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Mar 28 th, 2025

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Stroke-Recovery

User Question:

Hello Doctor, 
My friend’s father is admitted, and the doctor said it is paralysis. He is unable to talk, and in the MRI scan, they mentioned a clot. Need your inputs, sir.

Medical Q&A Platform

Doctor’s Expert Answer

A stroke is a medical emergency that occurs when blood supply to the brain is interrupted, leading to serious consequences such as paralysis and speech impairment. There are two main types:

  • Ischemic Stroke – Caused by a blood clot blocking a vessel in the brain.
  • Hemorrhagic Stroke – Caused by bleeding in the brain.

Common Risk Factors for Stroke

Stroke can be triggered by several factors, including

High blood pressure (Hypertension)
Diabetes
Smoking & Alcohol consumption
High cholesterol levels
Obesity & Sedentary lifestyle

Understanding Ischemic Stroke & MRI Clot Findings

Since the MRI scan indicates a clot, your friend’s father is likely experiencing an ischemic stroke, the most common type. This occurs when a clot blocks the brain’s blood flow, leading to symptoms like:

  • Paralysis on one side of the body (e.g., right arm and leg may be affected).
  • Difficulty speaking or complete loss of speech.
  • Cognitive and memory impairments.

Immediate Stroke Treatment: The Golden 4.5-Hour Window

Time is crucial in stroke treatment! If an ischemic stroke is detected early, a clot-dissolving injection (thrombolysis) can be administered within 4.5 hours of stroke onset. This can significantly reduce brain damage and improve recovery chances.

What if Treatment is Delayed? 

If the 4.5-hour window is missed, alternative treatments include

✔️ Oxygen therapy to maintain brain function.
✔️ Blood-thinning medications to prevent further clots.
✔️ Intensive physiotherapy to aid mobility recovery.

What if Treatment is Delayed?

If the 4.5-hour window is missed, alternative treatments include

✔️ Oxygen therapy to maintain brain function.
✔️ Blood-thinning medications to prevent further clots.
✔️ Intensive physiotherapy to aid mobility recovery.

Stroke Recovery: What to Expect?

Stroke recovery depends on the severity and timely intervention. With consistent physiotherapy and rehabilitation, patients can regain up to 90% of lost function within three months. Key factors for recovery:

  • Daily physiotherapy sessions.
  • Healthy diet & lifestyle changes.
  • Family support for emotional well-being.
Dr. Venkataramanaiah Eluru

Final Thoughts

A stroke requires urgent medical attention. If treatment is delayed, physiotherapy and lifestyle changes play a crucial role in recovery.

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