My dad found her last Wednesday at 6am laying in the family room. They had seen each other at 4am in the bathroom. She is 68 years young. With this info, the Dr's gave her the TPA when she got to the hospital, and they did a catheter to try to clear the blockage. They found her carotid was almost completely closed so they had to put a stent in to even proceed. They then found the blockage covered all three arteries (ACA, MCA, PCOM). They were able to clear all but the MCA.
The CT scans were shown to us between days 2 and 3, and the swelling in her brain was pushing the right side of the brain over. They suggested doing a cranectomy to relieve the pressure, which we did. They also had her on antibiotics and something to reduce the swelling.
The Dr's have all said this was a major stroke.
Today is day 6, she finally opened her eyes yesterday, but is not following any commands at this point. They are talking putting a trach tube in to replace the tube in her mouth, and replace the feeding tube in her nose with a PEG tube later this week.
I guess I'm just looking for hope. If anyone has seen someone come even part way back from a really bad stroke like this? The Dr's all say there is a chance, but no one will tell us what we really have to look forward to.
Sorry if I don't have all the info straight yet, we're still trying to process all of this.
Any advice, questions, or comments would be appreciated.
No two strokes are exactly alike, but they all have one thing in common: A stroke almost always causes some brain damage. How much damage depends on the type, location, duration, and severity of the stroke. And the extent and location of damage is what largely determines the stroke prognosis -- the chance for survival or quality of life down the road. Based on the details given, the lack of complete consciousness, motor control or respiratory control indicates that she has suffered a very severe and extensive stroke. In such cases, about 20 % patients do recover to some extent.
There is no exact formula to predict the outcome in every case, nor is there a set timeline for recovery. But there's reason for hope: Although up to 30 percent of stroke survivors suffer some permanent disability, more than half recover functional independence after a stroke.
When considering stroke prognosis, in general, people who have ischemic strokes (caused by a blood clot) have a better chance of surviving than those who have hemorrhagic strokes(caused by a ruptured blood vessel). That's because hemorrhagic strokes have the potential to cause more damage to the brain. When a blood vessel ruptures inside the brain, the bleeding not only destroys brain cells but it can result in other serious complications, including increased pressure on the brain and spasms of other blood vessels.
Since complete details and information has not been provided, it is not possible to give exact details about the prognosis of your mother. You will need to continue to work with her treating doctors, and hopefully things will turn around and improvement might be seen.
Very sorry to hear about your Mom. I know first hand how hard it can be. I just wanted to let you know that there is hope. It has been a long road and 2 and half years later, my Dad still is not walking, but he is healthy.
It was like deja vue reading your post. My Dad's stroke was due to AFIB, but he also had TPA, which they said caused a bleed and 2 days after the stroke had to have a cranectomy. If there is one thing that I can tell you from the cranectomy, a side effect from this is hydrocephaulus. That causes the patient to sleep a lot and really kind of not be there. We had to deal with this for 9 months before the neurologist would install the shunt to regulate the fluid.
He also had a PEG tube installed about 6 months after the stroke. If there is one thing I could tell you, is to keep up whatever physical therapy you can during the time she is missing the bone flap. My Dad's muscle's deterorated really quickly and I think that is part of the reason he is still not walking yet. I asked the neurologist if they could install the shunt at the same time they put his bone flap back in, but he would not do it, said there was to much risk of infection.
This is just a couple of things that happened to my Dad after his stroke, just thought I would let you know the major issues.
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