Name-Vinolia Diag- acute ishmic stroke Known for left mca watershed infract Recurrent crebrovascular accident Acute ischaemia stroke Know for Acute cva lt mca infract Rt ataxic hemiparesis, dysarthria,umn palsy B/l icad mca stenosis 98 year female known case left mca water shed infracton , treatment received but not on medications Presented drowsiness, angio,mri Brain Acute stroke left aca ,mca internal boderzone infract , thrombotic occlusion of left mca territory Patient conscious Ecg bradycardia around 60/min No history of Cardiac , seizures tongue bite ,fever vomit , urine Just less interactive. More sleeping decline response Amidon 3ml inj Optineuron 3ml inj Magnet forte 3ml inj Adana 1gm Metalorb25mg 10cc nipro 5cc nipro Apixapil 2.5mg Ns 100ml fres8nus kabi inj 2cc bd emerald syringe with needle Cannula Pantocid40mg inj Candid powder Plasmosal 1000ml inj Strocit 500mg Clopilet75mg Ecosprin 75mg Arousal 40mg Cremaffin pink 170ml syrup Corcell tab Oki- d3 60kiu capsules Wbc 13000 to 11000 progress Mch 32.7 Mchc 35.2 Neutrophil lymphocytes ratio 6.0% C reactive protein 88.3 to 32.3 Mild concentric lvh