A Brain Hemorrhage Recovery Stories as a 55-year-old housewife found unconscious at home by neighbors. She was taken to nearest Hospital in Bulandshahar and CT scan was done at after 2 hours which showed brain hemorrhage. She was referred to Fortis Hospital, Noida for brain angiography,
The patient was admitted to Fortis Hospital in an unconscious condition. She had difficulty in breathing. She required ICU care and ventilator for breathing. Her heart was not working properly. She was resuscitated in ICU and brain angiography was done after 2 days. There was an aneurysm which has caused brain hemorrhage and she needed surgery to prevent rebleeding. But she was not fit for any anesthesia. After one day, her condition was further deteriorated and blood pressure fallen to a minimum level. Her pupils dilated and doctors thought she will not able to survive for more than two or three hours. But with efforts by critical care and neurosurgery team her condition improved. She was then operated upon after 36 hours.
Surgery was successfully performed by Dr. Rahul Gupta, Senior brain and spine surgeon at Fortis Hospital, Noida. Surgeons have to perform craniotomy and clipping on the patient. surgeons had to open the skull because there was a large blood clot also which was to be evacuated.
After surgery, she had severe pneumonia and she stayed in ICU and she kept on a ventilator for 10 days. Then she became conscious and shifted toward.Now after a month, she has regained all her brain function. There is some left side weakness, but her condition is improving vastly.
Explaining about coiling or clipping of an aneurysm, Dr. Gupta told that these are methods to prevent re-rupture of an aneurysm. Cooling is done in Neurocathlab, where without opening the skull, the aneurysm is packed with coils. It is a relatively new method with excellent results. In clipping, the skull is opened, the aneurysm is exposed and a clip is placed across its neck. This is a time tested method and provides a permanent cure.
Dr. Gupta said that spontaneous brain hemorrhage is very common and almost 50% patients expire before they can be shifted to a tertiary care hospital. Patients who are unconscious before surgical treatment take months to recover. Unfortunately, there are few centers for rehabilitation in India and patient has to be shifted home after definitive treatment. Hence, the role of prevention and timely intervention cannot be overemphasized.
According to Dr. Gupta, brain hemorrhage is bleeding into the brain tissue or its surface due to rupture of the blood vessel. It can be spontaneous or due to head injury. Spontaneous Brain hemorrhage is usually associated with high blood pressure (BP). Different types of brain hemorrhage may have different reasons.
He said that for preventing brain hemorrhage frequent monitoring and control of blood pressure with medication and lifestyle modification are most important. Brain hemorrhages are more frequent in the early morning, especially in winters. Drinking lot of water and timely consumption of medicines is essential. Minor headaches should not be neglected and a Neurosurgeon/Neurologist should be consulted.