Brief Answer:
My reply is below.
Detailed Answer:
Hi,
Thank you for posting your query.
It is unfortunate that your father is paralysed for past two months, and he has not improved much.
I have noted the CT brain findings, and they can not explain his current symptoms fully. Lacunar infarcts mean small
blood clots in the brain due to less blood flow. They generally cause
paralysis of one side of body (hand and leg) and not both legs.
Cerebral atrophy means shrinkage of brain, and is common at 68 years of age.
So, we need to do other studies such as
MRI of spine and brain to find out if he has any other reasons for paralysis of both legs.
In the meanwhile, you can continue medications and
physiotherapy.
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
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