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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment Option For Hemorrhagic Stroke And Edema In Elderly Females

My mother in law suffered haemorrhagic stroke in the frontal lobe. She is 81 years old and have a history of blood pressure and diabetes (all under control). She was very active and had a very healthy lifestyle. She suffered the stoke 6 days ago, given prompt treatment, ct shows reduced oedema and contained haemorrhaging. But the main issue is she is not responsible to any commands just pain. Her left side is paralysed. She had involuntary right had movements till today but that has reduced. She occasionally moves her right foot and leg, however, she remains unconscious
Tue, 24 Oct 2017
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Neurologist,  's  Response
I read your question carefully and I am sorry about what has happened to your mother in law.

Unfortunately I am afraid that there isn't any specific treatment for the hemorrhage and the edema at this point. All that can be offered is supportive treatment to prevent further complications. The blood will eventually be reabsorbed and the edema subside but that doesn't happen overnight, takes several weeks and there is no treatment to accelerate that.

Whether that will lead to a clinical improvement is to be seen. You have to understand that the hemorrhage has caused some permanent damage to the brain which can't be reversed (the bigger the hemorrhage the more damage). It is hoped that the remaining brain cells will create new synapses over the next months to compensate for the lost ones, but that is only a partial compensation, some damage will remain and the older the patient the higher the remaining disability. Diabetes also is not a good prognostic factor, diabetic patients recover poorly as blood vessels are diffusely damaged over the years. So the outcome doesn't seem good.

I remain at your disposal for other questions.
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Suggest Treatment Option For Hemorrhagic Stroke And Edema In Elderly Females

I read your question carefully and I am sorry about what has happened to your mother in law. Unfortunately I am afraid that there isn t any specific treatment for the hemorrhage and the edema at this point. All that can be offered is supportive treatment to prevent further complications. The blood will eventually be reabsorbed and the edema subside but that doesn t happen overnight, takes several weeks and there is no treatment to accelerate that. Whether that will lead to a clinical improvement is to be seen. You have to understand that the hemorrhage has caused some permanent damage to the brain which can t be reversed (the bigger the hemorrhage the more damage). It is hoped that the remaining brain cells will create new synapses over the next months to compensate for the lost ones, but that is only a partial compensation, some damage will remain and the older the patient the higher the remaining disability. Diabetes also is not a good prognostic factor, diabetic patients recover poorly as blood vessels are diffusely damaged over the years. So the outcome doesn t seem good. I remain at your disposal for other questions.