dear doctor I just want a clearification of this report pls
PARALYTIC ATTACK
MRI BRAIN & ANGIO :
-Multiple small acute infarctions are seen in the parietal region.
-Few small ischemic foci are seen in fronto-parietal white matter and periventricular region.
-No significant stenosis is seen in major intracraniel arteries.
Accelerated Hypertension in a C/o T2 DM,IHD-CABG done.
MRI SCAN OF BRAIN AND MR ANGIOGRAPHY (STROKE PROTOCOLE)
Impressions:
-Small, recent (Subacute) infarct is seen in the left thalamus
-Chronic infarct with gliotic changes in the left fronte-temporo parietal lobe.
-Chronic ischemic foci in the
bilateral forte parietal periventricular white matter centrum semiovale and right thalamus.
Essential HT, IHD, CABG, AV STROKE.
EARLY RETINOPATHYA + NT REVIEW
Hypoglycemic Coma
IHD(S/P CABG: 2003, AT BHIRC), HT,T2 DM (ON INSULIN).
Sudden loss of consciousness with cold extremites.
Hit by BEST with hairline fracture shoulder and minor brain hemorrhage
CT SCAN OF BRAIN (PLAIN)
Impression:
-Subdural hematoma in the left frontal region, measuring approx. 3.8mm in width.
-Minimal subarachnoid hemorrhage in the left frontal region.
-Lacunar infarcts in both the thalami.
-Lacunar infarct in the right basal ganglia also.
-III defined hypadensity in the left frontal subcortical white matter s/o ischemic changes.