Doctor insights on:
Embolic Stroke Recovery
Are there any effective exercises to aid in stroke recovery regarding articulation and recovering memory of appropriate words to use?
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
What can I do to improve this feeling of stiffness, after stroke recovery? I've already had months of rehab, but I'm so frustrated.
After brain stroke recovery in hospital suddenly ammonia 99, encephalopathy, unconcious,breathing on own, feeding thrgh tube, 3 days now , not conciou?
Elevated ammonia: will need to be brought down to below 76 (1.5 x upper limit of normal) This can be achieved with lactulose and neomycin or similar treatment. Recovery of consciousness will hopefully occur soon. Might want to check an EEG (will see what are called triphasics with hepatic encephalopathy) Also they can make sure there is no sub-clinical seizure activity. ...Read moreSee 1 more doctor answer
Cardiac Stroke: A blood clot that starts in the heart (usually a bad valve, irregular heart beat causing pooling in the heart, or heart attack with damaged heart tissue) and travels to the brain causing a stroke (cerebral vascular accident). Treatment is based on thinning the blood to prevent another event and if caught soon enough (usually within 3-6 hours), blood clot dissolving therapy. ...Read more
I had two embolic strokes the last in march two months ago started having extreme headches what could be causing this?
Sequelae: This is complex and requires formal evaluation by your health caregiver (physician/aprn) . Personally, i suspect it is due to an architectural (musculoskeletal) imbalance as a result of the strokes. Other causes may be present, and that is why i suggest formal evaluation. www.thepmc.org. ...Read more
Intensive rehab: Stroke recovery is more related to the size of the stroke, the areas of involvement (motor, speech, vision, etc) than to the exact mechanism of cause. Certain functions of the brain are more plastic (tend to recover) than others, & age is a contributing factor. Recovery tends to be greater in the young than in the elderly. Intensive rehab followed by outpatient rehab provides your best recovery. ...Read moreSee 2 more doctor answers
Bleed vs blockage: Hemorrhagic strokes usually refer to bleeds within the parenchyma or substance of the brain (though subarachnoid bleeding - from an aneurysm or such- is rarely and loosely referred to as a hemorhagic stroke). An ischemic stroke is when brain tissue dies (infarcts) due to a lack of blood flo from a clot or small vessel blockage. It is not uncommon for some bleeding to occur within an infarct. ...Read moreSee 1 more doctor answer
I had two embolic strokes the last in march two months ago started having extreme headches what could be cau sing th is shoul i go to er?
Need evaluation: Strokes or poor brain blood flow can promote headaches in older patients. Your emboli could well have changed brain chemicals and blood flow and may have altered baseline auto-regulation. However, I am concerned re. Possible local bleeding secondary to the original damage, so get evaluated. Most likely your headaches will respond to meds used in migraines. ...Read more
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