Common "Stroke" queries answered by top doctors | iCliniq


A stroke is caused when the blood supply to the brain is interrupted, causing a deprivation of oxygen and nutrients to the brain tissues. It can happen when the blood vessels in the brain rupture or if there is a blockage. The symptoms include paralysis, confusion, slurred speech, blurred vision, dizziness, confusion, and loss of balance.

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My friend has sensory loss and neuropathic pain. Why?

Query: Hi doctor, My friend, who is a 48 years old female, suffered a cerebral vascular accident (CVA) three years back. She was diagnosed with a right thalamic hemorrhagic stroke with pericardial effusion, left hemiparesis, autoimmune thyroiditis, hypertrophic cardiomyopathy, ischemic unstable angina, gra...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to Thalamus is the part of the brain, through which all sensory information is relayed. After a stroke involving the thalamus, many times, the patient develops thalamic pain syndrome, which is very poorly responsive to medications. But as you told that it was relieved to...  Read Full »

My grandmother is suspected of a brain stroke. Please help.

Query: Hi doctor, My 82 year old grandmother is in a coma from the past 15 days. The doctors are suspecting a brain stroke. I am attaching all her reports. When will she come out of the coma?  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I have seen all the attached reports (attachment removed to protect patient identity). Your grandmother has posterior circulation stroke, which has involved very compact structures of the brain (pons, midbrain, and thalamus). These structures of the brain have very co...  Read Full »

My 56-year-old father experienced an acute infarction in the left basal ganglia, along with the history of right occipital lobe infarct. Please help.

Query: Hi doctor, My father, 56 years old, had a stroke of acute infarction in the left basal ganglia. They also had an old right occipital lobe infarct and an attack four years back. Give advise. Thank you.  Read Full »

Dr. Hitesh Kumar

Answer: Hi, Welcome to I would like to know some further information about your father: 1. Does he have any other medical history? Diabetes, hypertension, heart problems, and kidney problems? 2. Does he smoke or drink? 3. Was he on any regular medications after the first stroke? As shown in...  Read Full »

Will anyone get recurrent stroke while on medications?

Query: Hello doctor, My mom had a stroke two years ago related to atrial fibrillation (AFib). They put her on Eliquis, maximum dose. Last week she had another stroke, and they believe it is heart-related. They are still puzzled though and have added a baby Aspirin a day on top of the Eliquis. Has anyone he...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to Recurrent strokes are very common. As your mom have atrial fibrillation, she must be on regular anticoagulants for prevention of stroke. But as now she has developed new stroke while taking anticoagulants, Its right decision to add ecosprin for further prevention of s...  Read Full »

After stroke, my left hand and leg are not functioning well. What to do?

Query: Hi doctor, I am 60 years old male. Before a year, I got a stroke. After recovering from it, my left side ear, hand, and leg are not functioning well. Please suggest.  Read Full »

Dr. Hitesh Kumar

Answer: Hi, Welcome to After a stroke, usually, recovery is maximum in initial three to six months. After that, you can have a slight improvement up to one to one and a half years. Some residual weakness usually persists. You need to do regular physiotherapy. Few patients develop spasticity, a...  Read Full »

How long will it take for my grandmother to recover from a stroke?

Query: Hi doctor, My grandmother's right hand and right leg were affected recently, and she was unable to walk or lift the hand. We admitted her to a hospital where computed tomography (CT) scan was taken. The doctors discharged her in three days with some prescriptions. She is doing physiotherapy at home ...  Read Full »

Dr. Hitesh Kumar

Answer: Hi, Welcome to It seems that your grandmother had an acute stroke. The recovery depends on the following factors: 1. Size of stroke in the brain. 2. The exact area involved in the brain by the stroke. 3. Associated comorbidity like diabetes, hypertension, heart problem, etc. 4. The age...  Read Full »

My mother got a brain stroke last month. Are home care and supervision enough?

Query: Hello doctor, My mother got a brain stroke last month. Since then, she has been hospitalized. She got another stroke on the first week this month. We immediately did an magnetic resonance imaging (MRI) and saw a bigger clot. The earlier clot had also increased in size. So within the window period, w...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to I have seen the files provided by you (attachment removed to protect patient identity). It is unfortunate that your mother developedbleeding after Boehringer Knoll injection. It is documented to happen in 5 to 7 % of the patients to whom this injection is given for st...  Read Full »

My mother got a brain stroke. What is the treatment?

Query: Hi doctor, My mother, who is 65 years old, had a brain stroke. Could you help us with the treatment? I have attached the magnetic resonance imaging (MRI) report for your information.  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to By looking at the magnetic resonance imaging (MRI) report (attachment removed to protect patient identity), it seems that the patient had left PCA territory stroke (posterior cerebral artery). The treatment of stroke cannot be dictated just by seeing the MRI report. Th...  Read Full »

After a stroke, my father sleeps 20 hours a day and has confused behavior. What should we do?

Query: Hello doctor, My father has been diabetic (type 2) for the past 25 years and has high blood pressure for the past seven to eight years. He had a paralytic stroke a few months back and had thrombolysis done. He started recovering with the help of physiotherapy. After 15 days of stroke, he was found t...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to Thank you for your query. I understand your concern. Sleeping for a long duration with intermittent confused behavior can be due to a few possibilities: Underlying forgetfulness or dementia, which may be compensated prior but getting worse due to febrile illness. ...  Read Full »

My father's a stroke survivor but since then he is depressed most of the times. Please help.

Query: Hi doctor, My father had a stroke, after which he is not interested in eating or drinking, lacks interest, and sleeps excessively in the daytime. His recovery seems extremely slow.  Read Full »

Dr. Hitesh Kumar

Answer: Hi, Welcome to I understand your concern. There can be multiple factors (single or in combination) for such symptoms after a stroke at this age: 1. Stroke itself may be a reason if it affects the brain's thalamus. 2. Post-stroke depression is a widespread phenomenon. 3. Underlying...  Read Full »

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