How to improve movements in my bedridden mother who had stroke on the left side of her brain?

Hello doctor,

My mother had been diagnosed with hydrocephalus which required immediate surgery. She always has high blood pressure. She had the operation and recovered in terms of better speech skills for just a couple of days. Later she got worse, and the progress stopped suddenly. We tested the device implanted in her brain to check if it was functioning, and it turned out to be working fine. We have been asked to perform CT and MRI of the brain, both showed that there is a stroke on the left side of her brain, a little big and located in the part which is responsible for movement and speech, which is the reason she lost the ability to move or even stand and lost her speech skills, metaphorically she is like a one-year-old baby. We have been given a prescription that we need to follow, which will enhance her level of consciousness and a slight improvement in her speech skills. However, there is no improvement in movements. The doctor said that the injection (Cerebrolysin 5 mg) is the most important one on the list and the home physiotherapy. We are stuck and frustrated as we do not know what to do and how to improve her case. As we are looking to improve her movement skills even before the speech to avoid the bedsores and loss of muscle strength. We appreciate your answer and recommendation. Is there hope, doctor? Is she going to move and walk again, even in small steps?

Hello doctor,

Thanks for your reply. Please find the following answers to your questions -

1) I tried to reach out to her physician to check the root cause of her hydrocephalus. However, he is not reachable at the moment. Yet I recall when I asked him the same question, he answered that it could be due to aging. My mom had multiple strokes, three to four in six to seven years, but they were small and had a slight impact. Hopefully, this is the answer to your question, primarily obstructive.

2) My Mom had surgery three months before and then had the stroke two days later as per the doctor's diagnosis. She stayed in the ICU for around five days to recover. Then went back home and did not have any progress. So she was admitted to the hospital for another five days in the ICU, and now she is home.

3) Regarding the current condition, she can chew and swallow all kinds of food. She understands our conversations and emotions and reacts either by smiling or crying based on what we say, sometimes she speaks some words and small sentences like (thanks, you know, where are you going? I am good, etc.), but most of her speech is in comprehensible language.

4) Regarding seizure, she had nothing like that. However, recently, she raised her left leg constantly, not sure why the pain or muscle contraction is.

5) She is not staring. However, in the last video call, I had with her, she kept looking at me without saying incomprehensible words for almost one to two minutes.