Does Acute Bleeding In The Brain Require Surgery?

Posted on Wed, 10 Oct 2018

Question: Please find attached reports for my father in law. Doctor prescribed for immediate surgery. And chances are very less. Can you please suggest any other options.

Answered by Dr. Ishu Bishnoi (5 hours later)

Brief Answer:

Surgery decision

Detailed Answer:

Hi,

Your father is having an acute bleed in his brain, right more than the left side.

This bleed on the right side is causing pressure over the brain and pushing it towards the left side (6.5mm shift). As a neurosurgery protocol, shift more than 5 mm is considered as an indication of surgery.

But the final decision depends upon the condition of the patient. If the patient is conscious, oriented, following all commands and has no deficit, surgery can wait.

So the decision of surgery can only be taken if your father's neurological condition is down. Otherwise, he can be kept under observation.

His angiogram is almost normal, which is suggesting that there is no pressure over arteries yet. Brain shift damages the brain by putting pressure over arteries and blocking them.

You can discuss with your doctor.

Hope I have answered your query.

Take care

Regards,
Dr Ishu Bishnoi, Neurologist, Surgical

Above answer was peer-reviewed by : Dr. Prasad