CT scan for paralysis assumption shows lacunar infarct, symmetrical white matter hypodensities suggestive of age related ischemic changes. Suggestions?
Patient: Age of patent: 85 Symptomes: right cheeck and right hand stop sensing for 4 days. paralysis assumption done. CT Scan done. CT Scan done and report is given below:Hypodense area seen in left thalamus (HU 16) suggestive of suacute/old lacunar infarct involving the left middle cerebral artery territory small lacunar infarct in the right lentiform nucleus and left insular cortex. Ni basal ganglia calcification foci. Symmetrical white matter hypodensities seen in bilateral centrum semi ovule and periventricular area suggestive of age related athroscierotic sub cortical white matter ischemic changes. Prominant cisterna magna. Deviated nasal septum to right with septal spur. Mucosal thickening in bilateral ethmidal sinuses. Doctor: Hello, The lacunar infarct in the the left thalamus explains the loss of sensation in right cheek & right hand. Thalamus is a organ through which sensations are relayed to the higher centres in the brain. Loss of sensation is a common symptom in infarct in thalamus. The treatment involves prevention of future attacks by giving antiplatelet drugs like aspirin. Also risk factors have to be treated like hypertension, diabetes mellitus and high cholesterol. The other changes reported on CT scan do not need any specific treatment. Good luck.