Treatment For Hemorrhagic Stroke?

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Hello. I want to ask about my parents’ surgery. Bln 3 suffered a stroke due to rupture of blood vessels in the brain. It was operated on the left skull and the exposed head bone was replanted. at the time of the last control the doctor said there would be further surgery after 4 months of the first operation which was to move the skull that had been implanted back into its original position before the operation. Are there any benefits to be able to restore a stroke body or it is actually not useful for just the anatomy of the skull head? If you decide not to operate, is there any impact? Please explain, yes?

1 Answer:

Wa'alaikumsallam Ika.


Stroke is a condition of neurological system deficits (nervous system) that is sudden, caused by damage to some brain tissue. Stroke is divided into bleeding stroke and ischemic stroke. In bleeding strokes, blood pressure is very high and takes place chronically causing blood vessels in the brain to tear, resulting in bleeding in the brain. In ischemic strokes, high blood pressure causes narrowing of the blood vessels of the brain, so that some brain tissue does not get enough blood flow so it is damaged.


Generally bleeding strokes are more often fatal and the course of the disease gets worse faster. One way to overcome fatalities is to perform craniotomy or craniectomy operations. The operation is done by opening a hole in the skull, then the doctor uses the hole as a pathway to remove blood clots in the brain, as much as possible. If blood clots are not removed, the brain tissue will be depressed so that more and more brain tissue is damaged or dead.


We certainly cannot know for certain what procedures your doctor uses to treat your mother's condition. We do not understand what you mean by moving the skull to its original position. As a general description, in a craniotomy type operation, the opened bone will be reattached at the end of the operation. Of course the skull must be attached properly and precisely. If the bone position is not right, then the bone can not connect properly and infection can occur. Of course an infection in the brain is very dangerous. If what you mean is that your mother has a craniectomy, at the end of the operation the opened bone is not restored, so that in that part, the brain is only covered by the meninges and scalp membrane.


Stroke healing is basically different for each individual. Stroke healing depends on how extensive the damage to brain tissue. The body's ability to repair damage to the brain and make adjustments is what underlies the improvement of stroke symptoms. However, we are also not sure whether the doctor will perform the operation based only on aesthetic indications, because basically, the skull bones are not visible from the outside, so it does not affect the aesthetics.


Please discuss with the treating doctor. Ask in detail the objectives and surgical procedures, as well as the risks that occur if your mother undergoes or does not undergo surgery.


Such information from me. Hopefully this is useful. Regards.

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