61F Acute Ischemic Stroke, Left sided Hemiparesis Telangana PaJR

 

16-09-2025 

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HER SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EIDENCE BASED INPUTS.

[16-09-2025 16:18] PPM 1: @PPM3 please share all the history and clinical images and radiology images

[16-09-2025 21:24] PPM 3: C/o weakness in left leg since 3 days, deviation of mouth since 3 days towards right side, slurring of speech 

Patient was apparently asymptomatic 3 days ago then she developed weakness in left leg which was insidious in onset, gradually progressive and associated with deviation of mouth to right side, slurring of speech H/o of left sided weakness 5 months ago for which medication was taken (no documentation available). 

K/c/o of HTN since 1 year on Telma AM. No h/o TB, asthma, epilepsy, CAD, CVD.

Personal history: Patient is married, normal appetite, mixed diet, regular bowel movements. Micturition - incontinence of urine since 3 days. No known allergies.

Alcohol occasional since 30 years, stopped 5 months ago.

[17-09-2025 07.50] PPM 1: https://youtu.be/YVXaVw_JjIg?si=IS2ykGs0rO2PyiP6

[17-09-2025 07:55] PPM 1: Why did she show the doctor 1 year ago?

[17-09-2025 07:56] PPM 1: Please share the patient's phenotype lateral view of upper arm sarcopenia and trunkal obesity

[17-09-2025 07:56] PPM 1: Please share her chest X-ray ECG

77M With Left Ataxic Hemiparesis and Sudden Left Ear Deafness Telangana PaJR

 

1406-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SSHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'SCLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[14-06-2025 12.46] PPM 1: OPD now:

77M with sudden left sided ataxic hemiparesis since one year along with sudden left ear deafness and giddiness on the same day with on examination findings left hemianesthesia other than the findings in this video.

https://youtu.be/DAaumdElRHc?si=y7Tpcm40TiqEqKjB

16F With Left Hemiparesis Hyper Reflexia Telangana PaJR

 

28-05-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HER GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[28-05-2025 12.10] PPM 1: 16F with left hemiparesis without facial involvement since birth with delayed milestones (walked at 3 years of age) and currently on examination has hyper reflexia on left upper and lower limbs with planter extensor on the same side but with sluggish left ankle reflex in comparison to the normal right ankle reflex. Mild contracture noted in left ankle.

https://youtu.be/4JPERKO7uz0?si=lWrztq4m8K7diSEn

38M With Horners Syn Left Motor Hemiparesis Telangana PaJR

 19-03-2025

THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.

[19-03-2025 16.16] PPM 1: Afternoon session:

38M with neck pains since mid 2023 and progressed to headache since last 6 months and weakness of

 pincer grip since 3 months and was on acupuncture therapy with 25% subjective improvement!

 Cervical MRI since 2023 showed features suggestive of compressive myelopathy since then that

 remained same on repeated MRI.

Since two days developed sudden involuntary movement of all four limbs and left hemiparesis along

 with vomiting and retching.

On examination,

Left eye ptosis with left eye abducted at resting position with miosis (Horners syn)

Lower cranial nerves 9,10 11 affected with reduced palatal movement and inability to cough just

 producing a bovine sound at all cough attempts (video attached) 👇

Left motor hemi paresis

https://youtu.be/U2kyrU9I5xk?si=lCTtT6EiHnI0viFq