MEDICAL SUMMARY:
C.O/ 45 YEARS/ FEMALE
Presentation/Neurology: The above named patient suffered SAH 6 months
ago which was initially managed with external ventricular drain (EVD) and
neurocritical care. Subsequently, she had the EVD converted to a shunt. Review
of investigations (CT angiogram) did not reveal any culpable aneurysm.
She walked into the clinic today
accompanied by her husband with no obvious neurological deficit. But occasional fluctuation in Blood Pressure.
Satisfactory higher center function. She has returned to her full premorbid
activities.
As previously planned she will
proceed with an internal CT angiogram today.
Neuroimaging and Diagnosis: Brain MRI shows well situated VP Shunt.
Review of CT Angiogram 6months post SAH did not reveal any culpable aneurysm
Treatment and Follow up:
1. CT
Antihypertensives
2. Counselled
on good BP, sugar and cholesterol control.
3. Counseled
on weight reduction and hygiene.
4. See in 3
months (25/07/2023)
Kindly
revert to us for more inquiries if need be.
Yours
Sincerely,
Dr.
Modupeoluwa Olakunle Motajo.
For:
Team Wellington Clinics.
………………………electronically
signed to avoid delay in transmission.