we have a relative who had a stroke 2 months ago; a ct scan of his brain reported chronic permiventricular white matter microvascular ischemic disease; s/p occipital craniotomy with left cerebellar encephalomalacia as well as dilatation of the fourth ventricule and old right basal ganglia lacunar infarct. question is: is there a cure for this? what should be our next step toward his rehabilitation?
Thank you for contacting Chat Doctor. Your relative has suffered from ischemic stroke, which refers to loss of blood supply to parts of brain (as mentioned in the scan report). This is often due to risk factors such as diabetes, high BP, high cholesterol, etc. Most often, complete recovery is not possible. However, the following steps would ensure good recovery and prevent strokes in the future.1. Use of antiplatelet such as aspirin (lifelong)2. Use of statins such as rosuvastatin (lifelong)3. Control of risk factors (if present)4. Physiotherapy Best wishes, Chat Doctor. 