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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chronic CVA. Initially In Coma Due To Blood Clot In Brain. Body Paralyzed. Feeding, Ryles Tube. Help?

sir, my father has chronic CVA since jan 2011. initially he was in deep coma due to clot of blood in brain but still now he is on bed and full body paralysed. we give feedings with the ryles tube. give some suggestion
ncct of brain:-
1. chronic infarct noted in the left cerebellar hemisphere
2. few lacunar infarct noted in the brain stem
Wed, 23 Oct 2013
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Radiologist 's  Response
Hi,
Thanks for writing in.

NCCT brain shows:
1. Old stroke changes in cerebellum (smaller brain).
2. Small areas of deficient blood supply in brain stem.

As these are very important areas of brain, the damage is more even if the stroke involves a small area. Your father needs good supportive care which you are giving him I think. Physiotherapy sessions may help his to some extent. This cannot be completely commented upon without seeing the patient.

The damage caused by a stroke can be widespread and long-lasting. Many people need to have a long period of rehabilitation before they can recover their former independence. The process of rehabilitation will be specific to you, and will depend on your symptoms and their severity. A team of specialists are available to help, including physiotherapists, psychologists, occupational therapists, speech therapists and specialist nurses and doctors.

Hope this helps
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Chronic CVA. Initially In Coma Due To Blood Clot In Brain. Body Paralyzed. Feeding, Ryles Tube. Help?

Hi, Thanks for writing in. NCCT brain shows: 1. Old stroke changes in cerebellum (smaller brain). 2. Small areas of deficient blood supply in brain stem. As these are very important areas of brain, the damage is more even if the stroke involves a small area. Your father needs good supportive care which you are giving him I think. Physiotherapy sessions may help his to some extent. This cannot be completely commented upon without seeing the patient. The damage caused by a stroke can be widespread and long-lasting. Many people need to have a long period of rehabilitation before they can recover their former independence. The process of rehabilitation will be specific to you, and will depend on your symptoms and their severity. A team of specialists are available to help, including physiotherapists, psychologists, occupational therapists, speech therapists and specialist nurses and doctors. Hope this helps