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What Does This CT Scan Report Indicate?

Posted on Tue, 29 Dec 2015

Question: My father had a brain CT scan yesterday evening. Today I got the report. According to the report the impression in the report says " Features suggestive of small ischaemic foci in left parietal lobe" . What does it mean? And what are the treatment needed.

Thanks and regards
XXXX

Answered by Dr. S. Samanta (18 minutes later)

Brief Answer:
It's a minor or silent Ischemic Stroke...

Detailed Answer:
Dear XXXX,

Thanks for writing to us and sharing your father's recent CT Scan of brain report that gives the impression of 'Features suggestive of small ischaemic foci in left parietal lobe'...

Well, this could be just a transient ischemic attack (TIA) if your father is fine now and could be kind of silent stroke if he has had any kind of neurological problem after the event. The most common cause of a TIA /silent stroke is an embolus that occludes an artery in the brain. A silent stroke or silent cerebral infarct (SCI) differs from a TIA in that there are no immediately observable symptoms. An SCI may still cause long lasting neurological dysfunction affecting such areas as mood, personality and cognition. An SCI often occurs before or after a TIA or major stroke

These are very common and generally go unnoticed in most persons without treatment; but if some risk factor is there, it could be prevented...!

Risk factors:

Family history of stroke or TIA substantially increases risk.
People 55 years or older are at higher risk.
Male sex
High blood pressure
Diabetes Mellitus
Tobacco smoking

etc..

Therefore, a repeat scan after 72 hours is necessary!

Regards!

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. S. Samanta (10 minutes later)

This is happening since the last four months. He remembered everything except can't recognise my mother and continuously he is saying that everything is wrong and he is doing some abnormal sound throughout the day. Please tell me what are the danger side of that and what kind of medical treatment is needed. And also why it has happened.

Thanks and regards,
XXXX

Answered by Dr. S. Samanta (10 minutes later)

Brief Answer:
A Good Neurologist needs to be involved regularly,

Detailed Answer:
Hi! Thanks for your feedback!

Therefore, it is confirmed that had had this stroke four months back and now it could be difficult to treat it; still, it is possible to prevent any more episode...!

Any kind of ischemic stroke like that your father's, is due to loss of blood circulation in a specific area of brain due to obstruction/occlusion/embolus in an artery as I've already mentioned!

You need to attend a stroke clinic to consult a neurologist ASAP.

Wishing your father early recovery!

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. S. Samanta (10 minutes later)

Can u suggest any doctor in XXXXXXX and or XXXXXXX so that my father get best treatment for that.

Regards,
XXXX

Answered by Dr. S. Samanta (7 minutes later)

Brief Answer:
I CAN TELL OF FEW!

Detailed Answer:
Hi! I know one good neurologist in XXXXXXX XXXXXXX HOSPITAL, DR. XXXXXXX CHAKRABORTY; However, the best would be NIMHANS!

All the best!

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj