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Thalamic hemorrhage
My grandfather complained of not being able to move his right hand and leg last Tuesday. On doctor's advise, we had an MRI scan done for him which showed acute bleed in the left thalamus (detailed report attached), alongwith a KFT. Based on the reports, the doctor advised to admit him to the hospital for medication and ruled out surgery keeping in mind his old age. He has been refusing to take his Anti-Hypertension medicines for sometime and that could be a reason for the stroke. His condition has improved since he was admitted to the ICU, after being given aggressive medication. He is conscious and does talk to us a bit when we visit him. Please advise as to what are the long term implications and what is the possible scenario once he's removed from aggressive medication or when he comes back home. Thanks a lot!
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Care AI Shimmer
Hypertensive hemorrhagic strokes in the thalamus infrequently require surgical intervention in the first 48-72 hrs if they are large and the patient is clinically deteriorating. He should be out of the danger period by now. The next steps in management are rehabilitation with physiotherapy and prevention of secondary complications like leg clots, bed sores or UTIs. His arm and leg weakness may improve over time but it is difficult to say by how much and he is unlikely to ever return to his premorbid status. Most neurological recovery happens in the first 6-9 months and plateaus by about a year.
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He should ensure good control of his blood pressure so that he doesn’t develop another stroke in the future
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.