My father was diagnosed with left P1 PCA and PCom junction aneurysm with mass effect over the pons and T2/FLAIR hyperintensity noted in pons, left middle cerebellar peduncle and superior cerebellum. The aneurysm measuring about 3.2(CC) * 2.4(TRA) * 2.7 (AP) cm.
Large dissecting P1 PCA aneurysm was treated with coil embolization by trapping from both left PCom and left P1 PCA.
Postoperatively, patient developed left PCA territory and P1 perforator infarcts (bilateral thalamic). Effective tracheostomy was done.
PEG was done for food intake. VP shunting was done for hydrocephalus.
After six months of coiling procedure, there is no distinct decrease in size of aneurysm and there has been odema according to latest MRI. He is maintaining oxygen saturation in room air. Moving of right upper and lower limb on painful stimuli. Sometimes, left limbs too. There is ever lasting dilatation of left pupil. The position of right hand of body is that of medial rotation with stiffness in both lower and upper right limb. There is irregular sweating from the right side of the body. He himself is an orthopaedic surgeon. What can we do further for his treatment? Any help, suggestions? Can we bring back his tone with physiotherapy ?
I believe in miracles.