brain stroke and respiratory arrest - urgent please

[aklala]

Patient: Dr. Anil K Lala

Male; 54 yr

28th June 2004

Patient was admitted to the hospital in an unconscious state.

At present patient is on ventilator support and deeply comatose.

Treatment received:

Measures to reduce cerebral coma,Low mol wt heparin and aspirin,Ventilator support from 29th June 2004,Dopamine drip

IV nutrition,Supportive treatment.Patient has left middle cerebral artery infarct. He is a known Diabetic. He has undergone CABG (5 yr back).

CT scan of the brain: Done on 28th June at the time of admission

THE STUDY REVEALS:A focal wedge shaped hypodense lesion is seen in the deep periventricular white matter in right fronto-parietal region suggestive of nonhemorrhagic infarct in the right MCA territory.Few lacunar infarcts in parietal periventricular white matter bilaterally.Rest of the brain parenchyma shows normal attenuation.Brain stem and cerebellum are normal.No evidence of recent intracerebral hemorrhage or extra axial hematoma.No significant midline shift is seen.Visualized parts of skull vault are normal. No significant fracture is seen.Visualized parts of orbits and mastoids are normal. Bilateral maxillary and ethmoidal sinusitis is seen.

IMPRESSION:A non-hemorrhagic infarct in the deep periventricular white matter in right fronto-parietal region, in the right MCA territory. Few lacunar infarcts in the parietal periventricular white matter bilaterally.Bilateral maxillary and ethmoidal sinusitis.

EEG Done on 3rd July:This is an abnormabnormal EEG report. It shows a poorly organized and unreactive cerebral activity.BP normal(dopamine&NorAd).

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