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64 yr MALE in ICU WITH STROKE
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64 yr MALE in ICU WITH STROKE

64 year old male had a stroke on 18.11.12. Since then he has had 5 strokes. 4 of them were after 9 hours interval whereas the 5th stroke was after 2 hours of the previous one. Each time, for 40 seconds his left arm and leg stop functioning. An MRI has been carried out and it shows clotting in the brain.
Patient had a heart bypass in 2002, also suffers from Sugar and High blood pressure.

CSF EXAMINATION/ DF SHOWS:                  RESULT                      NORMAL RANGE
PHYSICAL EXAMINATION
COLOUR                                                 COLOURLESS                COLOURLESS
TRANSPARENCY                                       CLEAR                         CLEAR
COAGULUM                                             NIL                             NIL
CHEMICAL EXAMINATION
C.S.F PROTEIN                                        109                            15-45MG/DL
GLUCOSE                                                56                             50-75MG/DL
CHLORIDE                                               124                            122-132MMOL/L
MICROSCOPIC EXAMINATION
R.B.C                                                     NIL                             /HPF
W.B.C                                                    06                              <05MM3
TYPE OF CELLS                                  MOSTLY LYMPHOCYTES
Avatar_dr_f_tn
Hello and sorry for the late reply.

Looks like an ischemic stroke. Protein levels are raised in the CSF, in inflammatory conditions. Since there is a clot, looks like an ischemic stroke. Ischemic stroke occurs as a result of blockage to an artery. For this therapy with clot dissolving drugs (thrombolytics), should be initiated early. Aspirin, an anti-thrombotic drug, is given immediately after an ischemic stroke to reduce the likelihood of having another stroke. Tissue plasminogen activator (TPA), needs to be given within 4.5 hours after stroke symptoms, this restores the blood supply to the affected part.

The blood pressure and diabetes need to be well controlled. And once his clinical condition is stabilized, a rehabilitation program can be charted out.

Hope this helped and do keep us posted.
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