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80 yo father has had a stroke...concerns

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My father had a mild stroke past month. His age is 80. The CT scan repot says,
1)Focal subacute infract in right frontal periventricular white matter and,
2)Age related cerebral and cerebellar autrophy with ischemic changes. My father also had severe cervical spodylosis,other reports including ECG are normal, he is now under medication,
1) Telminorm CH 40/12.5
2) Clopitorva 20
3) Parit D
BP varies anyhere in 160/80, sometimes may be even higher. Other symptoms are dizziness, nausea while taking lunch though occational and loss of apetite. Sometime get disbalance while walking.
My concern is how grave is the problem ? Should I take any additional measure ? The doctor completely overlook the spondylosis. Please share your opinion with me. I am greately thankful to you.
PS The doctor\'s earlier prescribed medecine was,
1) Parit D
2) Neuro Gardian
3) Citimac 500
4) Clopilet A (150)
5) Telminorm CH 40/12.5
But now it has been changed.

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replied October 10th, 2013
Stroke Answer A44976
Thank you for your question.
Based on CT report your father has a small vessel disease. This condition is caused by high blood pressure, diabetes, lack of physical activity, current smoking, and aging. Patients may have small, "lacunar" strokes" as a result(like your father). CT, by the way, is not the test to judge how old the stroke is. The best treatment is a control of the factors I mentioned above.
Cervical spondylosis is a chronic condition, which is pretty much expected in this age. All that matters, if there is any evidence of compression of the spinal cord (myelopathy). Presence of myelopathy is judged based on findings on neurological examination, urine incontinence, and specific abnormality of gait. Physical spinal cord compression should be seen well on the MRI of the spine. I hope this info is helpful. By Andre Strizhak

Providing Top Neurology Services in the New York area. Excellence in treating headaches, dizziness, and head pain.
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