My Father's MRI report gives the following impression "The non contrast MRI findings of brain are suggestive of small old lacunar infractions at right basal ganglia and adjoining paraventricular white matter with features of mild diffuse celebral atrophy.Bilateral subdural hygroma also noted at the celebral frontal and fronto parietal regions.Please give your suggestions and advice on this subject.
The Neurologist referred the case to neurosurgeon.The CT Scan and MRI report is the same.Kindly advise the course of action to be taken .Are there any medecianl therapy.No shunting was ever done.There was never a head injury.Pl ease help.
The treatment will involve a possible drainage of the subdural hygroma. Draining the hygroma will reduce any symptoms such as confused behavior or disorientation. The origin seems to be a bleed. He probably has hypertension. Appropriate control of blood pressure fluctuations is necessary.
The lost functions due to the basal ganglia infarcts and the cerebral atrophy can not be regained. He may need certain multivitamin supplementation and some neuroprotective drugs.
The decision to drain the subdural hygroma has to be taken by the Neurosurgeon. Often, small hygromas which do not produce pressure symptoms are left untouched. The technique of drainage depends on the location and size of the hygromas. It may be a small OPD procedure or an inpatient admission may be needed.
There are no serious side effects from the procedure. He may have headaches for some time after the procedure.
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