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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Brain Hemorrhage?

my 89 year old Mother has suffered from a brain haemorrhage resulting in a large bleed at the back of the brain. This has affected her speech mobilit and made her incontinent. She also has vascular dementia medium stage. Mum has now returned to nursing home and they made a comment to me that the blood is still on the brain which I am aware of. Because of mums age she was not deemed suitable for surgery to drain the blood of. What is the outlook for her?
Fri, 24 Jun 2016
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Neurologist,  's  Response
Surgical evacuation in posterior fossa bleed depends upon size of bleed and it's mass effects on brainstem. If bleed is small and patient is conscious and ambulatory then surgery is not required. Blood will resolve over 6- 8 weeks slowly.
U have to control BP ( maintain it around 130 Systolic). STOP antiplatelet drugs.
Take care while feeding as there are chances of aspiration. Feed only in sitting posture and prefer semisolid food.
don't worry.....it will resolve.
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How To Treat Brain Hemorrhage?

Surgical evacuation in posterior fossa bleed depends upon size of bleed and it s mass effects on brainstem. If bleed is small and patient is conscious and ambulatory then surgery is not required. Blood will resolve over 6- 8 weeks slowly. U have to control BP ( maintain it around 130 Systolic). STOP antiplatelet drugs. Take care while feeding as there are chances of aspiration. Feed only in sitting posture and prefer semisolid food. don t worry.....it will resolve.