Can you survive with 10 milliliters of bleeding in the brainstem?

Written by Chen Yu Fei
Neurosurgery
Updated on September 11, 2024
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A brainstem hemorrhage of 10 milliliters is relatively significant; whether the patient can survive depends on specific circumstances. First, it must be determined if the hemorrhage has compressed important neural nuclei, causing apparent respiratory and circulatory dysfunction. If such dysfunction occurs, it could severely threaten the patient's life. Additionally, the patient's level of consciousness and the availability of timely and effective treatment, along with necessary life support, must be considered. For example, if respiratory and circulatory dysfunction arises, it might be appropriate to use vasopressors to maintain blood pressure and ventilators to assist breathing. If effective life support is available, it is often possible to survive the peak period of swelling and preserve life.

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Written by Zhang Hui
Neurology
1min 6sec home-news-image

What should not be eaten in case of brainstem hemorrhage?

Firstly, patients with brainstem hemorrhage should avoid eating foods that are difficult to digest. This is because these patients can easily develop acute gastric mucosal lesions, leading to decreased gastrointestinal function. If they consume harder foods, it could increase the burden on their digestive function, which is detrimental to recovery. Secondly, patients with brainstem hemorrhage should also avoid cold items, such as drinking cold beverages or eating ice cream, as these can easily cause diarrhea. Thirdly, patients with brainstem hemorrhage should not eat overly salty foods, such as pickles, salted meat, salted fish, and so on. These items can cause an increase in blood pressure, potentially exacerbating the brainstem hemorrhage. Fourthly, avoid overly greasy foods as they can increase blood lipids, which is also unfavorable for the recovery from a brainstem hemorrhage. Fifthly, patients with brainstem hemorrhage should not smoke or drink alcohol, as these have no beneficial effect on their condition and could instead accelerate the progression of the disease.

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Written by Chen Yu Fei
Neurosurgery
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How to administer first aid for brainstem hemorrhage

For patients with brainstem hemorrhage, once signs of brainstem hemorrhage are detected, the patient should be sent to the local hospital immediately for an emergency head CT scan to help determine the location and severity of the hemorrhage. Due to its special location, brainstem hemorrhage is often difficult to treat surgically in most cases. Once brainstem hemorrhage occurs, the patient should first be transferred to the intensive care unit for close monitoring of vital signs. At the same time, administer medications to stop bleeding, enhance brain function, nourish nerves, promote dehydration, and reduce intracranial pressure, while carefully observing changes in the patient's condition. During treatment, strictly prevent and treat various comorbidities or complications. (Please use medications under the guidance of a professional physician and do not self-medicate.)

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Written by Huang Lei
Physical Medicine and Rehabilitation
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How to rehabilitate through exercise after brainstem hemorrhage

Regarding the specific measures for rehabilitation exercises for brainstem hemorrhage, it is necessary to analyze specific problems based on the different conditions of the patients. Based on our past experience, several common symptoms of brainstem hemorrhage can be addressed with corresponding rehabilitation measures. The first one is swallowing disorder, which is very common in patients with brainstem hemorrhage. We can provide patients with electrical stimulation and ice stimulation, and teach them morning exercises such as cheek puffing, tongue stretching, and dry swallowing practices. The second common issue is articulation disorder, for which we can teach patients some speech training. Usually, we can prepare patients with rhythm, cadence, and deep breathing exercises for speech training. The third is the dysfunction of limb mobility. For specific activities, we need to conduct training, including some balance function training.

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Written by Zhang Hui
Neurology
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Is it dangerous to have a fever with brainstem hemorrhage?

Brainstem hemorrhage itself is a very dangerous disease. Patients with a large amount of bleeding generally find it difficult to recover and may even result in a vegetative state or death. The occurrence of fever in brainstem hemorrhage mainly has two reasons. First, brainstem hemorrhage can cause central fever, which is mainly due to damage to some autonomic nerves, leading to problems with the body's temperature regulation function. If central fever occurs, it is quite dangerous and indicates a poor prognosis, necessitating active physical cooling. Secondly, patients with brainstem hemorrhage are often in a comatose and bedridden state, making them highly susceptible to various complications, such as pulmonary infections and urinary system infections. If fever arises due to these infections, it also indicates a poor prognosis, with relatively high mortality and disability rates. Overall, the occurrence of fever in patients with brainstem hemorrhage is quite dangerous and indicates a poor prognosis.

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Written by Zhang Hui
Neurology
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How to rescue brainstem hemorrhage?

Brainstem hemorrhage is an extremely dangerous disease. Patients typically have a long history of hypertension, and their blood pressure is not particularly well-controlled. The onset of the condition is sudden, and if the bleeding is extensive, it can quickly lead to unconsciousness and even respiratory and cardiac failure, resulting in death. It is crucial to rush the patient to the nearest hospital for emergency treatment to avoid aggravating the brainstem hemorrhage due to bumps during a long transport. Generally, the patient should be kept in a supine position, and if they are still conscious, it is vital to keep their emotions stable. Additionally, it is necessary to ensure the airway remains clear. If respiratory failure occurs, ventilation can be provided. Medications that reduce intracranial pressure can be administered to alleviate brainstem edema. Furthermore, respiratory stimulant drugs can be given to ensure breathing. Overall, the mortality rate for brainstem hemorrhages is exceedingly high, with a lack of particularly effective emergency measures.