Can brainstem hemorrhage be cured?

Written by Li Min
Neurology
Updated on April 19, 2025
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Cerebral hemorrhage is divided into lobar hemorrhage, ventricular hemorrhage, subarachnoid hemorrhage, and brainstem hemorrhage. Brainstem hemorrhage is the most severe type of brain injury. Generally, the volume of hemorrhage is determined in three categories: about five milliliters, ten milliliters, and more than ten milliliters. If it is less than five milliliters, then the volume of hemorrhage is relatively small, and recovery is relatively good, usually without leaving residual symptoms. If it is between five to ten milliliters, life may be preserved, but severe residual symptoms such as hemiplegia, sensory disorders, and motor disorders may occur. However, if it exceeds ten milliliters, the mortality rate is generally very high, making it very difficult to salvage.

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Written by Chen Yu Fei
Neurosurgery
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How to prevent brainstem hemorrhage?

To prevent brainstem hemorrhage, it is first recommended that in daily life, if there are underlying diseases such as hypertension or diabetes, it is advisable to keep the patient's blood pressure and blood sugar levels within a stable range. Monitor blood pressure in the morning and evening, and take antihypertensive medication on time. When high blood pressure is detected, you should promptly visit the department of cardiology at the local hospital and ask the doctor to help regulate blood pressure to ensure its stability. In addition, it is recommended to develop good lifestyle habits in daily life, such as regular eating and sleeping, avoiding overwork, exhaustion, mental stress, and staying up late, while maintaining adequate sleep and good lifestyle habits to help prevent brainstem hemorrhage.

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Written by Jiang Fang Shuai
Neurosurgery
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Is a brainstem hemorrhage serious?

Brainstem hemorrhage is a type of cerebral hemorrhage, occurring within the brainstem, which is the central hub of human life. Thus, once a brainstem hemorrhage occurs, the condition becomes extremely complicated and severe, with very high mortality and disability rates. Clinically, brainstem hemorrhages of less than three milliliters have a mortality rate close to 70%. Those exceeding five milliliters have a mortality rate close to 90%, and hemorrhages over ten milliliters are invariably fatal. In recent years, there has been an increasing trend in brainstem hemorrhages, affecting younger populations. This is mainly due to high work stress, uncontrolled diet, lack of exercise, and notably, a lack of awareness and attention to hypertension among young people, which ultimately leads to brainstem hemorrhage. Brainstem hemorrhage is a very dangerous disease.

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Written by Chen Yu Fei
Neurosurgery
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Is brainstem hemorrhage prone to recurrence?

Bleeding in the brainstem area, if not well controlled and treated, is very prone to recurrence. In most cases, considering that patients have underlying diseases such as hypertension and diabetes, and do not control their blood pressure and blood sugar well, resulting in prolonged high levels of blood pressure and blood sugar, such conditions can easily lead to the recurrence of brainstem hemorrhage. Therefore, it is recommended to monitor blood pressure in the morning and evening, take antihypertensive medications on time, and keep the patient's blood pressure within a relatively stable range. Additionally, it is suggested to follow a light diet, low in salt and fat, and to regularly revisit the local hospital for a thorough monitoring of the patient’s vital signs.

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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.

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Written by Gao Yi Shen
Neurosurgery
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Brainstem hemorrhage blood pressure control range

The range of blood pressure control for brainstem hemorrhage must be specifically judged based on the current medical condition at the time. Generally speaking, it is optimal to maintain the systolic blood pressure between 110-120 mmHg. This can both ensure normal cerebral blood supply and reduce the risk of recurrent cerebral hemorrhage due to high blood pressure. However, each patient's baseline blood pressure is different, and many patients have a baseline systolic pressure higher than 180 mmHg. In such cases, it might be appropriate to adjust the target slightly higher, for instance around 130 mmHg. It is recognized that no one’s blood pressure can be perfectly consistent, so a certain degree of fluctuation is acceptable. Unless there are long-lasting high values, in which case, control within a certain range might be needed.