality and morbidity remains high, especially if surgery is not possible due to poor general condition of the patient.

BP should be rapidly controlled with Labetalol injections.

I sincerely hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.

Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar