Best Brain Hemorrhage Treatment​ in Hyderabad, India | Expert Neuro Care

Brain hemorrhages, which are also termed as intracranial hemorrhages, require rapid medical treatment to reduce damage and improve results. The treatment options change according to the type and severity of the hemorrhage. The following are the main therapeutic approaches:

Initial management

Initial therapeutic goals for a brain hemorrhage include stabilizing the patient and preventing additional neurological impairment. This includes checking vital signs and maintaining the functioning of the airways. If GCS ≤8, doctors usually perform intubation by raising the head 30–40 degrees, keeping the neck straight, and loosening any clothes. Constriction around the neck is avoided to improve venous outflow.

Medical management

• Blood pressure control: Antihypertensive medications are necessary to avoid additional bleeding and to reduce cerebral edema.
• Coagulation correction: If the patients are taking anticoagulants, reversal products such as fresh frozen plasma (FFP) or prothrombin complex concentrates may be given to correct coagulopathy.
• Symptom management: Seizures and severe headaches are treated with anti-seizure medications, anti-epileptic drugs, and pain management options.

Surgical management

• Craniotomy: This emergency surgery may be performed to remove pooled blood and repair the burst blood vessels. The process includes removing a part of the skull to expose the brain, allowing for the evacuation of big hematomas or clipping of aneurysms. It also includes temporarily removal of a part of the skull to reduce swelling. The surgeon may replace the removed skull portion after bleeding has stopped and the blood clots that restrict blood flow to the brain have been removed.
• Burr hole surgery: A burr hole can be drilled to drain excess blood and relieve pressure in cases of minor hematomas or when less invasive techniques are necessary.
• Decompressive craniectomy: This technique can help alleviate pressure by removing a portion of the skull in cases of severe hemorrhages causing significant brain swelling.

Minimally invasive techniques

• Stereotactic surgery: Imaging-guided catheter insertion allows for targeted thrombolysis (clot dissolution) and aspiration with a lower risk of damage to adjacent brain tissue.
• MISTIE trial findings: Research suggests that employing recombinant tissue plasminogen activator (rtPA) in minimally invasive procedures may improve hematoma clearance compared to conservative therapy.

Rehabilitation

Rehabilitation is the most crucial aspect of the treatment of brain hemorrhage. Rehabilitation includes:

• Speech therapy: Helps stroke patients improve their ability to speak and understand speech. 
• Physical therapy: Involves exercises, heat, and massage to help brain hemorrhage patients regain lost movements and coordination.
• Occupational therapy: Assists in improving the daily activities of brain hemorrhage patients, like bathing, cooking, eating, dressing, drinking, reading, and writing.
• Psychiatric therapy: Aims to reduce depression or emotional disturbances in individuals recovering from brain hemorrhage.

✅Brain hemorrhage prognosis

The prognosis for brain hemorrhage treatment varies greatly depending on the size and location of the hemorrhage, the patient's starting Glasgow Coma Scale (GCS) score, and the timing of the treatment. Mortality rates can reach 50% within 30 days, with important parameters such as hematoma volume and the presence of intraventricular hemorrhage affecting the outcome. Less than 20% of survivors recover functional independence six months after a hemorrhage, indicating the severe long-term complications of this illness.

Brain Hemorrhage Treatment Cost in Hyderabad, India, ranges from ₹2,75,000 to ₹8,50,000 (US$3,150 to US$9,770). The final intracranial or cerebral hemorrhage, hemorrhagic stroke or brain bleed treatment cost depends on various factors such as the severity of the condition, required procedures or surgery, hospital stay & ICU care, medications, post-hemorrhage care & rehabilitation.

At PACE Hospitals, we specialize in advanced brain hemorrhage treatments, ensuring minimally invasive endovascular & advanced surgical techniques for faster recovery, state-of-the-art neuro ICU & advanced imaging for accurate diagnosis, personalized care plans tailored to each patient’s condition. We offer affordable, transparent pricing, cashless treatment options, and support for major health insurance plans to make life-saving care accessible.

What is a brain hemorrhage?

Brain hemorrhage, also called brain bleed or intracranial hemorrhage, is a type of stroke caused by the bursting of an artery in the brain, resulting in bleeding in the surrounding tissues. The symptoms of a brain hemorrhage differ based on the amount of tissue injured, the location of the bleeding, and the severity of the bleeding.

Are brain hemorrhages fatal?

Brain hemorrhages can be fatal or life-threatening, and the fatality rate varies depending on various factors, including the type and location of the hemorrhage. For example, the case fatality rate for intracerebral hemorrhage (ICH) can reach 34.6% within 7 days and rise to 50.3% after 30 days. Specific types, such as primary brainstem hemorrhage, have significantly higher death rates, reaching between 70% and 80%. Early intervention and treatment are essential for improving affected patients’ survival rates.

How long does brain hemorrhage surgery take?

The duration of brain hemorrhage surgery varies based on the difficulty of the procedure and the particular condition of the patient. In general, procedures such as craniotomies for hematoma evacuation might take between 2 and 4 hours. The time is influenced by the size and location of the hemorrhage, the patient's overall health, and whether any extra procedures are required.

Can brain hemorrhage be cured without surgery?

What causes brain hemorrhage in newborns?

Brain hemorrhage in newborns, particularly intraventricular hemorrhage (IVH), is mainly caused by the fragility of germinal matrix blood vessels, particularly in premature infants. Prematurity, hypoxia, and hemodynamic instability during delivery are all factors that contribute to this syndrome. Mechanical injuries during labor, such as forceps or vacuum extraction, can also result in hemorrhage. Other possible causes include clotting abnormalities and vascular abnormalities, which may predispose newborns to bleeding.

What drugs cause brain hemorrhage?

Certain medications, mainly anticoagulants, which are routinely used to treat cardiovascular diseases, can significantly raise the risk of brain hemorrhage. Furthermore, stimulants such as cocaine and amphetamines can cause hemorrhagic strokes due to their hypertensive effects and the possibility of vascular abnormalities. Misuse of these substances frequently causes sudden blood pressure rises, which contributes to the rupture of blood vessels in the brain.

Can a small hit cause a brain bleed?

Yes, a minor hit can result in a brain hemorrhage, especially in people who are older or have underlying risk factors such as the use of anticoagulants. Minor head trauma can result in subdural hematomas, particularly in older persons whose brain tissue may have decreased, making blood vessels more vulnerable to injury. Furthermore, even minor injuries might cause bleeding if there are pre-existing disorders that impair blood vessel integrity or clotting ability.

What damage can happen after a brain bleed?

Serious short-term consequences include further bleeding at the aneurysm site and brain damage caused by a restriction in blood supply to the brain. Long-term consequences include epilepsy, a condition in which a person suffers frequent seizures.

What medication is used for a bleed on the brain?

Antihypertensive medications lower blood pressure and help prevent intracerebral hemorrhage from worsening. Osmotic diuretics can be used to reduce intracranial pressure. Because fever can exacerbate neurological damage, antipyretics may be prescribed to reduce fever and headache.

Can a small brain bleed come back?

The risk of rebleeding appears to be especially high following hemorrhage at the gray-white matter junction, which is thought to be typical of hemorrhages caused by amyloid angiopathy, and when arterial hypertension is poorly controlled.