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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Migraine, Got Light Headedness, Slurred Speech, Mildly Impaired Motor Function On The Right Side, High BP, ECG Showed Left Axis Deviation, Cerebral Angiogram Showed Cerebral Hemorrhage. Diagnosis, Prevention, Cure?

A 54-year-old Type-A male business executive had been experiencing migrainelike headaches . One afternoon he also experienced light-headedness, slurred speech and mildly impaired motor function on his right side. One of his colleagues rushed him to the emergency room of a nearby hospital where blood pressure , blood gases, electrolytes, and an ECG were run. His blood pressure was 195/100 mm Hg, which he said was typical of what he had experienced during the past two years. Blood gases and electrolytes were normal. The ECG showed no arrhythmias but did demonstrate a left axis deviation. The gentleman was admitted to the hospital and a cerebral angiogram was performed which showed left cerebral hemorrhaging. 1. What is the diagnosis of this individual s disorder? 2. What are the major contributing factors to this disorder? 3. What could have been done to prevent this problem? 4. What are the early warning symptoms prior to the complication? 5. Why did the ECG show a left axis deviation? 6. Why was there impaired motor function on the right side from cerebral hemorrhaging on the left side?
posted on Sun, 13 May 2012
Twitter Sun, 13 May 2012 Answered on
Twitter Fri, 8 Jun 2012 Last reviewed on
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Ophthalmologist,  's  Response
1. Hemorrhagic stroke.
2. High blood pressure ( and athosclerotic disease (exascerbated in part by stress))
3. Control vascular risk factors... such as High blood pressure, high cholesterol, obesity, stress, smoking, diet, systemic inflammation, oral hygeine... however if there is a family history, this is an unavoidable risk factor.
4. Few, that is why uncontrolled hypertension is so dangerous as the symptoms of headache or mild chest pain are so non-specific.
5. Likely old heart blood vessel infarct.
6. The left side of the brain controls the right side of the body and vica versa... anatomy.

Stress has been proven to shorten life span and increase the risk of heart disease.
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Had Migraine, Got Light Headedness, Slurred Speech, Mildly Impaired Motor Function On The Right Side, High BP, ECG Showed Left Axis Deviation, Cerebral Angiogram Showed Cerebral Hemorrhage. Diagnosis, Prevention, Cure?

1. Hemorrhagic stroke. 2. High blood pressure ( and athosclerotic disease (exascerbated in part by stress)) 3. Control vascular risk factors... such as High blood pressure, high cholesterol, obesity, stress, smoking, diet, systemic inflammation, oral hygeine... however if there is a family history, this is an unavoidable risk factor. 4. Few, that is why uncontrolled hypertension is so dangerous as the symptoms of headache or mild chest pain are so non-specific. 5. Likely old heart blood vessel infarct. 6. The left side of the brain controls the right side of the body and vica versa... anatomy. Stress has been proven to shorten life span and increase the risk of heart disease.