How to rehabilitate from brainstem hemorrhage?

Written by Chen Yu Fei
Neurosurgery
Updated on February 27, 2025
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For patients with brainstem hemorrhage, it is often recommended during the acute phase to treat them with medications for hemostasis, brain enhancement, nerve nutrition, dehydration to reduce intracranial pressure, and inhibition of gastric acid. It is also important to actively treat complications and comorbidities caused by the brainstem hemorrhage. For these patients, when the condition is stable, appropriate rehabilitation exercises should be carried out. For patients with hemiplegia or aphasia, rehabilitation exercises can be done on the affected limbs, and speech rehabilitation training can help improve current conditions of hemiplegia and aphasia. Additionally, for these patients, active and passive massage of the limbs should be initiated early to prevent muscle atrophy and joint stiffness.

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Written by Chen Yu Fei
Neurosurgery
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Recovery of consciousness from brainstem hemorrhage takes several days.

For patients with brainstem hemorrhage, how many days it takes to regain consciousness depends on the location of the bleeding and the amount of bleeding. If the amount of bleeding is small, the patient's consciousness often gradually awakens within 24 to 48 hours. There may be short-term language impairments, manifesting as unclear speech, difficulty speaking, articulation disorders, and accompanied by significant swallowing difficulties, indicated by choking on water, but this will gradually improve over time. If the bleeding is substantial, it often leads to the patient being in a coma for a long time, and may even enter a vegetative state for an extended period, unable to regain autonomous consciousness.

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Written by Zhang Hui
Neurology
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How long does it take to wake up from a brainstem hemorrhage?

Brainstem hemorrhage is a very serious condition. If the amount of bleeding in the brainstem increases, the patient will rapidly become comatose and exhibit symptoms such as paralysis of the limbs, inability to swallow, and inability to speak. Generally, if a patient with brainstem hemorrhage falls into a coma and cranial CT confirms a large amount of bleeding in the brainstem, the chances of the patient waking up are very, very slim. If the amount of brainstem hemorrhage is not particularly large and the patient's level of coma is not very deep, treatment may lead to the patient waking up, which could take about two to four weeks. However, the prognosis for brainstem hemorrhage is generally poor, and if the patient falls into a coma, they are usually unlikely to wake up. The treatment for brainstem hemorrhage mainly involves controlling blood pressure and preventing complications. If respiratory failure occurs, timely treatment with a ventilator is necessary. Overall, brainstem hemorrhage has a poor prognosis and high costs.

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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 Chen Yu Fei
Neurosurgery
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How to rehabilitate from brainstem hemorrhage?

For patients with brainstem hemorrhage, it is often recommended during the acute phase to treat them with medications for hemostasis, brain enhancement, nerve nutrition, dehydration to reduce intracranial pressure, and inhibition of gastric acid. It is also important to actively treat complications and comorbidities caused by the brainstem hemorrhage. For these patients, when the condition is stable, appropriate rehabilitation exercises should be carried out. For patients with hemiplegia or aphasia, rehabilitation exercises can be done on the affected limbs, and speech rehabilitation training can help improve current conditions of hemiplegia and aphasia. Additionally, for these patients, active and passive massage of the limbs should be initiated early to prevent muscle atrophy and joint stiffness.

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Written by Gao Yi Shen
Neurosurgery
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Chance of rescue for brainstem hemorrhage

The chances of successfully treating brainstem hemorrhages vary greatly, as they are closely related to the location and amount of the hemorrhage in the brainstem. Generally speaking, the chance of completely successful treatment of a brainstem hemorrhage is only about 10%, with many cases leaving significant sequelae or leading to clinical death. Particularly in the case of medulla oblongata hemorrhages, even a minimal bleed of 5ml can be extremely critical, as it can immediately cause cessation of both respiration and circulation. This is because this area is crucial for the operation of vital neurological functions and is very delicate; once damaged, it could potentially lead to death. Therefore, it is essential to clearly determine the exact location and volume of the brainstem hemorrhage, as only then can the probability of successful treatment be more accurately calculated.