How to treat cerebral hemorrhage and effusion, and how to treat hydrocephalus after cerebral hemorrh

Hydrocephalus is a neural tube defect that is a polygenic genetic disorder. In polygenic genetic diseases, the onset of the disease occurs through a combination of genetic basis and environmental factors. However, the role of genetic factors is higher than that of environmental factors, and genetic factors are mainly the synergistic effect of multiple genes.

Environmental factors include infections, medications, toxins, noise, etc. Infections include cytomegalovirus, toxoplasma, rubella virus, herpes virus, hydrocephalus, which are caused by congenital or acquired obstruction of the ventricular system, cerebrospinal fluid malabsorption, or hypersecretion. Intracranial hypertension occurs due to excessive retention of cerebrospinal fluid in the ventricles.

Neonatal hydrocephalus may be related to genetic factors, other causes include brain aqueduct malformations, infection, hemorrhage, and tumors.

Guiding Opinions: 1) General**: 1 For hydrocephalus caused by intracranial infections such as meningitis, dexamethasone can be injected intrathecally or orally, which may be effective for patients in the near future.

2 Limit water intake, try acetazamidide, dihydrogramthiahydrate, triamterene and other drugs to reduce CSF secretion and increase water excretion, which is helpful for temporary hydrocephalus.

2) Surgery** The following methods should be selected as appropriate. 1 Aqueductoplasty or dilation of the brain. 2 Cerebrospinal fluid shunt, in which the cerebrospinal fluid is drained into the body cavity, cardiovascular system or urinary system with a shunt device.

3 To reduce cerebrospinal fluid secretion, methods such as choroidectomy or electrocautery can be used to reduce cerebrospinal fluid secretion.

Once the patient is stable, encourage active exercise. Get out of bed as soon as possible, train and guide from getting up, balancing the affected limb, standing, and walking, gradually increase the range and number of activities, and finally help to train up and down the stairs, so that the affected limb can be exercised and conducive to the recovery of function. The use of traditional Chinese medicine to improve brain energy metabolism and accelerate cerebral blood circulation is conducive to the recovery of the disease as soon as possible.

It depends on whether it can be conservative**, if not, there is only craniotomy**, depending on the severity of the disease and the location of the bleeding.

The main symptom of hydrocephalus is high intracranial pressure, slight headache and dizziness, severe Hu coma, the cause of the patient's coma is likely to be caused by hydrocephalus, opinions suggest: hydrocephalus, if with the absorption of cerebral hemorrhage and congestion, the improvement of circulation, and more obvious, surgery is generally required, now more cerebrospinal fluid peritoneal drainage is taken, but there is also jugular venous shunt, the postoperative effect is better, you can consider.

If hydrocephalus is very severe, surgery is required, and if effective measures are not taken, there may be unsteady walking, incontinence or dizziness. If the symptoms are not significantly aggravated, you can use a combination of Chinese and Western medicine to slowly restore the damaged nerves, and some cases can be slowly absorbed, so you should determine the appropriate way according to your actual situation.

Depending on the amount of intracranial hemorrhage and the location and extent of intracranial tissue compression, the choice between conservative or craniotomy is decided.

In this case, a craniotomy will be necessary.

Hello! Problem analysis: patients with cerebral hemorrhage are prone to secondary hydrocephalus due to cerebrospinal fluid circulation disorders, the main symptoms of hydrocephalus are high intracranial pressure, slight headache and dizziness, severe Hu coma, the reason why the patient is in a coma is likely to be caused by hydrocephalus, **Guidance:

Hydrocephalus, if with the absorption of cerebral hemorrhage and congestion, the improvement of circulation, is still more obvious, it is generally necessary to have surgery, and now it is dismantled to take cerebrospinal fluid peritoneal drainage, but there is also jugular venous shunt, and the postoperative effect is better.