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Suggest Treatment For Encephalomalacia
Question: my mother is suffering from right frontoparietal encephalomalacia after a brain surgery for pus formation because of crack in bone of head , she is suffering with half paralysis condition due to this since yr 2000. Is there any treatment for this .
current condition of patient
half body paralysis,
memory is more instant memory,
no past bothering
recognise everyone well,
total hear loss
current condition of patient
half body paralysis,
memory is more instant memory,
no past bothering
recognise everyone well,
total hear loss
Brief Answer:
Treatment of her focal deficit
Detailed Answer:
Hi xxxxxxxxxxx, thanks for asking from HCM.
I can understand your concern. I have seen her reports. She is having weakness for last 17 years. Usual time of functional recovery after brain damage, is first 12-18 months. She will not respond much on medication as brain scarring (gliossi) had already occurred. Now to treat her, role pf physiotherapy and occupational therapy along with rehabilitation program are very important.
Half body paralysis - You should provide her both active and passive physiotherapy. Active means, motivate her to move limbs. Passive means, anybody moves her joints.
It will prevent any contracture and increase muscle strength.
Occupational therapist will help in improving her routine activities.
Memory - It can improve with
- Try to involve her in brain puzzle games, chess, Sudoku, cards.
- Give her almonds, Brahami
- Tablet Donepezil after proper prescription
- Tablet methyltetrahydrofolate, S-adenosylmethionine after proper prescription
- She will also improve by supplementing some neuron specific vitamin like B12, pyridoxine, pantothenic acid.
- Try to motivate her to keep a dairy. She can write important to do things in it.
Hope it will help her. If still need any help, do let me know.
Thanks. Take care.
Treatment of her focal deficit
Detailed Answer:
Hi xxxxxxxxxxx, thanks for asking from HCM.
I can understand your concern. I have seen her reports. She is having weakness for last 17 years. Usual time of functional recovery after brain damage, is first 12-18 months. She will not respond much on medication as brain scarring (gliossi) had already occurred. Now to treat her, role pf physiotherapy and occupational therapy along with rehabilitation program are very important.
Half body paralysis - You should provide her both active and passive physiotherapy. Active means, motivate her to move limbs. Passive means, anybody moves her joints.
It will prevent any contracture and increase muscle strength.
Occupational therapist will help in improving her routine activities.
Memory - It can improve with
- Try to involve her in brain puzzle games, chess, Sudoku, cards.
- Give her almonds, Brahami
- Tablet Donepezil after proper prescription
- Tablet methyltetrahydrofolate, S-adenosylmethionine after proper prescription
- She will also improve by supplementing some neuron specific vitamin like B12, pyridoxine, pantothenic acid.
- Try to motivate her to keep a dairy. She can write important to do things in it.
Hope it will help her. If still need any help, do let me know.
Thanks. Take care.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
thank you very much sir,
So there is not any proper treatment? Even with Ayurveda or homeopathy??
we are doing massage (including moving joints) and I have included medicines prescriptions in documents further I would consult with doctor for your's suggestion medicines, we do motivates her (but sometimes we also need it.)
One thing I forget to discuss that just after the surgery on 2nd may 2000 she was in coma for approx 6 months and then recovered slowly with her memory she started from her childhood (as she recognized me as her cousin brother ) but within two months she recovered with her past memory
My concerned is that in current situation she is getting weak with both mentelly and physically , if there are some suggestions for that then please ??
thank you sir.
So there is not any proper treatment? Even with Ayurveda or homeopathy??
we are doing massage (including moving joints) and I have included medicines prescriptions in documents further I would consult with doctor for your's suggestion medicines, we do motivates her (but sometimes we also need it.)
One thing I forget to discuss that just after the surgery on 2nd may 2000 she was in coma for approx 6 months and then recovered slowly with her memory she started from her childhood (as she recognized me as her cousin brother ) but within two months she recovered with her past memory
My concerned is that in current situation she is getting weak with both mentelly and physically , if there are some suggestions for that then please ??
thank you sir.
Brief Answer:
General condition management
Detailed Answer:
Hi xxxxxxxxxxxx, welcome back.
It is good that you are doing hard work for her. Her general condition, both physical and mental, can be taken care by following few tips
- If possible hire some trained staff nurse who can take care of her in day time
- family support - Such patient who have recovered partially, they need strong family support. It includes attention, caring, affection, involvement of her in maximum activities. She will feel the need to live. It will automatically help her in recovering.
- Time to time supplementation of vitamin like B complex, vitamin D, vitamin C, vitamin E. You can give her after getting proper prescription.
- For mental function improvement, the advise mentioned in previous answer will help.
- Also if possible, ask her to do some Yoga and meditation. You can take help of professional. It will improve her mental and physical health both.
- Diet - Give her high protein, low fat and medium carbohydrate diet. Protein rich food includes peas, grams, grains, milk, paneer, soybean, eggs, fish. Avoid sugary food. Try to give small amount meal but multiple times (5-7 times per day).
Hope it will help. If still in doubt, do let me know.
Thanks. Take care.
General condition management
Detailed Answer:
Hi xxxxxxxxxxxx, welcome back.
It is good that you are doing hard work for her. Her general condition, both physical and mental, can be taken care by following few tips
- If possible hire some trained staff nurse who can take care of her in day time
- family support - Such patient who have recovered partially, they need strong family support. It includes attention, caring, affection, involvement of her in maximum activities. She will feel the need to live. It will automatically help her in recovering.
- Time to time supplementation of vitamin like B complex, vitamin D, vitamin C, vitamin E. You can give her after getting proper prescription.
- For mental function improvement, the advise mentioned in previous answer will help.
- Also if possible, ask her to do some Yoga and meditation. You can take help of professional. It will improve her mental and physical health both.
- Diet - Give her high protein, low fat and medium carbohydrate diet. Protein rich food includes peas, grams, grains, milk, paneer, soybean, eggs, fish. Avoid sugary food. Try to give small amount meal but multiple times (5-7 times per day).
Hope it will help. If still in doubt, do let me know.
Thanks. Take care.
Above answer was peer-reviewed by :
Dr. Prasad
thank you sir
Brief Answer:
Most welcome
Detailed Answer:
Hi xxxxxxxxxxxxx, you are most welcome.
Best wishes for your mother's health. If any doubt, do let me know.
Most welcome
Detailed Answer:
Hi xxxxxxxxxxxxx, you are most welcome.
Best wishes for your mother's health. If any doubt, do let me know.
Above answer was peer-reviewed by :
Dr. Kampana
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