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Stroke recovery questions

My ex-husband is 54 and had a massive stroke (ischemic) in March.  Some 7.5 months later he is in a nursing home, unable to sit up and unable to move his left limbs.  What causes a stroke patient to not be able to sit up on their own?  Is it a loss of muscle from laying down for so long or is it related to a chemical imbalance?  T-Pa was used, angioplasty was done and neither helped.  A hemi-craniectomy was performed three days later.  The doctors were more concerned with the swelling of the brain.  The clot is still there  Then it was discovered that he has metastatic cancer of the prostate as well.  He is now waiting for the second round of medicaid approved physical therapy.  

Any suggestions or thoughts would be appreciated.  
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My friend has cancer and has a bad stock on her lift side what what uselly my question is what the different having a stock and lift side and the right side ?
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An ischemic stroke causes an area of the brain to be deprived of oxygen, which weakens the neuro-transmition of signals that start in the brain and travel to the muscles.  If this area dies (when it is deprived of oxygen), the nerves innervating the muscles are affected. The trunk muscles are responsible for patients sitting up on their own, and just as though he cannot move his arm or leg, the trunk muscles are probably weak and make it hard for him to sit up independently. It sounds like his stroke was very big.  Does he have mets to his brain?

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