Hello, Welcome to icliniq.com. I am sorry to hear about your father. I have gone through the reports (attachment removed to protect patient identity). If the only symptom he has is this clot in the brain, and no other neurological symptoms such as weakness on the left side of the body or speech changes, then that is reassuring. He has a subdural hematoma, that is, an accumulation of blood outside the brain pushing on the brain tissue.
Hi, Welcome to icliniq.com. Thank you for your question. You have described your mother's symptoms very well. The "reeling in the head and shaking" with change is position or posture is a typical symptom of orthostatic hypotension. There is an easy bedside test that you could also perform.
Hello, Welcome to icliniq.com. I have reviewed the MRI (magnetic resonance imaging) brain report (attachment removed to protect patient identity). I am sorry to say, but I do not agree with the diagnosis of subacute stroke as per the radiology report. The MRI that was done shows two lesions that are moderately large in size and do not follow the normal location for stroke. Also, we need other sequences, such as diffusion imaging, to say if it is a stroke or not.
Hello, Welcome to icliniq.com. It is difficult to comment if the episodes are solely syncope or fainting spells due to orthostatic hypotension or abnormal heart rhythm. I agree with Holter monitoring. I would also recommend an EEG (electroencephalogram) study for one hour to make sure we are not dealing with seizures. Her hemoglobin is low and needs further workup regarding the cause.
Hi, Welcome to icliniq.com. I am sorry to hear about your illness. You are likely suffering from Hashimoto's myelopathy based on your description. It is rare condition and only a handful of cases have been described worldwide. It is known to be very steroid responsive and there should be a remarkable improvement with steroids injections.
Hi, Welcome to icliniq.com. Eye floaters are commonly associated with some issues with the visual field. So I would recommend consulting with an ophthalmologist to rule out any issues with your eyes. It can also be associated with migraine headaches. Low back pain and hip pain are common symptoms as well but I do not feel it is related to your eye floaters.
Hi, Welcome to icliniq.com. Thank you for your question. History of epilepsy and intermittent episodes of confusion with loss of memory of the episode (amnesia) is concerning for seizures. For the workup of seizures, he should get routine brain wave testing (EEG - electroencephalogram) or a long-term EEG monitoring to identify any abnormal brain discharges which can cause a seizure. Other things to look at it is head imaging like CT head or MRI brain (if not done already) as it is not uncommon for elderly patients to have blood collection around the brain (subdural hematoma) to present with altered awareness or confusion.
Hello, Welcome to icliniq.com. I have gone through the reports (attachment removed to protect patient identity). Yes, on the basis of the CT (computed tomography) of the brain, your father had a stroke on the right side of the brain which controls the left-sided symptoms. He had several other old strokes which probably did not cause any symptoms. The goal is to control the blood pressure better.
Hello, Welcome to icliniq.com. Strokes on the left side of the brain will cause weakness in the right side of the body and right facial weakness. Please let me know if you have any other questions. .
Hello, Welcome to icliniq.com. I would like to know her age, other medical conditions, and present medicines. Fainting needs to be evaluated as it can recur and cause serious problems. If she is still feeling unwell, or having giddiness (a tendency to fall), or lost consciousness, you should get her to the emergency room. In the emergency room, they will be able to check your blood pressure, heart rate, and basic blood tests.
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