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Any hope for my mother's recovery? massive stroke 6 mos ago

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My mother is 60 and suffered a massive stroke 6 months ago. Her left side is completely paralyzed and she didn't make much progress except in the first 4 weeks she paralyzed side of face became better and she got her ability to pronounce words better. Now 6 months later, she still doesn't have a use of her paralyzed limbs, except she started feel pain in them. She is very fatigued all the time, mostly lays in bed. She sits maybe an hour a day, which she finds very tiring.

Couple of days ago she stopped being able to speak. We tried giving her piece of paper so that she could write, but she can't write anymore either.
Is there any hope for her recovery? I am very discouraged at her recovery progress. She is always in pain and it very hard to see someone you love suffer that much.

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replied June 30th, 2013
Stroke Answer A44082
Welcome to e health forum.

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.

Depending on the severity of the injury persistent effects can persist. Some remnant effects can present as weakness, difficulty in speech, vision defects, loss of memory, etc.

In addition to them occasional symptoms due to irritation of neurons can present as seizures - which can present as sensory or motor issues. Sensory effects like tingling, pins and needles, numbness, visual defects, etc or motor defects like weakness or paralysis of a limb

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.

Unless continuous physiotherapy and proper medical care is given and other risk factors including high cholesterol, high blood pressure, heart related diseases, etc are controlled, the condition would progress further, without chances of recovery.

Partial treatment at home without proper physiotherapy excercises (with help of a professional physiotherapist) would not be very effective in improving the overall outcome of your mother.

In addition, the reduced mobility of the limbs predisposes the patient, for reduced blood flow and hence more risk of further clot formation and recurrent strokes.

You might benefit by consulting with a neurologist, who can gain additional information and if possible treat your mother with antiepileptic medications which may help to reduce her symptoms.

I hope this helps.

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