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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering From CVA(Ischemic) With Rt Hemiplegia. On Ecosprin, Atorva, Piracetam, Enam. Right Medications ?

Respected sir, My father(Mr. AAAA) suffered from CVA(ISCHEMIC) WITH RT HEMIPLEGIA . ON 14.08.2012. CASE SUMMARY:- PT ADMITTED WITH H/O SUDDEN ONSET OF ALTERED SENSORIUM AND RT SIDED WEAKNESS, APHASIA. Course during hospital:- treated conservatively. RADIOLOGY INVESTIGATION - CT SCAN-B/L ACUTE LACUNAR INFRACT MRI BRAIN- LARGE LT MCA TERITORY INFRACT. HIS CURRENT MEDICATION:- TAB ECOSPRIN 75MG OD TAB ATORVA 10MG HS TAB PIRACETAM 400MG TDS TAB ENAM 2.5 MG OD. Now he is at Home with us for his regular course of physiotherapy . IS THERE ANY PROBLEM IN CONTINUING IN THESE MEDICINES? My name is AAAAA and i am his son, e-mail address is:- YYYY@YYYY I ll be waiting for your response.
Tue, 11 Sep 2012
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Internal Medicine Specialist,  's  Response
Hi,
Welcome to HCM

Your father has suffered a Blockage most likely thrombus in Middle cerebral artery because of which brain supplied by this becomes necrosed, because he must be a right hander so speech area is on left side so speech is also affected.
Because it is confirmed by MRI, what is the age of your father is he hypertensive or diabetic or smoker also High cholesterol level.A check up of heart including Echocardiography and a doppler study of both side of neck to see carotids.
These factor if any is present it must be taken care of.
Tratment seems to be OK.
One should consult a Neurologist and you can discuss about antiplate therapy(Clopidigrel) and Citicoline
if they are required.
Another aspect is general care and physitherapy which is very important and once speech comes speech therapy may help.
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Suffering From CVA(Ischemic) With Rt Hemiplegia. On Ecosprin, Atorva, Piracetam, Enam. Right Medications ?

Hi, Welcome to HCM Your father has suffered a Blockage most likely thrombus in Middle cerebral artery because of which brain supplied by this becomes necrosed, because he must be a right hander so speech area is on left side so speech is also affected. Because it is confirmed by MRI, what is the age of your father is he hypertensive or diabetic or smoker also High cholesterol level.A check up of heart including Echocardiography and a doppler study of both side of neck to see carotids. These factor if any is present it must be taken care of. Tratment seems to be OK. One should consult a Neurologist and you can discuss about antiplate therapy(Clopidigrel) and Citicoline if they are required. Another aspect is general care and physitherapy which is very important and once speech comes speech therapy may help.