HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

question-icon

Got Slurred Speech. CT Scan Showed Age Releted Cortical Atrophy And Calcified Granuloma. Worrisome

default
Posted on Thu, 21 Feb 2013
Question: sir iam MD(Medicine),PhD(Nephrology),treating a patient undergoing CKD,as suddenly developed slurred speech..as per CT sCAN IT SHOWS age releted cortical atrophy and calcified granuloma...WHAT CAN BE DONE NOW?
doctor
Answered by Dr. Sudhir Kumar (1 hour later)
Hi,

Thank you for posting your query.

Sudden onset slurred speech is suggestive of a brain stroke, possibly in the left cerebral hemisphere.

Normal CT scan in the early phase excludes a brain hemorrhage. However, an ischemic stroke can not be excluded on a CT so early. MRI of brain may help in detecting a small infarct.

Age related cortical atrophy and calcified granuloma are incidental findings and do not require any treatment.

As of now, you can start Tab ECOSPRIN to prevent worsening of the infarct.

In addition, please evaluate for the risk factors such as diabetes, high BP, high lipids, high homocysteine, etc. If high, treat them.

I hope it helps. Please get back if you have any more queries.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6231 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

159 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
Got Slurred Speech. CT Scan Showed Age Releted Cortical Atrophy And Calcified Granuloma. Worrisome

Hi,

Thank you for posting your query.

Sudden onset slurred speech is suggestive of a brain stroke, possibly in the left cerebral hemisphere.

Normal CT scan in the early phase excludes a brain hemorrhage. However, an ischemic stroke can not be excluded on a CT so early. MRI of brain may help in detecting a small infarct.

Age related cortical atrophy and calcified granuloma are incidental findings and do not require any treatment.

As of now, you can start Tab ECOSPRIN to prevent worsening of the infarct.

In addition, please evaluate for the risk factors such as diabetes, high BP, high lipids, high homocysteine, etc. If high, treat them.

I hope it helps. Please get back if you have any more queries.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad