Dr. Gursimran Singh
Neurology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
My father-in-law is 60 years old. When we take an MRI of the brain, we notice diffuse cerebral atrophy.
Slight T2 flair hyperintensity with restricted diffusion was noted in the body of the corpus callosum on the left side, likely acute infarct.
Chronic infarcts were noted in bilateral lentiform nuclei, corona radiata, right centrum semiovale, bilateral thalami, pons and left cerebellar hemisphere.
Small T2/flair hyperintensities with no restricted diffusion were noted in bilateral frontoparietal periventricular and deep white matter.
Small vessel ischemic changes.
He is on BP medicines. Please help.
Thank you.
Hello,
Welcome to icliniq.com.
Sorry to hear about your grandfather’s issue. I read the MRI report. It seems he suffered from an acute ischemic stroke. Acute stroke is always a neurological emergency and must always be taken up in a healthcare setting. The MRI also shows small vessel ischemic changes and chronic lacunar infarcts, which means that he has a hypertension risk factor. Since this stroke is caused by a blockage of a small artery of the brain, luckily, there is nothing to worry about complications.
You will have to start tablet Ecosprin 150 mg once daily, tablet Plavix 75 mg once daily, tablet Atorvastatin 40 mg at night, and along with those medications to control his blood pressure. I would also like to know his blood sugar levels.
Please complete his 2D echo and carotid Doppler and let me know the reports. I completely understand that you will not wish to take your grandfather to a hospital because of the pandemic. So, call the radiology centre for the carotid Doppler and 2D echo. Let me know the reports, and I can guide you further. Please engage with a physiotherapist if needed.
Thank you.
Patient's Query
Hi doctor,
Thank you for your answer.
We have already consulted a doctor nearby, and they recommended the following medicine. Is it useful?
All reports are normal. Blood sugar levels are also normal. However, there is an X-ray of the cervical spine and lateral review; the impression is degenerative changes in the cervical spine and mild reduction in the height of the vertebral body seen in C4 and c5 levels.
Thank you.
Hi.
Welcome back to icliniq.com.
Thank you.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Neurology
Related Questions
I am extremely fatigued and had an episode where I was unresponsive. Please help.
Is there a treatment for diffuse cerebral atrophy?
My dad has age-related diffuse cerebral atrophy. Will he forget everything, even me?
What does the MRI brain taken for balancing issues indicate?
Kindly explain whether MRI brain and CSF studies show any relation to NPH.
What Causes Vertigo?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
