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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggestion For Hemiparesis That Has Deteriorated To Hemiplagia?

Hi Dr, I am sam seeking your suggestions about my grand father s brain attack. Patient is a 84 year old man. Admitted with hemiperasis in his right side and not responding to commands. Drs in a certain hospital have diagnosed his problem. It is acute cvd, mca territory infarct (bilateral infarct). Patient is administered anti-coagulant and anti -platlet (clexane inj and ecosprin tab) along with strocit inj. He is now being treated for aspirate pneumonia with meropenem 1gm inj every 8 hours four the next 10 days. It has been over a month now with him being stable but no improvement. Matter of fact hemiperasis has deteriorated to hemiplegia. He medical bill were taken care by the ex- army health care but they now refuse to fund him because they think he should have been in a better condition now. I need your suggestions about this issue.
Wed, 2 Apr 2014
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Neurologist, Surgical,  's  Response
Hi, I am so sorry to hear about your fathers hemiplegia. The treatment as far as medications seems to be going on as it should. But the most important part of long term recovery for a stroke patient is PHYSICAL THERAPY. He needs the services of a good physical therapist who will start with passive exercises and range of motion exercises and help your father regain his mobility.

The physical therapist is not simply strengthening muscle here. What they are doing with these exercises is encouraging the brain to 'remap' the damaged nerve cells on to other undamaged ones. This process is slow and we normally see that the process stops on it's own after 6-8 months without PT.

WITH PT we see that the remapping process can last up to 2 years and give many patients a great scope for recovery.

So my advice is intensive, daily physical therapy for months and months. Passive and active, both.

I hope this helps. If you would like a more detailed discussion of your Fathers issues with me or any of the other specialists, you can use our "Ask a Specialist" service. Thanks for coming to HealthCareMagic.com

Vinay
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Suggestion For Hemiparesis That Has Deteriorated To Hemiplagia?

Hi, I am so sorry to hear about your fathers hemiplegia. The treatment as far as medications seems to be going on as it should. But the most important part of long term recovery for a stroke patient is PHYSICAL THERAPY. He needs the services of a good physical therapist who will start with passive exercises and range of motion exercises and help your father regain his mobility. The physical therapist is not simply strengthening muscle here. What they are doing with these exercises is encouraging the brain to remap the damaged nerve cells on to other undamaged ones. This process is slow and we normally see that the process stops on it s own after 6-8 months without PT. WITH PT we see that the remapping process can last up to 2 years and give many patients a great scope for recovery. So my advice is intensive, daily physical therapy for months and months. Passive and active, both. I hope this helps. If you would like a more detailed discussion of your Fathers issues with me or any of the other specialists, you can use our Ask a Specialist service. Thanks for coming to HealthCareMagic.com Vinay