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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Further Action After CVA Attack, Intraparenchymal Hematoma & Mild Perilesional Edema?

Hello Sir Mysely Dr.Anup,My father Has been suffering from Hypertension for last few years,he has had an attack of TIA on 2006,now on 2nd of Feb.2014 he has got an CVA attack,with Rt sided paraperesis and slurring of speech.CT showed small acute intraparenchymal hematoma at left Thalamo-Capsulo-Ganglionic region with mild perilesional edema.I want your advice what to do now?
Thu, 13 Feb 2014
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General & Family Physician 's  Response
First of all I feel sorry for your father. The most important step is too see the neurosurgeon but U have to control his blood pressure and find out the cause of TIA? Does he got atrial fibrillation or anything else? Since he has got the right sided pareparesis u have to exercise the paresis side so that contractures do not develop...But tell me what other cardiac problems you father have?what is his current BP and what medications is he using nowadays.
Regards,
Dr. Majid Khan.
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What Further Action After CVA Attack, Intraparenchymal Hematoma & Mild Perilesional Edema?

First of all I feel sorry for your father. The most important step is too see the neurosurgeon but U have to control his blood pressure and find out the cause of TIA? Does he got atrial fibrillation or anything else? Since he has got the right sided pareparesis u have to exercise the paresis side so that contractures do not develop...But tell me what other cardiac problems you father have?what is his current BP and what medications is he using nowadays. Regards, Dr. Majid Khan.