Question

A 68-year-old hypertensive male had sudden onset of headache and complete loss of sensation of his left face. arm. and leg. This began 10 hours before admission to the emergency room. He had no other complaint. His blood pressure in the ER was 230/120. Other vital signs were relatively normal. Brief examination in the ER confirmed sensory loss on the left side of his body, with normal strength. Movements on the left were not well coordinated. He was able to ambulate quite well. An urgent head CT was performed, which was diagnostic. Note: the CT shows a bilateral lesion, the case suggests only one side

what is the diagnosis, prognosis, and treatment options?

Answer 1

ANS)

DIAGNOSIS:

The bilateral lesion can be diagnosed with the help of MRI scan or CT scan.Usually the Angiography is also done to see the veins and arteries of brain.The lumbar puncture is also examined to assess cerebrospinal fluid or commonly called CSF for the disease,hemorrhage or unusual proteins.And after that the blood test is also performed.

PROGNOSIS:

Prognosis for sustaining and retrieve from the bilateral lesion mainly rely on the origination.Most of the bilateral lesions are having reasonable to bad prognosis due to injury and demolition of group of cells in the cerebrum is regularly indefinite.But many of the individuals are able to decrease their indications with recovery.

Some of the bilateral lesions are having healthy prognosis,in case if a little quantity of not so much essential cerebral tissue is included and initial intercessions are wealthy and one of the example is Transient ischemic attack.

A little of bilateral lesions are persistent and are having a very bad prognosis and an example of this is Alzheimer's disorder.

TREATMENT:

Some of the treatment methods are,

Taking away of lesion through surgery.

Usually the radiation and chemotherapy is done if the bilateral lesions are carcinogenic.

Certain drugs are given to oppose contagions like the antibiotics are provided.

THANKS!!!!!