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Suggest Treatment For Visual Hallucinations In A Stroke Patient
My mom had a stroke in dec last year and now she is hallucinating very badly. The blood test result showed she has hypothyroidism. Also she complains of seeing someone and starts ranting. In previous occasions prior to stroke she complained of terrible headaches. Also complains of knee pain and terrible back pain. She is 80 years old. Are her hallucinations because of stroke or hypothyroidism
Fri, 16 Jan 2015
Hi,
welcome at HCM.
As I can figure here, she has a problem of
1) stroke
2) Hallucintaions
3) hypothyroidism
age being 80 yrs
For your question regarding the causation of hallucinations is concerned, in her case, the stroke( esp. involving the region of temporal lobe) can cause hallucinations.
Her associated behavioural problems is explainable by stroke.
As the problem of hypothyroidism is concerned, it well could be an independent condition, that can be managed by thyroxine supplements.
Her age is high and is an risk factor, underlying associated hypertension and diabetes states needs to be investigated and managed properly.
My advice for further management would be, to discus supportive care for her condition of stroke and hypothyroidism, such as addition of anti platelet agents and thyroxine supplements can be discussed with your treating doctor.
For Hallucintaions, an addition of very small dose of antipsychotic drug can be thought of.
Her problem of headache and back pain can be managed by using NSAIDs.
Kindly discus it with your treating consulant.
welcome for further queries.
Regards,
Dr Pankaj Borade
welcome at HCM.
As I can figure here, she has a problem of
1) stroke
2) Hallucintaions
3) hypothyroidism
age being 80 yrs
For your question regarding the causation of hallucinations is concerned, in her case, the stroke( esp. involving the region of temporal lobe) can cause hallucinations.
Her associated behavioural problems is explainable by stroke.
As the problem of hypothyroidism is concerned, it well could be an independent condition, that can be managed by thyroxine supplements.
Her age is high and is an risk factor, underlying associated hypertension and diabetes states needs to be investigated and managed properly.
My advice for further management would be, to discus supportive care for her condition of stroke and hypothyroidism, such as addition of anti platelet agents and thyroxine supplements can be discussed with your treating doctor.
For Hallucintaions, an addition of very small dose of antipsychotic drug can be thought of.
Her problem of headache and back pain can be managed by using NSAIDs.
Kindly discus it with your treating consulant.
welcome for further queries.
Regards,
Dr Pankaj Borade
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