The Military-Civilian Medical Center of Con Dao Special Zone continues to record a case of a patient with the fourth acute cerebral infarction being successfully re-dialysed with intravenous hemoglobin medication right in the locality.
The patient is Mr. T.N. T (born in 1982, Phuoc Hai commune, Ho Chi Minh City) admitted to the hospital at 2:30 PM on April 24, 2026 in a state of drowsiness, difficulty speaking and weak limbs. According to family members, at about 1 PM on the same day, the patient suddenly became drowsy, not alert, difficult to speak, weak limbs on both sides, unable to walk on his own, accompanied by headache, dizziness and nausea. The patient has a history of hypertension and is being treated.
Immediately upon admission, the Military-Civilian Medical Center of Con Dao Special Zone urgently activated the stroke emergency procedure. BS.CKI Huynh Quoc Huy (Department of Cerebral Vascular Diseases, People's Hospital 115), who is on rotational duty in Con Dao, directly examined and assessed the patient's condition. The neurological examination recorded left central VII paralysis, limited right-eyedness, nystagmus, weak limbs on both sides with muscle strength of 4/5. The NIHSS score assessing the severity of the stroke is 12 points.
Recognizing this as a case of acute stroke in the "golden hour", suspected of cerebral epithelial injury, the team quickly indicated a CT scan of the skull to distinguish between cerebral infarction and cerebral hemorrhage, and at the same time assess the possibility of re-healing. The CT scan results did not record cerebral hemorrhage, and early cerebral infarction was not clearly seen, the pc-ASPECTS score reached 10 points.
After clinical evaluation and imaging, BS.CKI Huynh Quoc Huy had a remote consultation with experts. Doctors unanimously diagnosed second-hour cerebral infarction on the background of high blood pressure and decided to use rtPA intravenous fibrinolytic drug to re-circulate cerebral blood vessels.
After treatment, the patient's neurological symptoms improved rapidly. By the next morning, the patient recovered almost completely: awake, no longer weak in limbs, only slightly blurred nasolabial grooves and slightly difficult to speak. The NIHSS score decreased from 12 to 2 points.
The CT scan results of the brain checked after 24 hours did not record a hemorrhagic presentation, the image was consistent with right cerebral embolism. The patient continued to receive recurrent stroke prevention treatment with antiplatelet drugs. After 3 days of treatment, the patient stabilized and was discharged from the hospital.
