Brain stem hemorrhage after 3 ml, treatment awake, just can not walk considered to be the cortical spinal cord bundle damage, need to be stabilized after the condition of the corresponding rehabilitation therapy.
Brain stem hemorrhage, the damage site of the nerve cells damaged necrosis, can not be regenerated, even after standardized treatment, its original function can only be compensated by other surrounding nerve cells. A large number of nerve fibers are gathered in the brainstem, and if the corticospinal tract is damaged, the muscle power of the limbs will be reduced and the limbs will not be able to walk.
In these cases, the first step is to continue the treatment of cerebral hemorrhage. It mainly includes absolute bed rest to prevent and control complications such as rebleeding; dehydration to lower the cranial pressure and reduce cerebral edema, such as intravenous infusion of mannitol and other drugs; and attention to controlling the blood pressure, such as the use of enalapril, valsartan and so on. If necessary, surgical treatment can also be carried out, such as craniotomy microscopy or endoscopic hematoma removal.
After the condition is stabilized and the cerebral hemorrhage begins to be absorbed, the rehabilitation treatment of limb function can be started gradually, such as standing at the bedside, supporting crutches to walk slowly, etc., which should be formulated by the rehabilitation therapist according to the patient’s condition, and the medication should be used under the guidance of the doctor.
Brain stem hemorrhage is an acute and critical condition, it is recommended to consult a doctor as soon as possible, and follow the doctor’s instructions to carry out standardized treatment, to avoid delaying the condition.