Q. Is there a possibility to perform MRI of brain when on ventilator?

Hi,

Welcome to icliniq.com.

I examined the CT scan report (attachment removed to protect patient identity) and clinical assessment. My findings are:

• On CT scan, I noticed that your mother had 5x4 cm infarct (stroke). The reason for her to fall unconscious might be because of nonconvulsive status epilepticus or coma.
• EEG (electroencephalogram) test will confirm, if she has ongoing seizures or not. Also, it will help in optimizing her anti-seizure medications.
• Through CT scan nothing much can be known about acute stroke. Hence, I would suggest you to get an MRI of brain done. It will help in detecting edema and other areas of stroke if affected.
• Lower the BP (blood pressure) by maintaining systolic above 160 mmHg for proper perfusion of brain.
• Maintain normal blood sugar level.
• If lipid levels have increased, medications need to be started.
• ECG (electrocardiogram) is advised to check for presence of any emboli or growth in heart.
• TSH (thyroid stimulating hormone) or FT4 (free T4). Either of these thyroid function tests needs to be performed.
• If there is clotting associated with it, then tablet Aspirin needs to be administered.
• Repeat the CT scan from the day of stroke for a period of three to five days.
• EEG (electroencephalogram) needs to be performed to rule out non-convulsive status epilepticus.
• Physical therapy should be provided.
• If unconsciousness is due to brain edema, it should get better after five days post- stroke, and you may see a change.
• Her GCS (Glasgow coma scale) is very low. It is usually associated with poor prognosis.

Guidelines for stroke management;

For further information consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist

Hi,

Welcome back to icliniq.com.

Without examining the patient, it is difficult to give assessment and treatment plan. I think if she is worsening, then repeating a CT of head would be wise, to make sure there is no herniation or worsening edema in brain or any bleeding present. 

For further queries consult a neurologist online --> https://www.icliniq.com/ask-a-doctor-online/neurologist

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Lalit R. Bansal

Experience: 12 + Yrs

Neurology

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