18TH
April, 2023
Medical Summary:
O.O, 75yrs/male,
WCA/6123/2023
It
was a pleasure to review above named in our neurosurgical clinic on 06/04/2023.
He
was accompanied by his wife and care assistant, on a wheel chair and said to
have been unable to ragain few neurological status, since the undergoing a
brain operation October 2022, to remove a brain tumour.
Key
finding on neurological examination were profound dysphoria and loss of
personality, and obvious inability to ambulate out of the wheel chair.
Review
of current Brain – scan ( contrasted MRI) confirmed a residual frontal
parasagital Meningioma, which appears smaller in comparison.
Pre-
op scan dated 28/07/2022
There
is also emerging post- op communicating hydrocephalus which may contribute his
current neurological status
While
a shunt is recommenced on a reasonable way forward encourage free drainage of
CSF , are do craniotomy for excision of the residual tumour to a major decision
of MDT setting , considering his age and current neurological status.
Please
contact again for any further clarification.
Sincerely
yours,
Dr. Halima Ibrahim
For Team Wellington Clinics Abuja
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