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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Aneurism, Stroke With One Part Of The Hemisphere Of The Brain Removed. Completely Bed Ridden And Cannot Speak. Suggestions For Progress?

I am taking of a 45 year old woman who had a anurisum and stroke . She had the almost the whole right hemisphere of the brain removed and is now completely bedridden and can not speak. Her 67 year old mother is also taking care of her and would like to see some form of progress, such as some form of speech and mobility can you give a suggestion.
Wed, 2 Apr 2014
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Neurologist, Surgical,  's  Response
Hi, Bless you for caring for this woman. I am so sorry to hear about her problems.

Let me see if i can help you by giving you some basic information about the rehabilitation process post stroke and post surgical decompression.

Medications to prevent another stroke are just one part of the process. The other (and equally important part) is PHYSICAL THERAPY. The patient needs to be in intense Speech and physical therapy so that the brain is encouraged to remap lost neurons to other functional ares of the brain.

Studies show that even without PT and ST, the brains remapping window will linger for 6-8 months after the Cerebrovascular event. WITH PT and ST, that remapping process can end up going on for up to 24 months!

So in the end, i don't deny that this is a really difficult situation for the patient, you and the family, but i believe intense PT and ST for up to 2 years is the patients best chance for recovery of functions.

I hope this helps. If you would like to discuss this further with me or any Neurospecialist on the site, you can use our "Ask a Specialist" option and we will get back to you right away.

Vinay
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Aneurism, Stroke With One Part Of The Hemisphere Of The Brain Removed. Completely Bed Ridden And Cannot Speak. Suggestions For Progress?

Hi, Bless you for caring for this woman. I am so sorry to hear about her problems. Let me see if i can help you by giving you some basic information about the rehabilitation process post stroke and post surgical decompression. Medications to prevent another stroke are just one part of the process. The other (and equally important part) is PHYSICAL THERAPY. The patient needs to be in intense Speech and physical therapy so that the brain is encouraged to remap lost neurons to other functional ares of the brain. Studies show that even without PT and ST, the brains remapping window will linger for 6-8 months after the Cerebrovascular event. WITH PT and ST, that remapping process can end up going on for up to 24 months! So in the end, i don t deny that this is a really difficult situation for the patient, you and the family, but i believe intense PT and ST for up to 2 years is the patients best chance for recovery of functions. I hope this helps. If you would like to discuss this further with me or any Neurospecialist on the site, you can use our Ask a Specialist option and we will get back to you right away. Vinay