Paralyzed patients have a tendency to get stroke when they have already had it.
This could be a recurrence of stroke and the patient should be taken to a hospital as a CT scan without contrast needs to be done to know if he has again developed a stroke.
If he has had a stroke again, then the type of stroke also will be identified by the CT scan. The patient will also be evaluated for the risk factors of stroke like high blood pressure and have to be managed accordingly.
If the patient is not completely oriented, then it could be other causes also like some severe infection. It can also be due to fever or severe dehydration as patients are not able to convey their needs properly.
So, I would advise to visit the hospital and get a few investigations done.
The Probable causes:
1. Previous stroke.
2. Modifiable risk factors like hypertension, hypercoagulable status.
3. Infection due to UTI (urinary tract infection) or bed sores.
Investigations to be done:
Blood complete profile, CT scan without contrast, renal function test, liver function test and serum electrolytes.
1. CVA (cerebrovascular accident).
Control modifiable risk factors. The patient is too late for thrombolytic agents. Prevention of re-stroke.
.. during periods of illness, fever, cold, etc., previous symptoms of stroke may reappear but to lesser degree. They usually go away as the illness resolve. It does not mean you have new stroke. With left parietal stroke, one can expect sensory symptoms o Read full
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