Infarction is ischemic tissue necrosis due to loss of arterial blood supply or venous drainage. The leading causes of infarction are thrombosis and thromboembolism. Other causes may include vasospasm, vessel compression or torsion, traumatic rupture, etc. Types of infarction are anemic, hemorrhagic, septic, myocardial, and cerebral.
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Query: Hi doctor, My father, 56 years old, had a stroke of acute infarction in the left basal ganglia. They also had an old right occipital lobe infarct and an attack four years back. Give advise. Thank you. Read Full »
Answer: Hi, Welcome to icliniq.com. I would like to know some further information about your father: 1. Does he have any other medical history? Diabetes, hypertension, heart problems, and kidney problems? 2. Does he smoke or drink? 3. Was he on any regular medications after the first stroke? As shown in... Read Full »
Is fecal incontinence related to previous stroke?
Query: Hello doctor, The patient is experiencing fecal incontinence, he had brain infarct a few years back and has trouble walking and speech. Walking is totally restricted due to loss of control over his sphincter. He is taking probiotic Vibact twice after food. Read Full »
Answer: Hello, Welcome to icliniq.com. I read carefully your question and would explain that fecal incontinence is not a common sign of stroke. It could be related to vascular dementia (compatible with the MRI findings). Coming to this point, I would recommend some diet modifications (avoiding food which c... Read Full »
I took an ECG, which revealed septal infarction of undetermined age. What should I do now?
Query: Hello doctor, I took echocardiography today as a routine check-up, showing slight changes; then, I was asked to do an echocardiography which was normal. However, after some time, I took a second electrocardiogram, which revealed septal infarction of undetermined age. I am a smoker; what should I do ... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. An ECG (electrocardiogram) is not the best tool to diagnose myocardial infarctions. The ECG findings should be correlated with the patient's symptoms, the blood tests (cardiac enzymes), and the cardiac ultrasound report (a past myocardial i... Read Full »
How is cerebral infarction due to an emotional event treated?
Query: Hi doctor, My 21-year-old sister got cerebral infarction because she talked to her father after 15 years, and big emotions were involved. One of her eye pupils became larger, and she could not see correctly. The doctor has done computed tomography (CT) and confirmed it was cerebral infarction. She i... Read Full »
Answer: Hello, Welcome to icliniq.com. As you mention that your 21-year-old sister had cerebral infarction, she needs a complete evaluation to know the etiology of a stroke at the young age of 21 (young stroke). As you say, her pupil became large, and she could not see properly; such symptoms may suggest t... Read Full »
My neck MRI shows a 10 mm oblong remote infarct in the left cerebellar hemisphere. Is it serious?
Query: Hello doctor, I had an MRI due to neck issues which I have to take once every two years. I am under pain management for the same. My MRI report says that there is an unchanged 10 mm oblong remote infarct of the posterior left cerebellar hemisphere. I have a history of type 2 diabetes mellitus with a... Read Full »
Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. I would like to know some further details about your symptoms- 1. What symptoms do you have in your neck, and since when? 2. Have you had a stroke ever before? If yes, please give details. 3. Since when did you have ... Read Full »
Kindly suggest a treatment plan based on my MRI.
Query: Hi doctor, This is in regard to my mother. She is 51 years old. Her weight is 112 kg. She has severe pain in the lumbar spine till her bottom and not the legs. She had done an MRI of her spine earlier and got detected with slipped discs. Recently, she did another MRI of her brain and whole screening... Read Full »
Answer: Hello, Welcome to icliniq.com. Based on the information reviewed (attachment removed to protect patient identity), the MRI brain was likely performed based on clinical suspicion. The MRI revealed bilateral oval hyperintensities without diffusion restriction, indicating old (chronic) infarcts common... Read Full »
Which waves in my treadmill stress test indicate problems?
Query: Hello doctor, I have attached a treadmill stress test result. I would like to obtain technical info regarding these results, particularly regarding the infarction. I would appreciate the severity of this infarction and whether it could be a machine error. Could you also tell me by perhaps drawing on... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your report (attachment removed to protect patient identity). It is unlikely to be a machine error. Errors do not have such patterns and it is suggestive of old infarction only. Its present in inferior leads, which suggests inferior part of the he... Read Full »
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