What are the sequelae of craniotomy for cerebral hemorrhage?

What are the sequelae of craniotomy for cerebral hemorrhage?

Cerebral hemorrhage is a disease caused by rupture of blood vessels in the brain, resulting in intracerebral bleeding. It is also a disease with a very high mortality rate. Craniotomy is a relatively effective medical method for treating cerebral hemorrhage, but it is not 100% safe and may even have some sequelae. The sequelae of craniotomy for cerebral hemorrhage can be divided into three main categories: mental and intellectual disorders, aphasia, hemiplegia and other symptoms.

1. Mental and Intellectual Disabilities

The most common sequelae of cerebral hemorrhage is hemiplegia, which is manifested as decreased muscle strength, difficulty in movement or complete inability to move the limbs on one side, often accompanied by sensory impairment of the limbs on the same side, such as decreased or complete loss of sensation of cold, heat, pain, etc. Large-scale or repeatedly recurring cerebral hemorrhage accidents may leave mental and intellectual disorders: such as personality changes, pessimism, depression, mental depression, irritability, etc.

2. Aphasia after cerebral hemorrhage

Aphasia mainly includes three aspects:

1. Motor aphasia (Broca's aphasia) is characterized by the patient being able to understand what others say but unable to express his or her own ideas. The lesion involves the Broca area of ​​the dominant hemisphere and the corresponding subcortical white matter areas;

2. Sensory aphasia (Wernicke's aphasia) has no language expression disorder, but the patient cannot understand what others say, nor what he says. The patient answers questions irrelevantly and talks to himself. The lesion involves the Wernicke area of ​​the dominant hemisphere.

3. Anomia is manifested as being able to tell the purpose of an object when seeing it, but not being able to name it. The lesions involve the posterior part of the middle temporal gyrus of the dominant hemisphere or the temporo-occipital junction.

3. Other symptoms

Other symptoms of sequelae of cerebral hemorrhage include: headache, dizziness, nausea, insomnia, nightmares, inattention, tinnitus, blurred vision, sweating, palpitations, unsteady steps, neck pain, fatigue, weakness, loss of appetite, memory loss, dementia, depression, etc.

Symptoms of sequelae of cerebral hemorrhage The most common sequelae of cerebral hemorrhage is hemiplegia, which is manifested as decreased muscle strength, difficulty in movement or complete inability to move the limbs on one side, often accompanied by sensory impairment of the limbs on the same side, such as decreased or complete loss of sensation of cold, heat, pain, etc. Sometimes it is accompanied by ipsilateral visual field loss.

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