Possible causes of abnormal mental behavior after craniotomy for cerebral hemorrhage include anesthesia drugs not yet fully metabolized, cerebral edema, brain tissue damage, etc., which can be closely observed or treated with medication.
1. Anesthesia drugs have not been metabolized completely: craniotomy for cerebral hemorrhage often needs to be carried out under general anesthesia, if the anesthesia drugs have not been metabolized completely, the patient may have abnormal mental behavior, which can be not specially treated for the time being, and attention should be paid to the protection, so that the patient can avoid hurting himself. When the anesthetic drug metabolism is complete, the symptoms can disappear.
2. Cerebral edema: craniotomy for cerebral hemorrhage has a certain degree of stimulation and damage to brain tissues, and edema of brain tissues often occurs in the postoperative period, which may cause symptoms such as mental behavioral abnormality, and is often accompanied by obvious headache, nausea and vomiting, etc. The cranial CT may help to clarify the symptoms. The treatment is based on dehydration to reduce cranial pressure, commonly used drugs such as mannitol, glycerol fructose, etc., which should be used according to the doctor’s instruction.
3. Brain tissue damage: If the frontal lobe, temporal lobe and limbic system, which are related to mental behavior, are damaged, it can often cause mental behavioral abnormality of the patient, and the use of antipsychotics such as olanzapine can be considered as prescribed by the doctor for treatment.
There are many factors that can cause the above symptoms, it is recommended that the patient actively seek medical treatment, the doctor combined with the patient’s actual situation, comprehensive formulation of a reasonable treatment plan.