A case presentation on acute ischemic stroke

Abstract

Background information

A 52 years old male patient has been admitted in the hospital with the chief complaints of slurred speech, weakness in right extremities and he does have a medical history of hypertension, diabetes mellitus. As the patient is a hypertensive he is on Tab. Telmesartan 40mg and insulin. inj because of the diabetic condition. Patient is not on any kind of the anti-platelets drugs. When subject is admitted into the hospital emergency ward it was found that he is having global aphasia, hemisensory loss and right hemiplegia.

Investigations

Physical examination, laboratory tests, multimodal brain MRI scan, an echocardiogram, continuous cardiac monitoring.

Diagnosis

Acute ischemic stroke caused by distal left internal carotid artery occlusion, with salvageable penumbral tissue and a persistent large-vessel occlusion.

Treatment

Medical management with anti-platelet drugs, HMG-co-a reductase inhibitors and anti-epileptic drugs.