What Is The Line Of Treatment And Is Their Chances For Improvement?

Posted on Wed, 30 Jul 2025

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Wed, 30 Jul 2025 Answered on

2 hours ago Last reviewed on

Question : Patient's age is 85 years(F). Their body movement stopped suddenly two days ago and was not responding. CT scan finding - "WELL DEFINED HYPODENSE AREA OF GLIOSIS - OLD INFARCT IN LEFT BADAL GANGLIA REGION AND AGE RELATED CEREBRAL ATROPHY".
Question -
1. What is the line of treatment and is their chances for improvement?

Answered by Dr. Diwashish Biswas (41 hours later)

Brief Answer:
Please see detailed answer

Detailed Answer:
Hi , i am dr diwashish biswas.
welcome to ask a doctor service.
The CT scan shows signs of an old stroke (infarct) in the left basal ganglia and age-related brain shrinkage (atrophy), which are common at this age. But since she suddenly became unresponsive two days ago, we need to rule out a new stroke or any acute issue that may not yet show on CT.

I’d suggest getting an MRI brain if possible, as it’s more sensitive for new strokes.

Treatment right now focuses on:

Supportive care (hydration, nutrition, vitals)

Starting stroke-prevention meds (like aspirin), if safe

Physiotherapy to maintain mobility

Close observation for improvement

Chances of recovery:

There can be some improvement, especially with rehab, but due to her age and existing brain changes, recovery might be slow and partial.

Still, good care can help improve quality of life.

Hope this helps.
Wishing her strength and recovery.

hope your query is clear now. Thank you

Above answer was peer-reviewed by : Dr. Dr. Nagamani N.G