Removal of intracranial hemorrhage without surgery An 83-year-old man with intracranial hemorrhage was successfully treated in our hospital

An 83-year-old man with intracranial hemorrhage was successfully treated in our hospital. 83-year-old Mr. Feng always felt numbness and weakness in his left limb in the past three months, could it be his old problem of cerebral thrombosis again? The old man and his family did not take it seriously. However, in the past two days, it became more and more serious, and even when walking, his legs were not obedient, so his family rushed him to Fengqiao People’s Hospital in Gaoxin District for treatment. Doctors in the Department of Neurology recommended that he do a cranial CT examination, this examination really took the family by surprise, Feng Lao-Be had a lot of intracranial bleeding, there are actually 130 ml! He had to be operated on as soon as possible. The family was worried that, at such an old age and with high blood pressure, the risk of surgery was too great, right? The old man was even more nervous, determined not to operate, only willing to hang water treatment. Although the patient’s family had already signed a letter of disagreement with the surgery and was responsible for the consequences, Li Jianping, director of neurology, and Wang Qiusheng, director of neurosurgery, came to Feng’s bed again to communicate with the family about the necessity and risks of surgery: conservative treatment could not solve the intracranial hemorrhage, and it was more risky than surgery. Only then did the family agree to the surgical treatment. In fact, the surgery was very traumatic, as two puncture needles with a diameter of 3 mm (equivalent to the thickness of a ball-point pencil) were inserted into the hematoma under local anesthesia, and then the hematoma was removed using laser technology and fluid dynamics. The operation was successful and Feng was able to get out of bed on the third day after the operation. By reviewing the CT film, the intracranial hematoma was completely cleared, so the family’s heart was hanging in the air. According to the director of neurosurgery Wang Qiusheng, Feng Laobao suffered from a disease called “chronic subdural hematoma”, this disease occurs in the elderly, most have a history of traumatic brain injury. Because of the large amount of bleeding, brain tissue compression is obvious, if not timely surgery can appear brain herniation and endanger the lives of the elderly. The diagnosis can be confirmed by cranial CT examination, and once the diagnosis is confirmed, surgery should be the first choice, and most patients recover well after surgery. A small number of patients can recur, especially those with hypertrophic hematoma envelope, and such patients need craniotomy to cure.