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  • Brain haemorrhage shown on CT Scan can you suggest the best way to treat.

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    Old 09-21-2017, 04:37 AM   #1
    bradsen
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    Brain haemorrhage shown on CT Scan can you suggest the best way to treat.

    Hello all

    My uncle has undergone a massive stroke and has been reported having had Brain Haemorrhage as the CT Scan reveals.

    I would write what the report says, Please suggest what are the way to treat him and get him back to lead normal life.

    Since I dont see any way to put an attachment in this post, I type the whole of the Scan report here.


    Report :-

    Patient's age 70 years. Male

    CT Scan Brain plain.

    Serial Axial Sections of the Brain were studies without the use of IV contrast.

    Study reveals :--

    Hyperdense focus of size 48x23 cm is noted in left thalamus..basal ganglia, posterior limb of left internal capsule, external capsule and periventricular region with extension into all the ventricles.

    No parenchymal lesion is seen in frontal, temporal, parietal and occipital lobes.Left halamus and right basal ganglia region are normal. Anterior and posterior interhemispheric fissures are normal.

    Cerebral sulci and other supratentorial CSF spaces are normal.
    Sylvian fissures and basal sulbarchnoid cisterns are normal.


    Stellar and parasellar areas are normal. Suprasellar region appears normal.
    No CT detectable abnormalities are present in the posterior fossa structures
    including fourth ventricle. The CP angles are normal.
    Calvarial bones are normal.
    Pericalvarial soft-tissues are normal.


    IMPRESSION : CT features reveal :--

    Acute intracerebral Haemorrhage in left thalamus , basal ganglia, posterior limb of left internal capsule, external capsule and periventricular region with intraventricullar extension as described above.


    Adv : clinical correlation



    Regards

    Brendon.

     
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    Old 10-19-2017, 07:36 PM   #2
    johntiger1
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    Re: Brain haemorrhage shown on CT Scan can you suggest the best way to treat.

    Hi Brendon very sorry to hear that. My mother had a serious left ICH in her basal ganglia area a month ago. She is back home now and is mostly herself, despite the large stroke. Firstly, are you sure that the size seems right? 48cm would seem to be the entire brain. I believe my mother had around a 6cm^3 (cubed) bleed, which is just above the threshold for surgery (usually they operate at 4-5 cm cubd and above). However, she did not get any. When the stroke happened I just wanted the doctors to do some magical procedure and return her to her normal self as quickly as possible. However, surgery is tricky and there can be complications and she already has a fragile immune system. Additionally, they said it was so deep in the brain (basal ganglia) that it would be difficult to cut out. Overall, looking back now I am at peace with the fact that she didn't get surgery. Just my thoughts.

    Note: really all they did was give her some blood-pressure lowering medication and let the body heal itself. Note that for a bleed (unlike an ischemic stroke), the vessel bursts and that's that; essentially it is up to the body to patch that up although some drugs can help that process along. So ultimately they just gave her blood pressure lowering drugs, diabetes medication (for her diabetes) and some antiviral medication for her immune system.

    Hope things will get better, for both of us and our families.

    John

     
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