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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Cause, Treatment For Partial Paralysis After Stroke

Joseph is a 59-year-old construction worker who recently suffered a stroke. A small blood clot became lodged in one of the vessels serving the right side of his brain and restricted blood flow to a portion of his right precentral gyrus. Many neurons in that area were damaged or destroyed and, as a result, Joseph is partially paralyzed on the left side of his body. He is able to move his left leg and walk, and can also move his left arm, but his left hand and the left side of his face are paralyzed. Why were Joseph s left face and hand paralyzed, but not the rest of his arm or his leg? What is preventing Joseph from moving his left hand? In your answer, include the following: first, describe normal function of a motor neuron that forms a synapse with a muscle cell. How is the signal that initiates movement transmitted from the neuron to the muscle? Describe this process in detail. Next, keeping in mind that the motor neuron itself is not damaged, explain how damage or destruction of a neuron that communicates with the motor neuron prevents Joseph from moving his hand. With time, and perhaps some physical therapy, Joseph may recover some of the movement in his left hand and face. What factors might contribute to this recovery? In your answer, include the following: Why can t Joseph s brain simply replace those neurons that were damaged and destroyed by the stroke? How might compensation allow Joseph to regain some of his lost movement? Describe at least one experimental treatment that might improve movement in Joseph s case, and explain how this treatment would impact Joseph s nervous system. Support your Application Assignment with specific references to all resources used in its preparation
Mon, 27 Jul 2015
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Neurologist 's  Response
This is not a homework channel rather a clinical forum for real patients or real family members of patients to ask questions. Joseph is fortunate in that he really didn't suffer a stroke. Therefore, we're happy that his character is actually alive and well. However, you should either read your textbooks and WORK AT getting the answer to these questions so that YOU understand how things work or set up an appointment with your teacher/professor to help you. Besides, that's part of the job of being a professor isn't it? Giving answers to you is not in your best interest, nor your professor's, and definitely not in any of your FUTURE patient's best interests.
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Suggest Cause, Treatment For Partial Paralysis After Stroke

This is not a homework channel rather a clinical forum for real patients or real family members of patients to ask questions. Joseph is fortunate in that he really didn t suffer a stroke. Therefore, we re happy that his character is actually alive and well. However, you should either read your textbooks and WORK AT getting the answer to these questions so that YOU understand how things work or set up an appointment with your teacher/professor to help you. Besides, that s part of the job of being a professor isn t it? Giving answers to you is not in your best interest, nor your professor s, and definitely not in any of your FUTURE patient s best interests.