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What Does My CT Scan Report Indicate?

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Posted on Thu, 23 Apr 2015
Question: Please find attach my grandmother report - CT scan.

Problem - Paralysed leg after a sudden pain stroke.

Dr says due to diabetes and BP as she has type 2 diabetes
doctor
Answered by Dr. Ajay Panwar (44 minutes later)
Brief Answer:
NCCT is essentially normal.If it is acute stroke,needs MRI Brain.

Detailed Answer:
Hi XXXXXXX
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

I have seen your grandmother's NCCT Head report attached here.It shows nothing except cerebral atrophy which is a normal finding in elderly persons.It is seen in almost all elderly persons and so is explainable at 72-years of age.

Surely,Diabetes and Hypertension are risk factors for stroke and needs to be controlled well to prevent future strokes.In present case,NCCT Head does not confirm to the findings of stroke.Please tell a few details,so that I can answer your query well further-
1)How many days back she had paralysis?
2)Does it involve upper and lower extremities,both or one of them.
3)Paralysis is on which side?
4)Does it involve facial deviation also?
5)Is she able to understand and respond to commands well.Is she speaking well?

The answers to these queries,is to confirm the clinical diagnosis of stroke.Clinically stroke usually presents with a normal CT scan if CT is done within 24 hours of the onset of stroke.So,if this CT was done within 24 hours,a 'Magnetic resonance imaging(MRI) of Brain with Diffusion study' is needed to confirm stroke.

If confirmed,she needs to be put on antiplatelet drugs like ecosprin and statins like atorvastatin.MEDICINES SHOULD BE TAKEN UNDER THE GUIDANCE OF A PHYSICIAN.
Diabetes and Hypertension should be in excellent control as if these are not controlled,she may have recurrent strokes in future too.Regular Physiotherapy is crucial for limb function recovery.

If this answers your query,then please close the thread-rate it and write a review as your rating will be of help to me else please follow up with the relevant details.

Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
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Follow up: Dr. Ajay Panwar (13 hours later)
Ans 1- according to dr, she hd a paralysis attack on nearby 21st feb as per some symptoms told by d patient.

Ans 2- its involves both...as both hands nd legs are shivering.

Ans 3- right side of d body

Ans 4- as facial deviation is nt very much visible bt she is nt able to eat properly

Ans 5- she is speaking properly nd able to understand nd respond to commands well
doctor
Answered by Dr. Ajay Panwar (5 hours later)
Brief Answer:
MRI Brain needs to be done.

Detailed Answer:
Hi XXXXXXX
Thanks for being in follow-up.

I have been through the clinical details provided by you and I would like to suggest to get her MRI Brain done to establish the diagnosis of stroke as NCCT Head is unrevealing.

Meanwhile,Diabetes and Hypertension should be controlled well.She should continue Physiotherapy.
Since CT Head is normal,so it is most likely an ischemic stroke and antiplatelets with statins should be continued.PLEASE TAKE MEDICINES UNDER A PHYSICIAN'S GUIDANCE.
Please follow up with MRI report.

Hope I have answered your query for now.If you have no further questions now,please close the thread-rate it and write a review as your rating will be of help to me.

Dr.Ajay Panwar,
MD,DM(Neurology)

Above answer was peer-reviewed by : Dr. Pradeep Vitta
doctor
Answered by
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Dr. Ajay Panwar

Neurologist

Practicing since :2007

Answered : 1827 Questions

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What Does My CT Scan Report Indicate?

Brief Answer: NCCT is essentially normal.If it is acute stroke,needs MRI Brain. Detailed Answer: Hi XXXXXXX Thanks for being on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist,here to answer your query. I have seen your grandmother's NCCT Head report attached here.It shows nothing except cerebral atrophy which is a normal finding in elderly persons.It is seen in almost all elderly persons and so is explainable at 72-years of age. Surely,Diabetes and Hypertension are risk factors for stroke and needs to be controlled well to prevent future strokes.In present case,NCCT Head does not confirm to the findings of stroke.Please tell a few details,so that I can answer your query well further- 1)How many days back she had paralysis? 2)Does it involve upper and lower extremities,both or one of them. 3)Paralysis is on which side? 4)Does it involve facial deviation also? 5)Is she able to understand and respond to commands well.Is she speaking well? The answers to these queries,is to confirm the clinical diagnosis of stroke.Clinically stroke usually presents with a normal CT scan if CT is done within 24 hours of the onset of stroke.So,if this CT was done within 24 hours,a 'Magnetic resonance imaging(MRI) of Brain with Diffusion study' is needed to confirm stroke. If confirmed,she needs to be put on antiplatelet drugs like ecosprin and statins like atorvastatin.MEDICINES SHOULD BE TAKEN UNDER THE GUIDANCE OF A PHYSICIAN. Diabetes and Hypertension should be in excellent control as if these are not controlled,she may have recurrent strokes in future too.Regular Physiotherapy is crucial for limb function recovery. If this answers your query,then please close the thread-rate it and write a review as your rating will be of help to me else please follow up with the relevant details. Dr.Ajay Panwar, MD,DM(Neurology)