Stroke Recovery: Key Questions About Brain Hemorrhage Healing

Stroke and intracerebral hemorrhage recovery-related issues?

Hello, Doctor.
Five days ago, my father suddenly lost the ability to move his right side.
He was urgently taken to the hospital, and the CT scan revealed a brain hemorrhage with a blood clot approximately the size of a thumbnail.
The emergency physician administered medication and IV treatment, stating that surgery was not necessary and that we should wait for the blood clot to be reabsorbed.
Three days ago, he was moved out of the intensive care unit.
On the third day post-stroke, he was already able to eat independently with one hand.
By the fourth day, he could lift his arm and leg on the affected side.
Today, on the fifth day, he has begun standing training.
However, my father reports that the affected side still feels numb, has strength, but he has no sensation and cannot control it.
I would like to ask the doctor: 1.
How long does it typically take for the blood clot to be reabsorbed? 2.
After the blood clot is reabsorbed, will the symptoms of unilateral weakness and lack of control resolve? 3.
Generally, will there be another CT scan to confirm the status of the blood clot? 4.
If rehabilitation goes well, is there a chance he can return to his previous lifestyle and live like a normal person? Thank you for taking the time to respond amidst your busy schedule.
Wishing you all the best and good health!

Mr. Wu, 20~29 year old female. Ask Date: 2020/06/03

Dr. Zhang Junwei reply Neurosurgery

1.
The absorption of the blood clot typically takes about 2-3 weeks.
2.
The focus is not on the blood clot, but rather on the brain damage caused by the bleeding that has already resulted in limb weakness.
3.
No, it is not necessary.
4.
It depends on the severity of the neurological damage, but usually, it is not possible to return to the previous state completely.

Reply Date: 2020/06/03

More Info

Stroke recovery, particularly following a brain hemorrhage, is a complex and often unpredictable process. Your father's situation, having experienced a hemorrhagic stroke, raises several important questions regarding recovery timelines, rehabilitation potential, and the overall prognosis.

1. Timeframe for Blood Clot Absorption: The absorption of a blood clot after a hemorrhagic stroke can vary significantly from person to person. Generally, small blood clots may take anywhere from a few days to several weeks to be reabsorbed by the body. In your father's case, since the clot is described as being about the size of a thumbnail, it is reasonable to expect that it may take a couple of weeks for significant absorption to occur. However, the exact duration can depend on various factors, including the individual's overall health, age, and the specific characteristics of the hemorrhage.

2. Symptoms Post-Absorption: As the blood clot is absorbed, it is possible that some symptoms may improve. However, the extent of recovery from unilateral weakness and loss of sensation will depend on the severity of the initial brain injury and the areas of the brain affected. In many cases, patients may experience gradual improvement in strength and sensation, but complete recovery is not guaranteed. Neuroplasticity, the brain's ability to reorganize itself, plays a crucial role in recovery. Engaging in rehabilitation exercises can help facilitate this process.

3. Follow-Up Imaging: It is common practice to conduct follow-up imaging, such as a CT scan or MRI, to monitor the status of the blood clot and assess any changes in the brain. This imaging helps healthcare providers determine whether the clot is resolving and if there are any new developments that need to be addressed. Typically, follow-up scans are performed within a week or two after the initial incident, but the exact timing can vary based on the clinical situation and the physician's judgment.

4. Potential for Full Recovery: The potential for your father to return to a lifestyle similar to what he had before the stroke largely depends on the extent of the brain damage and the effectiveness of rehabilitation. Many individuals who experience a stroke can regain significant function, especially when rehabilitation begins early and is consistent. Factors such as age, pre-existing health conditions, and the support system available can also influence recovery outcomes. While some patients may regain nearly full function, others may have lasting effects. It is essential to set realistic goals and celebrate small victories throughout the rehabilitation process.

In conclusion, stroke recovery is a journey that requires patience and persistence. Your father's early progress is encouraging, and continuing rehabilitation will be crucial. Regular communication with his healthcare team will provide you with updates on his condition and guidance on the best practices for his recovery. Engaging in physical therapy and occupational therapy will be vital in helping him regain strength and function. Remember to support him emotionally as well, as recovery can be a challenging process both physically and psychologically.

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