Two strokes detected on the CT and MRI. How to deal with?

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 Ido not agree with the diagnosis of subacute stroke as per the radiology report. The MRI that was done shows two lesions which are moderately large in size and do not follow the normal location for stroke. Also, we need other sequences such as diffusion imagingto say if it is a stroke or not. Also, if that is a stroke, the symptoms would start suddenly with a left-sided weakness like in left arm or left leg and facial droop on the left side. I would recommend you to see a neurologist who can getproper history about the onset of symptoms, and do a neurological exam. Also, if the DWI (diffusion-weighted imaging) sequence if not done on the MRI, should be done to see if she had a stroke. Management of blood pressure and diabetes is a must and she should continue with the Concor (Bisoprolol and Hydrochlorothiazide) and Galvus (Vildagliptin) plus Insulin. She should also continue Aspirin and Plavix for stroke prevention.

Hello,

Welcome back to icliniq.com. No, I do not think this is bleeding in the brain. There is some minor blood in the two lesions as per the report. It is difficult to comment if Plavix (Clopidogrel) caused the minor bleeding. But the small bleeding in the lesion is not the concern. She probably needs the Plavix for her stents in the heart.