65M with Recurrent CVA with visual hallucinations and k/c/o pulmonary Koch’s
A 65-year-old male patient with known case of recurrent CVA presented with complaints of seen the faces, increased appetite and urinary incontinence since 2 months Visual Hallucinations are sudden in onset associated with the ringing sensation in ears and hearing voices from surroundings Patient was apparently a symptomatic six years back then he developed generalised weakness and giddiness for which he went to local doctor and diagnosed with diabetes and on OHA, then few months later he diagnosed with hypertension and on atenolol 50mg since 3yrs History of first CVA attack 5 years back for which she went to hospital and managed conservatively and on dual antiplatelet TS for few weeks. Then 4 years back he developed low-grade fever associated with productive cough and generalised weakness. For which he was diagnosed with pulmonary tuberculosis and on ATT for 6 months. Then he developed second attack of CVA 8 months back for which he took some herbal medication for 3 months and recover