King The Voice, ischemic stroke in multiple locations

The case of King The Voice, who received emergency treatment for dizziness and balance abnormalities, which led to the detection of ischemic stroke in multiple locations, particularly in the brainstem and cerebellum. This is a location with a high risk of misdiagnosis if a CT Scan is used alone, because the image will only show clearly when brain tissue death has already occurred. An MRI scan is necessary to confirm the results.

Dr. Pracha pointed out that Stroke often happens to people who think "it won't happen to them." The main causes are 1) lack of knowledge, and 2) carelessness, where the primary risk factors come from diabetes, hypertension, and hyperlipidemia, including the behavior of not getting regular health checkups.

In addition, it was emphasized that initial symptoms such as dizziness and the inability to maintain balance may be caused by ischemia in the cerebellum and brainstem. Associated symptoms should be observed, such as double vision, facial numbness, or drooping mouth corners, which are important warning signs of a stroke.

Additional Takeaways

• Stroke can be prevented if health care is taken seriously.

• Prevention guidelines include:

  1. Control risk factors (diabetes, hypertension, lipids)

  2. Get regular health checkups, especially for individuals aged 40 years and older

  3. Exercise continuously

Dr. Pracha concluded with a comparison that “moving your body today is exercise, but moving it when you are near death becomes merely physical therapy.”