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An elderly man who was watering his plants suddenly collapsed and struggled to regain his footing. He then tried to dig rice, but his left side became paralyzed, and he was diagnosed with a stroke and ischemic attack. On April 20th, Dr. Diep Trong Khai, head of the Department of Neurology at Xuyen A General Hospital in Ho Chi Minh City, described the patient’s symptoms upon admission. The patient exhibited signs of drowsiness, slurred speech, and left hemiplegia with muscle strength of 3/5 and an NIHSS score of 10 points.

The patient had a history of hypertension and smoking for many years. He also suffered from a stroke two years ago that resulted in no sequelae. A brain CT scan diagnosed a right hemisphere stroke within the first hour. Fortunately, the patient arrived at the hospital within the golden time window (first 4.5 hours) to receive fibrinolytic drugs. After initial treatment, the patient’s condition stabilized, with improved muscle strength on the left side, decreased NIHSS score to 4 points, reopened blood vessels and was transferred to the Stroke Unit and Neurology Department for further monitoring and treatment.

Within 24 hours, the patient regained consciousness completely and had good communication skills and clear speech. His muscle strength was now 5/5 and he made a full recovery. This successful outcome highlights how crucial timely medical intervention is in cases of stroke. It is essential to recognize the signs of a stroke following the FAST model – facial weakness, arm weakness, slurred speech, timing of symptom onset – when assessing patients. Acting swiftly and seeking immediate medical assistance is critical in cases of suspected stroke or acute myocardial infarction to maximize recovery outcomes.

Two types of strokes can occur – ischemic or hemorrhagic – with cerebral infarction accounting for 85% of cases that are generally less severe than cerebral hemorrhage which accounts for 15%. Timely intervention with thrombolytic medications is necessary to dissolve blood clots causing vascular occlusion without surgery; however these medications are only effective within four-and-a-half hours after symptom onset.

In conclusion, timely medical intervention can significantly impact patient outcomes in cases of stroke or acute myocardial infarction by increasing their chances for recovery as demonstrated by this successful case study where rapid recognition and action led to full recovery within just twenty-four hours after being rushed to hospital following a suspected stroke incident while plant watering activity due to high blood pressure caused by smoking habits leading to an ischemic attack resulting in paralysis on one side that was quickly diagnosed via brain CT scan leading to successful intervention using fibrinolytic drugs before being transferred for further monitoring at neurology department resulting in complete recovery without any sequelae after only twenty-four hours from being rushed into emergency room while doing daily plant maintenance work due to risk factors such as hypertension caused by smoking habits leading to an unexpected sudden collapse followed by digging rice with left hemiplegia muscle strength testing indicating impaired motor function on left central nerve VII leading to an NIHSS score diagnosis indicating high risk for complications including seizure due to underlying conditions leading successfully managed through prompt medical attention resulting in timely treatment interventions including medication administration which prevented further damage or complications from developing before it was too late for effective interventions due

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