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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
66yr/ m congestive heart failure, stroke, pulmonary embolism, then 2nd massive hemorrhagic stroke, surgery to repair, fell into coma. prognosis?
Is ssri antidepressant ok for multi infarct stroke patient, age 67, suffering atrial fibrillation, heart issues, diabetes, higher creatine level.
Disinhibition: There are various reasons: just as one can be paralyzed and unable to move the muscles of the arm or leg, they may be unable to maintain sphincter control due to muscular weakness. Or they may not be able to feel that they need to evacuate. Or there may be higher cortical disinhibition in which they do socially unacceptable things they would never do if they had their full mental capacity. ...Read moreSee 1 more doctor answer
Names of most suitable ssri antidepressant needed for multiinfarct stroke dementia patient, 67, with minor congestive heart failure, atrial fibrillation, diabetes. Dosage and duration info appreciated.
SSRIs: There is some evidence that ssris help with post stroke remodeling where the brain works on regrowing connections between brain areas that were not killed by the stroke. There is also evidence they help prevent post stroke depression that is very common. Not much reason to think one ssri is better than another. See your prescriber for specific dosage recommendations. ...Read moreSee 2 more doctor answers
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
Warafin clopidogrel aspirin given Hospital patient 89yrs has COPD stroke and heart attack will need limit Vegetables high chance of bleed?
Patient health issues cardiomyopathy, bradycardia, pacemaker-defibrillator, brain tumor, syncope episodes. Told no driving then y no DMV report?
NO DRIVING: Definitely no driving with your history. Last thing you need is an episode of syncopy and then an accident. ...Read more
Limited: One needs full details to be sure, but the pattern is gloomy. ...Read more
See comments: Are you referring to radiology reading of an MRI of brain? In elderly, often thought that white matter lesions are associated with "microvascular angiopathy", sign of potential atherosclerosis. Maybe potential stroke risk, especially lacunar infarct, but not straightforwards. Your physician needs to assess stroke risk. Spots more likely from migraine or prior injury. ...Read more
Pathophysiology: Ischemic stroke occurs when an artery to the brain is blocked.A thrombotic stroke occurs when diseased or damaged cerebral arteries become blocked by the formation of a blood clot within the brain. An embolic stroke is also caused by a clot within an artery, but in this case the clot (or emboli) forms somewhere other than in the brain itself. Hemorrhagic stroke is sudden bleed into the brain. ...Read more
Father, 69, requires Cataract surgery in both eyes. He's on Dabigatran, Clopidogrel for Heart attack, Atrial Fibrillation, Vascular Stroke for 3 years. Had minor strokes in 2008 and 2009. Need advice on cataract surgery while on dabigatran, any risks?
Cataract surgery: while on anticoagulation therapy: this is a judgmental call amongst the ophthalmic surgeon and the anaesthesiologist. Generally for surgical procedures or spinal anesthesia, anticoagulaton needs to be discontinued before the surgery, as for Dabigatrean, 1-2 days prior to surgery and resumes after, while the clopedogrel you to hold 5 days prior to elective surgery. Again refer to the treating team ...Read moreSee 1 more doctor answer
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