Doctor insights on:
Bilateral Stroke Recovery
Recovering from stroke usually involves a multidisciplinary team of doctors, nurses, physical therapists, occupational therapists, speech therapists and nutritionists. Many patients will need some sort of rehabilitation after leaving the hospital in a skilled nursing facility or stroke rehab center before they are ...Read more
Size of stroke: The amount of swelling, or edema, around a stroke is related to the volume of tissue infarcted. For a small stroke, swelling shouldn't be a problem. For a major hemispheric stroke, swelling can be life threatening and even sometimes require brain surgery to relieve pressure caused by the swelling. ...Read moreSee 1 more doctor answer
Age 23. Coma patient. Diffused axonal injury. Intraventricular hemmorhage. Bleeding in frontal lobe. Chances of survival? Any possible impairment?
Not good : Sorry about this one, but there will be a suboptimal outcome at best. Survival may be issue, talk to your doctors, and perhaps an eeg can guide decisions, but hard to predict outcome of comas. Sounds like a profound traumatic event, and since young and severe, have a family conference with the treatment team, and get all your questions answered. ...Read more
Mild cerebr atrophy MRI psych pt age 65 small lacunar infarct right putamen, mild word finding problems, attention/executive prob
As above: I hope s/he is being seen by a neurologist , if this the case discuss u question with him. ...Read more
66yr/ m congestive heart failure, stroke, pulmonary embolism, then 2nd massive hemorrhagic stroke, surgery to repair, fell into coma. prognosis?
Depends: This is a complex question. It depends on what percent of is already showing signs of infarction (dead brain) rather than just ischemia (brain at risk).... When we see > 1/3 of territory abnormal on initial ct scan, it is a contraindication for tpa (alteplase). It also depends on how long the symptoms have been occurring. But to answer your question, theoretically all could potentially benefit. ...Read more
If carotid stenosis,: I would highly recommend consideration of a stent or enarterectomy, but if you are referring to other blood vessels supplying the brain, medication may be far more appropriate. ...Read more
Popliteal aneurysms: Bilateral popliteal aneurysm repairs can be done at the same sitting but I prefer staged procedures as it is easier on the patient and the surgeon. Get one leg fixed, make sure it's ok then get the other fixed. Alternatively placement of popliteal stents is a viable option that I prefer to popliteal bypass and aneurysm exclusion. Bypass option is still available if it becomes necessary. ...Read moreSee 2 more doctor answers
MRI shows chronic infarct right cerebellar hemisphere and inferior vermis with internal hemorragic areas.TREATMENT & PROGNOS? TIME F COMPLT RECOVERY?
Depends upon cause: A cerebellar infarct in someone of your age would likely be due to an embolic cause. Considerations include vertebral dissection, valvular heart disease, or hypercoagulable state. The treatment is different in each case. As far as recovery, the human brain is quite plastic and will continue to improve as long as you stimulate it. In cerebellar disease special attention is paid to balance. ...Read more
8 months after TB meningitis, she still has issues with walking & cognition recent MRI say chronic lacunar infarct in right thalamus& left basal ganglia & dilated lateral ventricles, will she recover?
PT/Hearing check: Neurologic development in an infant is an ongoing process. After a serious infection, there may be long term effects but it is difficult to predict. It is important to have her hearing and eyes checked. Physical therapy can help her coordination. Ensuring that the infection is fully treated by following up and having all her vaccinations up to date will also help in her recovery.I hope this helps. ...Read more
What is the general recovery timeline following surgery for bilateral insertional Achilles tendinosis? Damage was caused by flouroquinolone therapy.
Yes: The short answer is yesGet a more detailed answer ›
Depends: For a standard cervical discectomy and fusion for radiculopathy it's 8-12 weeks. You could return to work more quickly depending on what you do. The hospital stay is typically overnight, though some surgeons do the procedure outpatient. If someone is very myelopathic, then the recovery/rehab is longer. For an artificial disc the recovery time is shorter since no fusion is expected. ...Read moreSee 1 more doctor answer
Lack of oxygen: In a stroke, brain areas that are essential to function such as language and movement are deprived of oxygen and nutrients. These areas stop functioning soon after blood flow stops. If flow is not restored promptly, these portions of the brain will be permanently damaged. ...Read moreSee 1 more doctor answer
"microsurgical reconstruction of the infraorbital nerves". Mozsary pg, middleton ra. Damaged nerve. 6 cases of full reocver in 7 patients. Possible ?!
Nerve Reconstruction: It depends on what the cause of the original nerve damage was. Ophthalmologists can do wonders these days, so i would certainly suggest making an appointment and get an opinion. The authors report on successful reconstruction in cases where the nerve was intact, but trapped by scar tissue. Your case may or may not be similar, so it is best to undergo a complete evaluation. ...Read more
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