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Suggest Treatment For Loss Of Speech And Memory After A Paralysis Stroke
Question: Hi Doc,
My age is 30 years .I have paralyses stroke on 21st Feb 2015. All of a sudden my brain thinking a major concern and all of a sudden i felt crying and it was dark for 2 minute and i lost my voice, my left hand was unable to move and unable to recall some important thing : how to write in english, how to read arabic and unable to recall my parents and siblings numbers.
After i have refereed to docs , the test shows abnormal heart beat, CT scan shows there is hamper in right brain and MRI shows there is some hamper in left brain.
1nd doc had referred me these :Piracetum syrup, Ecosprin, Azerva, Homochek, Pantocid
2nd doc had referred me these :N-liv,N-cod, N-Cobal Plus, Clopigrel,and Atocor
Now i can speak but stammering a lot, While speaking forget the words to use. and bp is under control.i am fully rest.
Kindly suggest me how will get my memory back and voice.
What should i do get my memory back and i can speak properly.
My age is 30 years .I have paralyses stroke on 21st Feb 2015. All of a sudden my brain thinking a major concern and all of a sudden i felt crying and it was dark for 2 minute and i lost my voice, my left hand was unable to move and unable to recall some important thing : how to write in english, how to read arabic and unable to recall my parents and siblings numbers.
After i have refereed to docs , the test shows abnormal heart beat, CT scan shows there is hamper in right brain and MRI shows there is some hamper in left brain.
1nd doc had referred me these :Piracetum syrup, Ecosprin, Azerva, Homochek, Pantocid
2nd doc had referred me these :N-liv,N-cod, N-Cobal Plus, Clopigrel,and Atocor
Now i can speak but stammering a lot, While speaking forget the words to use. and bp is under control.i am fully rest.
Kindly suggest me how will get my memory back and voice.
What should i do get my memory back and i can speak properly.
Brief Answer:
Nothing actively to be done.Speech therapy.It will improve spontaneously.
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
I have gone through all your medical reports and the impression is very clear that you are a case of young ischemic stroke.
You should have got investigated,as advised by Dr. XXXXXXX Nayak, for the stroke you had,in order to take preventive steps for any future stroke recurrence.
A young stroke should always be evaluated for the cause of stroke.
You should have undergone the following investigations:
1)2-D Echocardiography
2)Magnetic resonance angiography(MRA) of intracranial and neck vessels
3)ANA
4)Thrombophilia profile-APLA,Protein C,Protein S,Factor v,Serum homocysteine
5)Lipid profile
Please get them if possible.
Meanwhile medications suggested by him are appropriate for this situation and you should continue these medications:Piracetam , Ecosprin, Atorvastatin,Homochek(in the doses as advised).
Simultaneously,please continue physiotherapy.Start doing speech therapy which will help to improve your speech.
Your memory will improve with time only and nothing actively can be done for that.It is not sure that it will recover to 100% and some residual deficits may persist.
DON'T DISCONTINUE TREATMENT BY YOURSELF EVER.
Hope I have answered your query.If you have some follow-up queries,I shall be glad to answer else,please close the thread-rate it and write a review.Your rating will be of help to me.
Dr.Ajay Panwar,
MD,DM(Neurology)
Nothing actively to be done.Speech therapy.It will improve spontaneously.
Detailed Answer:
Hi XXXX,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.
I have gone through all your medical reports and the impression is very clear that you are a case of young ischemic stroke.
You should have got investigated,as advised by Dr. XXXXXXX Nayak, for the stroke you had,in order to take preventive steps for any future stroke recurrence.
A young stroke should always be evaluated for the cause of stroke.
You should have undergone the following investigations:
1)2-D Echocardiography
2)Magnetic resonance angiography(MRA) of intracranial and neck vessels
3)ANA
4)Thrombophilia profile-APLA,Protein C,Protein S,Factor v,Serum homocysteine
5)Lipid profile
Please get them if possible.
Meanwhile medications suggested by him are appropriate for this situation and you should continue these medications:Piracetam , Ecosprin, Atorvastatin,Homochek(in the doses as advised).
Simultaneously,please continue physiotherapy.Start doing speech therapy which will help to improve your speech.
Your memory will improve with time only and nothing actively can be done for that.It is not sure that it will recover to 100% and some residual deficits may persist.
DON'T DISCONTINUE TREATMENT BY YOURSELF EVER.
Hope I have answered your query.If you have some follow-up queries,I shall be glad to answer else,please close the thread-rate it and write a review.Your rating will be of help to me.
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Shall i do these :
1)2-D Echocardiography
2)Magnetic resonance angiography(MRA) of intracranial and neck vessels
3)ANA
4)Thrombophilia profile-APLA,Protein C,Protein S,Factor v,Serum homocysteine
5)Lipid profile
and do send you updated tests report.
What about the 2nd doc : medicines referred, is not safe to have?
For speech therapy what should i say to physiotherapy specialist.
Can i have direct meet with for further consultation and how time it would take to recover completely.
is it something related to my heart , i mean my heart did not respond or did not pump blood regularly? bcoz one doc said me due my heart unable to pump blood this thing happen.
I am final year student of MBA, i have missed final exam too due to this situation. Kindly help. My career will spoil.
Thank You
1)2-D Echocardiography
2)Magnetic resonance angiography(MRA) of intracranial and neck vessels
3)ANA
4)Thrombophilia profile-APLA,Protein C,Protein S,Factor v,Serum homocysteine
5)Lipid profile
and do send you updated tests report.
What about the 2nd doc : medicines referred, is not safe to have?
For speech therapy what should i say to physiotherapy specialist.
Can i have direct meet with for further consultation and how time it would take to recover completely.
is it something related to my heart , i mean my heart did not respond or did not pump blood regularly? bcoz one doc said me due my heart unable to pump blood this thing happen.
I am final year student of MBA, i have missed final exam too due to this situation. Kindly help. My career will spoil.
Thank You
Brief Answer:
Please revert back with the investigations.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
Of course!You should get the investigations done and revert back with the results.
The medicines prescribed by the 2nd doctor is more or less ok,except that it contains a lot of supplements(N-liv,N-cod, N-Cobal Plus)which are not needed in your case.On the contrary,it is missing in some important medicines like Homochek and piracetam.So,the first prescription appears to be more appropriate.
Speech therapist will help in speech therapy,not the physiotherapist.
It can't be precisely told that in how much time will you have complete recovery.Since you are of young age, so better chances of recovery.However,it may take from months upto a year.It is not definite whether 100% recovery will be there or not.
Heart disturbances are common causes of young stroke.It will be ruled out by 2-D Echocardiography and Electrocardiogram(ECG)-ECG is not included in the above list.Please get it done too.Unless we see these investigations,we can't really say about heart abnormalities.
Hope I have answered your query.If you have some follow-up queries,I shall be glad to answer else,please close the thread-rate it and write a review.Your rating will be of help to me.
Dr.Ajay Panwar,
MD,DM(Neurology)
Please revert back with the investigations.
Detailed Answer:
Hi XXXX,
Thanks for being in follow-up.
Of course!You should get the investigations done and revert back with the results.
The medicines prescribed by the 2nd doctor is more or less ok,except that it contains a lot of supplements(N-liv,N-cod, N-Cobal Plus)which are not needed in your case.On the contrary,it is missing in some important medicines like Homochek and piracetam.So,the first prescription appears to be more appropriate.
Speech therapist will help in speech therapy,not the physiotherapist.
It can't be precisely told that in how much time will you have complete recovery.Since you are of young age, so better chances of recovery.However,it may take from months upto a year.It is not definite whether 100% recovery will be there or not.
Heart disturbances are common causes of young stroke.It will be ruled out by 2-D Echocardiography and Electrocardiogram(ECG)-ECG is not included in the above list.Please get it done too.Unless we see these investigations,we can't really say about heart abnormalities.
Hope I have answered your query.If you have some follow-up queries,I shall be glad to answer else,please close the thread-rate it and write a review.Your rating will be of help to me.
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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