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Paralysis in right leg, hand. Brain angiography shows haemorrhagic infract in left hemipons. Cure?

my father is 65 years old .He is suffering from paralysis on right leg and right hand since five months. Recent MR Angiography of brain and neck vessels showed acute haemorrhagic infract in left hemipons. please suggest to clear the infract in left hempions.Due to this he is still not able to do his actvities by himself .He walks with difficulty using a walker and is not able to use his right hand .
Asked On : Wed, 28 Nov 2012
Answers:  2 Views:  135
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Neurologist 's  Response
Nov 2013

Thank you for posting your query.

Infarct in the brain occurs due to lack of blood flow to that part. Any attempt to clear it successfully can only be done in the first 4-6 hours after the onset of paralysis. After that, it is not possible to clear the clot.

However, recovery and improvement can occur slowly over time, with good physiotherapy and exercises.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
Answered: Fri, 14 Dec 2012
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Neurologist, Surgical Dr. Sunil Gautam's  Response
pons haemorrhage is largely due to uncontrolled hypertention,for already occured heamorrhage nothing can be done.TWO very important thing to do is (1)control his blood pressure to avoid further bleeding and (2)continue GOOD physiotherapy to regain power.
Another important thing is at this age usually people have athroma in carotid artery which results in narrowing it which leads to decrease blood flow to brain and some times this athroma break and dislodge and flows with blood to brain and blocks blood flow to perticular part of brain this is infarct.If carotid very narrow then stenting can be done and take all precaution to avoid further progress of atherosclerosis.
Answered: Sun, 16 Dec 2012
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