<s>[INST] sir, my father has chronic CVA since jan 2011. initially he was in deep coma due to clot of blood in brain but still now he is on bed and full body paralysed. we give feedings with the ryles tube. give some suggestion ncct of brain:-1. chronic infarct noted in the left cerebellar hemisphere2. few lacunar infarct noted in the brain stem [/INST] Hi, Thanks for writing in.NCCT brain shows:1. Old stroke changes in cerebellum (smaller brain).2. Small areas of deficient blood supply in brain stem. As these are very important areas of brain, the damage is more even if the stroke involves a small area. Your father needs good supportive care which you are giving him I think. Physiotherapy sessions may help his to some extent. This cannot be completely commented upon without seeing the patient. The damage caused by a stroke can be widespread and long-lasting. Many people need to have a long period of rehabilitation before they can recover their former independence. The process of rehabilitation will be specific to you, and will depend on your symptoms and their severity. A team of specialists is available to help, including physiotherapists, psychologists, occupational therapists, speech therapists and specialist nurses and doctors. Hope this helps </s>