European Journal of Biomedical and Pharmaceutical Sciences

MALIGNANT MCA INFRACT: A RARE CASE REPORT

Chandolu Suvarna Rani, Bhushanam Gayatri, Shaik Bobby Parveen, Bandaru Praveena* and  Dr. Konda Ravi Kumar

ABSTRACT

Stroke is the third leading cause of death, ranking lower only to cardiac disease and cancer. Ischemic stroke accounts for 87% of strokes and occurs when a clot or a thrombus blocks a blood vessel, cutting off blood flow to a part of the brain. If large areas of brain are affected, space-occupying oedema may result, leading to rapid neurological deterioration, coma and death. Malignant middle cerebral artery infarction (MMCAI) is a life-threating ischaemic stroke involving the whole middle cerebral artery (MCA) territory and comprises up to 10% of MCA infarction. Here we report a case of patient with weakness of right UL and LL with slurred speech , it was later diagnosed as a case of malignant right MCA infract with the complication of accelerated hypertension , which when treated with anti hypertensives lead to hyponatremia induced seizures and development of left MCA infract.

Keywords: MCA infracts, hyponatremia seizures, leviteracetam, aspirational pneumonia.