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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Blood Clot In Brain. Paralysis In Left Side. Unable To Control Movements?

My mother is 48 years old. She suffered a blood clot on the right side of her brain. While trying to remove it she hemorrhaged so the procedure was immediately stopped. Although she was paralyzed on her right side she was doing surprisingly well. She was able to whisper immediately after the vent was removed and could write with her right hand (she is left handed). She alps recognized everyone that went to visit her. She then suffered from vasospams and became unresponsive and went back on the vent. She has also suffered 2 cardiac arrests and struggled with pulmonary edema. She was on 3 pressers. One of which was episode set at 60 mg. The pulmonary edema has pretty much cleared up, she is off the epi (still on 2 other pressers), and her CO is rising. Her vasospasms are also slowly improving. She has shown signs of posturing but also pulls away each extremity in response to pain. She opens her eyes and has equal reactive pupils but does not follow anything or follow commands. Her face really looks like she is trying to do what they ask. Is it possible that she is aware but cannot yet control her movements?
Sat, 10 Aug 2013
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Neurologist 's  Response
Hi,

Thank you for posting your query.

It is difficult to ascertain the level of neurological recovery without examining the patient. However, based on your description, she seems to be improving. Yes, it is possible that she is aware of what is happening, and still not able to control her movements.

Investigations such as EEG and PET scsn of brain would help in determining the extent of neurological recovery and functioning.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
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Blood Clot In Brain. Paralysis In Left Side. Unable To Control Movements?

Hi, Thank you for posting your query. It is difficult to ascertain the level of neurological recovery without examining the patient. However, based on your description, she seems to be improving. Yes, it is possible that she is aware of what is happening, and still not able to control her movements. Investigations such as EEG and PET scsn of brain would help in determining the extent of neurological recovery and functioning. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist