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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Prognosis After A First Massive Stroke?

Hi, I have a friend she is 47 and just suffered a massive stroke today. This is her first one as far as we know. She is not over weight and no other health problems as far as we know. Can you please tell us what her chances of surviving are? Lisa Jimenez
Mon, 20 Jul 2015
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Cardiologist,  's  Response
Hello!

Thank you for asking on HCM!

I would like to explain that there there are different complications after a massive stroke (early complications and later).

In the early phase, the brain swelling after the stroke can raise the intracranial pressure, leading to compromising of the cardio-respiratory function causing death. In this phase mortality can go up to 30% of the patients (especially in massive stroke). This phase is usully treated in the intensive care units, where the patients are intubated.

In the later phase (after the first month)a massive stroke can result in paralysis, loss of muscle control, pain, difficulty with language and speaking, trouble with memory and thinking, and emotional issues. In this phase the mortality is lower related to infections from the motor deficits.

Rehabilitation services can help minimize complications and may include working with a physical therapist to restore movement, an occupational therapist to learn how to perform daily tasks, a speech therapist to improve speaking ability, and psychologists.

Hope to have been of help!

Greetings! Dr. Iliri

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What Is The Prognosis After A First Massive Stroke?

Hello! Thank you for asking on HCM! I would like to explain that there there are different complications after a massive stroke (early complications and later). In the early phase, the brain swelling after the stroke can raise the intracranial pressure, leading to compromising of the cardio-respiratory function causing death. In this phase mortality can go up to 30% of the patients (especially in massive stroke). This phase is usully treated in the intensive care units, where the patients are intubated. In the later phase (after the first month)a massive stroke can result in paralysis, loss of muscle control, pain, difficulty with language and speaking, trouble with memory and thinking, and emotional issues. In this phase the mortality is lower related to infections from the motor deficits. Rehabilitation services can help minimize complications and may include working with a physical therapist to restore movement, an occupational therapist to learn how to perform daily tasks, a speech therapist to improve speaking ability, and psychologists. Hope to have been of help! Greetings! Dr. Iliri