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Q. My father has a brain hemorrhage. What treatment would you suggest?

Answered by
Dr. Salah Saad Shoman
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 17, 2017

Hello doctor,

My father has a brain hemorrhage. He has multiple blood clots. I am attaching the CT scan reports. Please have a look.

Dr. Salah Saad Shoman

General Medicine Internal Medicine
#

Hello,

Welcome to icliniq.com.

  • These are not blood clots but areas of bleeding within the brain.
  • He should be treated with hemostatic agents till the resolution of the hemorrhage and edema.

For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician


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Thank you doctor,

Can you please suggest a treatment for this condition? I stay in a small town with limited medical facilities.

Dr. Salah Saad Shoman

General Medicine Internal Medicine
#

Hello,

Welcome back to icliniq.com.

  • It is important to ensure the following is done to him:
  1. Perform endotracheal intubation if he has a decreased level of consciousness and poor airway protection.
  2. Cautiously lower blood pressure to a mean arterial pressure (MAP) less than 130 mm Hg, but avoid excessive hypotension.
  3. Intubate and hyperventilate if intracranial pressure is increased. Initiate the administration of Mannitol for further control.
  4. Maintain euvolemia, using normotonic rather than hypotonic fluids, to maintain brain perfusion without exacerbating the brain edema.
  5. Avoid hyperthermia.
  6. Correct any identifiable coagulopathy with fresh frozen plasma, vitamin K, protamine, or platelet transfusions.
  7. Initiate Levetiracetam or another anticonvulsant to prevent seizure activity.

For more information consult an internal medicine physician online --> https://icliniq.com./ask-a-doctor-online/internal-medicine-physician


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