Business case study. At the behest of Mr. B, a civic corporater, Mr. A constructed a shopping mall in Mumbai. Mr. C agrees to pay Rs. 250000 as a one-time payment. Mr. A has agreed to Mr. C's proposal. Justify your response to the agreement query.

Question 1.

1. Is it safe to give piracetam to patients with primary intracerebral haemorrhage? Does it have a neuroprotective effect? 2. Is it safe to give a patient with excessively high blood pressure (as a sequela to recent primary intracerebral haemorrhage) angiotensin-converting enzyme inhibitors to lower the blood pressure? 3. Is it indicated to give piracetam or vincamine to a patient with middle cerebral artery territorial infarction? Do these have any neuroprotective effect?

Question 2.

What is the mechanism by which subarachnoid haemorrhage is associated with subhyaloid haemorrhages on fundus examination, and how can cerebrospinal fluid (CSF) gain access to the subhyaloid space inside the eye?

Question 3.

What is the recommended dosage for nimodipine given intravenously in cases of subarachnoid haemorrhage, and when should the treatment start? For how long should the dose be continued?

Question 4.

I read recently that hyperuricaemia has something to do with stroke? Is it recommended to give allopurinol to stroke patients irrespective of their serum uric acid?

Question 5.

Is there a link between hyperuricaemia (although asymptomatic) and atherosclerosis and cerebral ischaemic stroke?

Question 6.

Are phenytoin and carbamazepine indicated in myoclonus, occasionally seen in ischemic strokes?

Question 7.

What is the treatment of chorea or action myoclonus resulting from embolic stroke to the area of basal ganglia? Does the L-dopa that is given by some neurologists improve the condition? Does valproate have a role if the case is action myoclonus?

Question 8.

How should a patient with a haemorrhagic cerebrovascular accident be managed while also having an extensive inferior wall myocardial infarction?

Question 9.

What is the best way to manage cortical vein thrombosis? If heparin is to be used, what is the recommended dosage and how long should this treatment last?

Question 10.

In the case of cortical vein thrombosis, for how long should anticoagulation be continued?