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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetic And Has Blood Pressure. Half Brain Happened Cerebral Infarction. Scan Report Showed Cerebral Hernia. Cure?


Dear Dr.,
This is lucy from Beijing China. I am writing in ask your kindly advice for my farther' disease. He is 62 years old, 7 years diabetes and hypertension. 7 days ago he felt uncomfortable and were sent to hospital, found around 80%right half brain happened cerebral infarction, and 3 days later, due to edema,cerebral hernia started shown from CT. We immediately arranged operations to decompressive to reduce the pressure.
Kindly see below CT films before and after operations. He is in deeply coma now and high fever. The doctor now is using dehydrating medicine mannitol.if he getting worse and worse,is there any other medicine or operations we can consider? Sorry I hope I explained clearly. I really need your kindly help for information and suggestions. I will highly appreciate it if you can help.
Thanks in advance!

Lucy




Thu, 26 Sep 2013
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General & Family Physician 's  Response
Hi, it appears that your father may be having tuberculosis of the menenges. As it is a cerebral surgery, it may take some time for recovery. if there is decline you can try the anti tuberculosis drugs, as a trial and error method.
When he become conscious give him juice of palatable vegetables.
Thank you.
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Diabetic And Has Blood Pressure. Half Brain Happened Cerebral Infarction. Scan Report Showed Cerebral Hernia. Cure?

Hi, it appears that your father may be having tuberculosis of the menenges. As it is a cerebral surgery, it may take some time for recovery. if there is decline you can try the anti tuberculosis drugs, as a trial and error method. When he become conscious give him juice of palatable vegetables. Thank you.