31 year old sister had ischemic stroke 3 weeks ago

[ashcake2006]

My sister had an ischemic stroke over 3 weeks ago and although there have been periods where she opens her eyes, moves when you're touching her feet, turns her head to follow voices, etc. she's still not fully conscious nor does she speak. I would like to know how long will it take for her to gain alertness? Right now it's hard to tell because they're still giving her meds like Ativan which causes her to sleep more.

[Dr. A. Srivastava]

Hi, Thank you for your question. I can understand your worrying concerns about post-stroke recovery. Unfortunately, rehabilitation is the only effective way to help the patient regain function to the possible extent and prevent from permanent losses. If rehabilitation program is appropriately instituted, most of the stroke patients can regain maximum functions with appropriate therapy, training and support services. For coordinated rehabilitation program a team of a neurologist, a physiotherapist, an occupational therapist and a speech-language pathologist, a nutritionist work together to help you in your recovery. Therefore, I would suggest following the suggestion made by them and recovery will be although slow but most of the functions may be restored. In addition, it is essential to know that risk of stroke recurrence may be reduced such as by quitting smoking and controlling blood pressure. Hope this helps.

[medicmommy]

I know you don't want to hear this but, it may be some time before she is able to communicate at all, but your sister is in there...She will have a long recovery road ahead and soon it will be time to cut back her ativan to an as needed status. Ask her Dr about the medicine, and have him/her explain why she is on it at this time. There may be some concerns about excess activity and residual brain swelling, and everyone is different in their recovery time. If this is passed, then ask if she can be off of it during the day while you or other family members are there. The more opportunities she has with interacting with everyone (without the influence of a drugged state) the sooner her rehabilitation can occur.  Keep in mind that she may not be able to speak at all, or feed herself, or walk for a very long time...~MM