
Had A Stroke, Was In Rehab. Experiencing Depression And Hypertension. Had MRI Done. What Does It Indicate?

Thank you for posting your query.
I can understand your and family's situation after a disabling stroke in your husband at the peak of his career & life.
Depression is common in certain strokes due to location of infarcts (such as frontal lobes). It can also occur due to the fact that due to severe stroke, totally normal people are made disabled and depedent.
As of now, you can start an antidepressant like escitalopram. Until you get a counseler, you can do the counseling yourself. Try to encourage him and tell him all the positive things. Depression would improve over time, as his disability due to stroke improves.
Please continue with PT, OT and speech therapy, as well as medications to ensure a near complete recovery.
I hope it helps. I would be pleased to answer any follow up questions.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology) XXXXXXX Consultant Neurologist


Thanks for your help.
Thank you for getting back with more details.
Based on your description, he is already improving and making good progress. So, I also hope that he would recover fully or almost fully.
However, if a part of brain is fully damaged, then some deficits may remain. If you have a copy of his MRI report, it would help us in identifying any damaged part of brain.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)


I noted the findings in the initial email, however, we are mainly looking at any changes on T2W and FLAIR sequence images on MRI (presence of hyperintense lesions, gliosis, etc), which could suggest any damage to the brain.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)

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