How long does it take to wake up from a brainstem hemorrhage?

Written by Zhang Hui
Neurology
Updated on December 06, 2024
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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 exercise balance after brainstem hemorrhage?

For patients with brainstem hemorrhage who exhibit significant limb motor dysfunction and reduced sense of balance, it is recommended to seek treatment at a well-known local tertiary hospital. Experienced rehabilitation therapists should assess the current condition and develop an individualized rehabilitation exercise plan based on the patient's condition. Gradually, they should begin exercise training, including training for limb balance capabilities. Patients who actively and effectively engage in exercise therapy often achieve good therapeutic effects, with gradual restoration of balance and strengthening of limb motor function, achieving relatively satisfactory treatment outcomes.

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Written by Chen Yu Fei
Neurosurgery
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Is it normal to have a high fever with brainstem hemorrhage?

Patients with brainstem hemorrhage who develop a high fever may have several possible causes. Firstly, it might be due to absorption heat, but in such cases, the body temperature generally does not exceed 38.5 degrees Celsius. If there is recurrent fever, accompanied by coughing, expectoration, yellow and sticky sputum that is difficult to expel, it is mostly considered likely to be a pulmonary infection, in which case the body temperature generally exceeds 38.5 degrees Celsius, and high fever occurs. Additionally, it is important to note that once fever occurs, antipyretic medications should be administered to the patient to help lower the body temperature. Physical methods such as using warm water or rubbing alcohol for baths can also be used to reduce the temperature.

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Written by Chen Yu Fei
Neurosurgery
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What does it mean to perform a tracheotomy on a patient with brainstem hemorrhage?

In general, tracheostomy for brainstem hemorrhage refers to situations where the patient suffers from a degree of consciousness impairment, presenting in a state of stupor or coma, and it is anticipated that the patient's consciousness will not regain clarity in the short term. In such cases, we generally recommend performing a tracheostomy on the patient as soon as possible. Early tracheostomy can help smoothly suction deep phlegm and better protect lung function. Timely use of oxygen nebulization helps dilute the phlegm and promotes its expulsion, which is beneficial in preventing and treating pneumonia.

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Written by Zhang Hui
Neurology
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Pre-symptoms of brainstem hemorrhage

Brainstem hemorrhage is extremely dangerous, and once a massive hemorrhage occurs, the patient can quickly lose consciousness and generally there are no effective emergency measures available. The patient will quickly die due to the involvement of the centers controlling heartbeat and breathing. The early symptoms of brainstem hemorrhage are not particularly obvious, but a careful medical history may reveal that patients often experience excessive fatigue, stress, emotional agitation, and poor sleep before the hemorrhage. Patients may show early signs such as dizziness, blurred vision, double vision, limb weakness, and slurred speech. If a patient has very high blood pressure and exhibits these early symptoms, especially if there is discomfort in the neck and upper back area, it is crucial to be highly vigilant and seek immediate medical attention. The prognosis for brainstem hemorrhage is very poor, thus it is essential to focus on preventive measures and properly control blood pressure.

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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.