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Though the scan report was normal, the patient was treated for CVA. Why?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

The patient is a 79 year old male with a history of fall. Computed tomography (CT) and laboratory results showed no abnormality detected (NAD). But, the patient was treated for cerebral vascular accident (CVA). Now, the patient complains of numbness or paresis below waist. What would be the best option now?
Answered by Dr. Ashok Kumar Choudhary

Education:

MBBS

Professional Bio:

Dr. Ashok Kumar Choudhary is a skilled Psychiatrist specializing in andrology, geriatrics, sexology, and general psychiatric care. He focuses on diagnosing and managing mental health conditions, sexual health issues, and age-related psychological concerns. With a compassionate and patient-centered approach, Dr. Choudhary provides personalized care aimed at improving mental well-being, quality of life, and overall health.

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Hi,

Welcome to icliniq.com. I read your query and understand your concerns. In my view, it is possible that the patient suffered TIA (transient ischemic attack) resulting in a fall and the vascular event was not detected on computed tomography (CT) scan. I mean to say that although according to CT he does not need treatment, but your doctor may have favored the clinical phenomenon as a marker of CVA (cerebrovascular accident) and started treatment. The other part of your query again points toward the CVA as he reports now weakness of the lower part of the body. In this scenario,ideally magnetic resonance imaging (MRI) should be done for the patient and if any lesion found he should be treated accordingly. Also, if possible, send the patient's CT report.

Medically reviewed by iCliniq medical review team
Published At November 28, 2016
Reviewed At August 1, 2023

Education:

MBBS

Professional Bio:

Dr. Ashok Kumar Choudhary is a skilled Psychiatrist specializing in andrology, geriatrics, sexology, and general psychiatric care. He focuses on diagnosing and managing mental health conditions, sexual health issues, and age-related psychological concerns. With a compassionate and patient-centered approach, Dr. Choudhary provides personalized care aimed at improving mental well-being, quality of life, and overall health.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Prep / Recovery Guide

CVA/TIA Imaging Prep and Recovery Guide

How it works

A cerebrovascular accident (CVA) or transient ischemic attack (TIA) can be complex. Understanding your diagnosis, imaging results, and what to expect next is key to your care.

1

CVA/TIA
Basics

2

CT
Scans

3

Limitations
Scans

4

MRI
Evaluation

5

New
Symptoms

6

Follow-up
Treatment

This information is based on general medical guidance. It is not a substitute for professional medical advice; consult a qualified clinician.

Always consult a doctor before taking medication; self-medication carries serious health risks. Take exact prescribed doses, and never start, change, or stop treatment without medical supervision.
Dr. Ashok Kumar Choudhary
Dr. Ashok Kumar Choudhary

Geriatrics

Education:

MBBS

Professional Bio:

Dr. Ashok Kumar Choudhary is a skilled Psychiatrist specializing in andrology, geriatrics, sexology, and general psychiatric care. He focuses on diagnosing and managing mental health conditions, sexual health issues, and age-related psychological concerns. With a compassionate and patient-centered approach, Dr. Choudhary provides personalized care aimed at improving mental well-being, quality of life, and overall health.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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