Am neurologist, on iPad at work and don’t want to log in via their Wi-Fi for obvious reasons. Typing is laborious so going to type in shorthand. Technically right but missing tons of data. Too much info missing to give full prognosis but I think he’d do fine based on public info.
Stroke in his case = clot in brain vessel. He had a thrombectomy so he had the clot removed by an interventionalist. No idea how much brain tissue was permanently irreversibly injured. Could be pretty minimal based on the limited videos I saw.
Because they did thrombectomy, we know it was a large vessel. If a large vessel clot completes, he’d have a facial droop and right arm plegia in addition to a LOT more language issues. He seems down to a mild brocas aphasia. Brocas ranges from mute to stumbling words. He’s already on the pretty mild side of a brocas.
If I saw him in clinic, prognosis for recovery would be great. Could have some persisting deficits. A lot would depend on the extent of injury that we don’t know. I’d say the most important factor is already-demonstrated recovery and difference from worst case scenario, complete loss of language and other L MCA stroke symptoms mentioned above.
Recovery in stroke is front loaded. Would make strides in months and then not much further after. He could sit at what we see for life. He could basically return entirely to normal. Would be totally unsurprised if he’s back at pre stroke baseline in 3 months.
Also, even if there’s irreversible brain loss, in small cortical strokes, there’s always a lot of potential for recovery from neuroplasticity from surrounding brain tissue remodeling language networks. Especially in younger patients.
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Am neurologist, on iPad at work and don’t want to log in via their Wi-Fi for obvious reasons. Typing is laborious so going to type in shorthand. Technically right but missing tons of data. Too much info missing to give full prognosis but I think he’d do fine based on public info.
Stroke in his case = clot in brain vessel. He had a thrombectomy so he had the clot removed by an interventionalist. No idea how much brain tissue was permanently irreversibly injured. Could be pretty minimal based on the limited videos I saw.
Because they did thrombectomy, we know it was a large vessel. If a large vessel clot completes, he’d have a facial droop and right arm plegia in addition to a LOT more language issues. He seems down to a mild brocas aphasia. Brocas ranges from mute to stumbling words. He’s already on the pretty mild side of a brocas.
If I saw him in clinic, prognosis for recovery would be great. Could have some persisting deficits. A lot would depend on the extent of injury that we don’t know. I’d say the most important factor is already-demonstrated recovery and difference from worst case scenario, complete loss of language and other L MCA stroke symptoms mentioned above.
Recovery in stroke is front loaded. Would make strides in months and then not much further after. He could sit at what we see for life. He could basically return entirely to normal. Would be totally unsurprised if he’s back at pre stroke baseline in 3 months.
Also, even if there’s irreversible brain loss, in small cortical strokes, there’s always a lot of potential for recovery from neuroplasticity from surrounding brain tissue remodeling language networks. Especially in younger patients.
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