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BRAIN STEM STROKE 10/06

MY BRO WHO WAS A 56 Y/O B M SUFFERED A ISCHEMIC BRAIN STEM STROKE ON 10/6/07  HE HAD A HX OF H/B WAS AT WORK WHEN STROKE ACCURRED HE WAS SEEN AT A SUBURBAN HOSPITAL WERE THEY DID A CT SCAN.HE WAS DX WITH A STROKE OF THE BRAIN STEM AND LT HEMI  INFARCT  BUT WAS UNABLE TO RECIVE TPA DUE TO ELAVATION IN HIS B/P HE WAS LFIE FLIGHTED TO ANOTHER HOSPITAL UPON ARRIVAL THEY PERFORMED  AN ANGIOGRAPH  BUT DETERMINED THAT THERE WAS TO MUCH BLOCKAGE OF THE CAROCTED ATRERIES TO PLACE A STENT AND GIVE ADITIONAL MED . THEY ALSO NOTED THAT HE HAD EDEMA TO THE BRAIN CONFIRMED BY MRI AND THAT HE WOULD SURCOME IN 72- 94 HRS. THEY BELIVED STEROIDS WOULD ONLY WORSEN THE EDEMA. THEY DID NOT RECOMMENED A HEMICRAINECTOPY BELIVING THIS WOULD LIVE HE IN A PVS. IN 2002 MY SISTER ALSO PAST AWAY HE TO HAD HX OF H/B STROKE AND MI. PLEASE TELL ME IF A HEMICRAINECTOPY WOULD HAVE MADE A DIFERANCE IN HIS OUTCOME . I HAVE 6 OTHER SIBLING AND WOULD LIKE TO BE PREPARED IF THIS SITUATION ARISES AGAIN . PLEASE RESPOND!!!!!!!!!!!!!!!!!!!
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thank you from jack 10
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Avatar universal
Hi,
You can't expect a complete physical recovery after such a massive stroke with such a massive surgery. Recovery can be expected, but recovery with out residual paralysis is not possible. I am not sure whether should you insist or not knowing the consequences, but yes an attempt could have been made especially as you told there have been others who have died because of same symptoms. Each and every case has to be taken in individual way, some might regain some function, and some might not at all. Recurring stroke after such an event if taken care properly with medicine and dietary restriction, the possibilities are less.
Hope this helps.
Bye.
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Avatar universal
   TO caliber 2005, would this have  worked in my brother's case ,with lt hemi infarct the angiograph showed  complete blockage of the caroctic arteries on the left side with complete loss of circulation TO THE LT SIDE OF HIS BRAIN when we where shown his agiograph and mri less than 24 hr later there was already midline shift the  HOSPITAL STATED IF IT WERE  DONE IT WOULD LEAVE HIM IN PVS STATE  SHOULD I HAVE INSISTED?    HE SURCOMED TO THE STROKE 94 HRS AFTER  THE STROKE . AND DO THESE PT'S DO MORE THAN SURVIE DO THEY HAVE COMPLETE RECOVERY AFTER LOSEING THE LT SIDE OF HIS BRAIN FUNTION ?  WHAT IS THE INSTANCES OF RECURRING STROKE AFTER SUCH AN EVENT ?DOSE A HEMICRAINECTOPY ALSO RESTORE PT TO  FULL PHYSICAL CAPEABILITIES, ? OR ARE THEY BED CONFINED ?  JACK 10
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Avatar universal
Hi Jack,
Induced moderate hypothermia (32.8C to 33.8C) and hemicraniectomy with durotomy or duroplasty are two promising therapeutic strategies that may reduce mortality rates and improve outcomes if they are performed before irreversible brain stem injury occurs.
Hemicraniectomy primarily prevents tissue shifts that lead to brain stem compression.
Early hemicraniectomy (within first 24 hours) results in an unequivocal reduction in mortality rates.
Hope this answers your question.
Hope this helps you.
Bye.
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