Is it dangerous to have a high fever with brainstem hemorrhage?

Written by Tang Li Li
Neurology
Updated on May 20, 2025
00:00
00:00

Brainstem hemorrhage is dangerous if accompanied by high fever. Brainstem hemorrhage itself is a severe disease, and patients often experience disturbances of consciousness, coma, and paralysis of limbs. The hemorrhage can damage the center that regulates body temperature, leading to central fever. After falling into a coma, patients may encounter problems with expectoration and swallowing, which can easily lead to aspiration pneumonia and hypostatic pneumonia. Infections can also cause high fever. Patients need to use diuretics to reduce intracranial pressure, but excessive dehydration can also lead to dehydration fever. High fever exacerbates the consumption of the patient's body, increasing the physical burden and potentially leading to multiple organ failure. It is necessary to control the fever as soon as possible, using both physical cooling methods and medication.

Other Voices

doctor image
home-news-image
Written by Chen Yu Fei
Neurosurgery
48sec home-news-image

Key Points in Nursing Care for Patients with Brainstem Hemorrhage

For patients with brainstem hemorrhage, due to the special location of the bleeding which affects crucial neural functions, these patients often need to be transferred to the intensive care unit (ICU) for examination and treatment. In the ICU, close observation of changes in the patient's condition is essential, along with monitoring vital signs including blood pressure, respiration, heart rate, and blood oxygen saturation. Nursing care should focus on the patient's pupils, consciousness, and limb activity. It is necessary to manage and stabilize the patient’s blood pressure, blood sugar, and blood lipids through medication, regularly draw blood, and analyze the patient’s biochemical system to prevent severe water and electrolyte disturbances.

doctor image
home-news-image
Written by Li Qiang
Intensive Care Unit
48sec home-news-image

Can I drink fish soup with brainstem hemorrhage?

The patient experienced a brainstem hemorrhage, and if the bleeding is extensive, it's possible that the patient could be in a deep coma. In more severe cases, brain death could occur, where the patient would not be able to breathe on their own. Since the pathology mainly occurs in the brain, when the patient is in a coma, they are certainly not able to eat by themselves. At this time, feeding usually involves the insertion of a tube through the nose down to the stomach, called a nasogastric tube. Through this tube, food is delivered directly to the stomach, allowing for gastrointestinal nutrition. Commonly, the gastrointestinal function of such patients remains normal, so it is possible to administer liquid nutrition through the nasogastric tube, such as nutrient solutions or fish soup, without any issues.

doctor image
home-news-image
Written by Zhang Hui
Neurology
1min 2sec home-news-image

Does brainstem hemorrhage easily recur?

The main cause of brainstem hemorrhage is hypertension, which can lead to hyalinization in the arteries that supply the brainstem, and even the formation of small aneurysms. Under the impact of blood flow, these are prone to rupture, leading to hemorrhage in the brainstem. This is the primary mechanism of onset for brainstem hemorrhage. If the brainstem hemorrhage is caused by hypertension, maintaining good control of blood pressure and keeping it below the ideal level of 140-90 mmHg can prevent frequent recurrence, so there is no need for excessive worry, but it is crucial to monitor blood pressure regularly. Additionally, brainstem hemorrhages can also be caused by other reasons, such as cavernous hemangiomas or arteriovenous malformations. If brainstem hemorrhage is caused by these diseases, and the abnormal vessels are not surgically removed, recurrence is likely. Removing these abnormal vessels can greatly reduce the likelihood of recurrent brainstem hemorrhages.

doctor image
home-news-image
Written by Chen Yu Fei
Neurosurgery
49sec home-news-image

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.

doctor image
home-news-image
Written by Gao Yi Shen
Neurosurgery
41sec home-news-image

Can brainstem hemorrhage be cured?

Whether brainstem hemorrhage can be cured must be determined based on clinical symptoms, laboratory tests, and patient examination. Generally speaking, if the symptoms of brainstem hemorrhage are relatively mild, such as headache, dizziness, without the occurrence of limb weakness, hemiplegia, epilepsy, etc., it is generally curable in the later stages without significant residual effects. However, in actual life, some cases of brainstem hemorrhage can be severe, even causing disturbances in consciousness, coma; or leading to abnormal breathing and heart rate, causing death. Therefore, it must be judged based on the situation at the time.