Doctor insights on:
Bleeding Stroke Prognosis
66yr/ m congestive heart failure, stroke, pulmonary embolism, then 2nd massive hemorrhagic stroke, surgery to repair, fell into coma. prognosis?
Age 23. Coma patient. Diffused axonal injury. Intraventricular hemmorhage. Bleeding in frontal lobe. Chances of survival? Any possible impairment?
Not good : Sorry about this one, but there will be a suboptimal outcome at best. Survival may be issue, talk to your doctors, and perhaps an eeg can guide decisions, but hard to predict outcome of comas. Sounds like a profound traumatic event, and since young and severe, have a family conference with the treatment team, and get all your questions answered. ...Read more
Elderly lady had stroke due to blood clot. Has brain swelling. In a coma. Stroke induced. Chances of survival?
Variable: It is hard to answer your question as survival rates or life expectancy after a "moderate stroke" would depend on the underlying cause, the type of stroke, ie embolic, lacunar, hemorrhagic, and the location of the injury. Adjusting your underlying risk factors for stroke and optimizing your medical care are key to lowering your risk for future stroke. ...Read more
Ischemic stroke at 90, pelvic fracture and cerebral contusion at 92. If risk of bleeding from falling > risk of tia/stroke from clot, baby aspirin ok?
Judgement: There's no answer to your question. No one has collected a series of 5, 000 people like you and tested the two options. This is where having a doctor whom you trust and who knows your history and all about you makes all the difference. (your question exemplifies why computers are never going to be able to practice medicine!). ...Read moreSee 2 more doctor answers
63yodad ischemic stroke 2wks ago. Before had a DVT & asymptomatic brain aneurysm. @risk for falls from motor control issues. Should he start coumadin (warfarin)?
Risk / benefit tool?: Secondary Prevention of Stroke is important in reducing risk of recurrent stroke and potentially severe disability. Warfarin is indicated in Secondary Prevention if the patient has a diagnosis of Atrial Fibrillation. CHA2DS2-VASc and the HASBLED Scores at www.mdcalc.com can give some objective measure to help patient in discussion with doctor assess risk / benefit of anti-coagulation. A guide only ...Read moreSee 2 more doctor answers
Colon cancer, bleeding mass, havng cath/stent/bypass. Risk of hemorrhage/complications from thinners during/after procedures? No CAD symptom, pos tgxt
Size of stroke: The amount of swelling, or edema, around a stroke is related to the volume of tissue infarcted. For a small stroke, swelling shouldn't be a problem. For a major hemispheric stroke, swelling can be life threatening and even sometimes require brain surgery to relieve pressure caused by the swelling. ...Read moreSee 1 more doctor answer
Depends: This is a complex question. It depends on what percent of is already showing signs of infarction (dead brain) rather than just ischemia (brain at risk).... When we see > 1/3 of territory abnormal on initial ct scan, it is a contraindication for tpa (alteplase). It also depends on how long the symptoms have been occurring. But to answer your question, theoretically all could potentially benefit. ...Read more
See below: About 67% of stage 2a rectal cancer patients survive five or more years. See this site for more info. http://www.cancer.org/cancer/colonandrectumcancer/detailedguide/colorectal-cancer-survival-rates. ...Read more
Partially yes: The staging information is generally favorable. The T3 (liothyronine) means that this tumor was involving the bowel wall but not the surrounding organs and this may have contributed to the perforation during the dissection. My advise is when you see an oncologist, make sure to point out this information. Even though you are node negative, the oncologist may be more willing to recommend chemotherapy to be safer. ...Read moreSee 1 more doctor answer
Depends on her/hosp: This depends on her deficits, the hospital that is caring for her, and if they are staffed with an experienced interventionalist , a neurosurgeon and a critical care unit experienced in aneurysm care. These latter elements are critical in the ultimate outcome of aneurysm patients. If the hospital that is currently taking care of her doesn't have all of the above, demand transfer to one that does. ...Read moreSee 1 more doctor answer
Increase in vertigo events & tremor post TIA (q? Sepsis complication) with brainstem symptoms. Awaiting MRI & Transoesophageal Echo. Potential DDx?
Embolism: It sounds like your doctors suspect endocarditis which may throw septic emboli into the brain which causes ischemia or infarction of brain tissue and depending on where the tissue damage is, you would develop symptoms similar to what you describe. Are you on broad spectrum iv abc? are you on anti-coagulants? why are you waiting for a brain MRI? that should be done urgently to eval brain insult. ...Read more
Warafin clopidogrel aspirin given Hospital patient 89yrs has COPD stroke and heart attack will need limit Vegetables high chance of bleed?
Depends on etiology: of SAH (subarachnoid hemorrhage). If traumatic, you may have some headaches and loss of memory, difficulty concentration, and balance issues. If from an aneurysm, which is not typical of SAH but can happen, then long term prognosis is poorer due to the probability of other micro-aneurysms causing problems. Close monitoring by a neurologist/ neurosurgeon would be ideal and highly recommended. ...Read more
Age 39 Smoker Male, Blood Sugar Normal; TIA Stroke 1 week back.Taking Ecosprin AV75. MRI Brain: Tiny ischemic foci on both froantal lobe. Any risk?
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