Diabetic having squint in the eyes. MRI of brain says lacunar infarcts in basal ganglia, microbleeds in occipital lobe. Advice?
Patient: Himy mother recently have squint in her eyes..she is a diabetic patient.according to doctor suggestion we had a MRI of brain.the report says;-acute lacunae infarct in the facial colliculus-Old lacunar infarcts in bilateral basal ganglia internal capsule and thalami, bilateral periventricular white matter and pons.-old microbleeds in left parasitical occipital lobe, bilateral thalami and left basal ganglia.-age related cerebral atrophy with sub cortical and periventricular white matter ischaemic changes. please suggest diagnosis and remedial measures.thanks Doctor: Hi,Based on the details your mother is diabetic and MRI brain revealed multiple infarcts in brain the acute one being in facial colliculus (brainstem) which is producing squint ,with old microbleed, with small vessel disease of brainSuggestions for her are1) control of diabetes strictly2) diabetic diet3) ecosprin 150 mg daily post lunch4) Statins 40 mg bed time5)Anti hypertensive idealy coversyl plus once daily6) citicholine 500 mg twice daily 7) fluids 3 l/ day8) exerciseCheck her cholesterol levels, thyroid functions and kidney function You should consult neurophysican for further management and treatment planRegardsDr Sandhya ManorenjNeurologistHi tech city Hyderabad