lacunar infarction

[bharathanin]

My father is 61yrs old.He was complaining of wasting of muscles all over the body esp in legs for past 3 yrs. He is a diabetic,hypertensive,and has habit of smoking for past 30 yrs.Weakness of legs for the past 6 months. He fell down while riding in a bike because of weekness of legs before 2 days.His MRI shows 2 lacunar infarcts. He is under allopathic treatment now.He also has problems like difficulty in writing (rt hand).also slight loss of memory.he is advised to take rest and not to ride vehicles

now my question is 1. what is the prognosis.?
2.whether the damaged brain tissue will grow?
3.when he will be able to do his works as before?
some one pls help

thank u

[bharathanin]

thank u very much. hope everything will become normal soon.

[Dr. A. Srivastava]

Hi, Thank you for your question again. Usually, Lacunar infarct occurs due to occlusion of brain arteries and results into stroke. Therefore, this may be associated with headache, numbness and paralysis like symptoms. 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 controlling blood pressure. Hope this helps.