Hi my father is affected in stroke last 8 year. we have taken lot of treatment with the neuro specialist. but couple of days again he cant to walk properly most important he has not able to go to toilet in bath room instead he done everything in bed.we have taken scan for bothn brain and lumbo sacral spine
lumbo sacral spine
1.Posterior disc bulge at L4 -L5 AND L5-S1 levels with impingement of the L5 and S1 nerve roots
2.Mild posterior disc bulge at L2-L3 and L3 -L4 with minimal impingement of the L3 and L4 nerve roots
1.Multiple lacunar infracts in the ganglio capsular region,corona radiata and centrum semi ovale on both sides
2.Mild age related generalized cerebral and cerebellar atrophy
3.No evidence of mass lesionor hemorrhage or midline shift.
4.periventricular lucencies,suggestive of small vessel ischemic disease.
From the description provided it seems that your father, might have suffered a recurrence of a stroke.
The LS spine MRI - has shown age related degenerative spinal disease causing pressure symptoms on the lumbosacral plexus, which might have affected his control on his bowel and bladder. This is probably the reason he has bowel and bladder incontinence.
The CT of the brain, has detected multiple smaller strokes , which could be due to either recurrence of strokes or older strokes.
First and foremost, your father will need hospitalization for a few days, so that he can receive proper care and treatment. Consultation with his neurologist would help to optimise his treatment of underlying conditions like hypertension, diabetes, etc.
The severity of impingement on the Lumbosacral nerve plexus also needs to be assessed, to check if he needs any surgical decompression of the nerves.
Additional information can be provided by your doctor, based on his current status and physical examination findings.
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