HomeAnswersNeurologyloss of speechThe MRI of the brain shows a blood clot. Please help.

Can a blood clot in the brain be removed by medicines alone?

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Can a blood clot in the brain be removed by medicines alone?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At July 12, 2017
Reviewed AtNovember 29, 2023

Patient's Query

Hello doctor,

My aunt, who is 54 years old, is diabetic since the past 10 years, and she is under regular Insulin. 10 days back, she suddenly lost speech, and since then, she is not able to speak even a single word. I am attaching her computed tomography (CT) scan and magnetic resonance imaging (MRI) scan reports along with the prescription. What is the problem? How severe is the problem? What treatment options are there? Please advise in detail. Best regards.

Answered by Dr. Arun Tungaria

Hi,

Welcome to icliniq.com. I saw the attached reports (attachment removed to protect patient identity). The problem is insufficient blood supply to the brain. It is a severe problem. The prescribed medicines are alright. Please consult a neurosurgeon so that he can examine her. She will recover from current problem over next few weeks.

Patient's Query

Hi doctor,

Thank you so much. Yes, we consulted a neurosurgeon locally, and he says there is a blood clot in the brain. Can this clot get removed by medicines alone? When will the doctor decide to do an operation to remove the blood clot? Based on what factors, an operation would be decided to be done? How long can she be continued on medicines? What if there is no speech even after a month of medicines? What course of action or treatment would be required at that time? I am very anxious about my aunt's health, so please help. Thanks in advance.

Answered by Dr. Arun Tungaria

Hi,

Welcome back to icliniq.com. The clot is within the small arteries of the brain, so no surgery or any intervention can remove it. Forget about surgery, it not an option. Some medicines will be forever. She will recover over next few months and physiotherapy, particularly, speech therapy would be required in next few days.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Arun Tungaria
Dr. Arun Tungaria

Neurosurgery

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