Question

A 54-year-old Type-A male business executive had been experiencing migraine like 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.

Questions

1.  What is the diagnosis of this individual's disorder?

2. What are the major contributing factors to this disorder?

3. What are the early warning symptoms prior to the complication?

4. Why did the ECG show a left axis deviation?

5. Why was there impaired motor function on the right side from cerebral hemorrhaging on the left side?

Answer 1

1. Diagnosis of this individual's disorder - Intracranial hemorrhage causing neurological defects

2. Main contributing factor for this disorder is - Hypertension

3. Early warning symptoms prior to complication are -migraine like headaches

4. ECG showed a left axis devotion because - chronic hypertension led to the left ventricular hypertrophy which causes left axis deviation

5. There is impaired motor functioning on the right side from cerebral hemorrhaging on the left side because due to crossing of corticospinal tract to the opposite side .It occurs at the level of medulla