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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For No Movement In Right Limbs After Stroke

hello sir, my sister had a stroke before 19 days back, she is 35 years old, and doctors dignosed LEFT BASAL GANGLIA BLEED WITH RIGHT HEMEPERISIS, she is now concious and talking 70 percent but no movement in right limbs, kindly advice us what to do, we are presently giving her neurotol 100 ml 8 hourly.
Sat, 31 Jan 2015
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Neurologist 's  Response
I read your query carefully and I am sorry about what has happened to your sister.

Unfortunately there is not a specific treatment for that sort of hemorrhage. Medical management consists in controlling her blood pressure if high and drugs like neurotol in the first few weeks to control the brain swelling. Hemorrhage in that area often doesn't benefit much from surgery either.

That does not mean that your sister's condition will not improve. She seems to be past the most acute stage by now. With the gradual absorption of the blood improvement is expected, but it doesn't depend as much on drugs but on physical therapy in order to stimulate the unimpaired brain areas to compensate for the damaged ones. It will be a slow gradual process, most improvement is expected in the first 6 months. To what percentage she will recover depends of course also on the size of the hemorrhage and the irreparably damaged structures. She is young so with regular physiotherapy she has good chances.

Of course the cause of the hemorrhage must be determined. Often in that region the cause is high blood pressure, but at her young age it is especially important to have brain imaging exclude malformations in order for the hemorrhage not to recur in the future. If the cause is high blood pressure she must be regularly treated from now on to prevent recurrences.

I hope things work out for the best.
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General & Family Physician Dr. Bihle Nestor Mbinkar's  Response
Hi, thank you for asking healthcare magic
I understand your concerns

In addition to the drug she is taking, she also needs physiotherapy. Most of the time, it is not possible to recover all the functions of the limb after a stroke but physiotherapy can help recover some.
If I were her treating doctor, I would advise that she starts physiotherapy.


I hope that answers your query
I wish her well
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Suggest Treatment For No Movement In Right Limbs After Stroke

I read your query carefully and I am sorry about what has happened to your sister. Unfortunately there is not a specific treatment for that sort of hemorrhage. Medical management consists in controlling her blood pressure if high and drugs like neurotol in the first few weeks to control the brain swelling. Hemorrhage in that area often doesn t benefit much from surgery either. That does not mean that your sister s condition will not improve. She seems to be past the most acute stage by now. With the gradual absorption of the blood improvement is expected, but it doesn t depend as much on drugs but on physical therapy in order to stimulate the unimpaired brain areas to compensate for the damaged ones. It will be a slow gradual process, most improvement is expected in the first 6 months. To what percentage she will recover depends of course also on the size of the hemorrhage and the irreparably damaged structures. She is young so with regular physiotherapy she has good chances. Of course the cause of the hemorrhage must be determined. Often in that region the cause is high blood pressure, but at her young age it is especially important to have brain imaging exclude malformations in order for the hemorrhage not to recur in the future. If the cause is high blood pressure she must be regularly treated from now on to prevent recurrences. I hope things work out for the best.