Improving Memory Issues After Aneurysmal Subarachnoid Hemorrhage

Q: Improving Memory Issues After Aneurysmal Subarachnoid Hemorrhage

Hello Mr. <br>Wang： You mentioned whether "Suliqing" is helpful. <br>May I ask the location of your cerebral hemorrhage? Is it in the left basal ganglia? If financially feasible, I recommend administering it for 1-3 weeks to supplement amino acids for the brain. <br>Clinical expe

Memory issues after a cerebral aneurysm rupture?

I have undergone surgery for a cerebral aneurysm rupture and it has been three months since the operation.
I am currently hospitalized for rehabilitation, and my limbs have regained about 60% of their function.
I do not feel any physical discomfort, but I still have some issues with memory (there are some confusions and I struggle to retain new information).
What treatment options are available to improve this situation? Additionally, would using "Suliqing" (a medication) be helpful?

Mr. Wang, 50~59 year old female. Ask Date: 2022/10/12

Dr. Jiang Junyi reply Neurology

Hello Mr.
Wang: You mentioned whether "Suliqing" is helpful.
May I ask the location of your cerebral hemorrhage? Is it in the left basal ganglia? If financially feasible, I recommend administering it for 1-3 weeks to supplement amino acids for the brain.
Clinical experience shows that about half of the patients experience improvements in neurological repair.
Additionally, some patients opt for hyperbaric oxygen therapy out of pocket.
Hyperbaric oxygen therapy can effectively increase the partial pressure of oxygen in brain tissue during stroke rehabilitation, thereby improving tissue hypoxia and enhancing the oxygen content in the brain areas affected by hemorrhage, gradually restoring brain function.
I suggest discussing the treatment plan and management (such as risk factor control, rehabilitation plans post-cerebral hemorrhage, etc.) with your attending physician.
Thank you for your inquiry, and feel free to discuss any related questions! Wishing you good health and peace.
Dr.
Jiang Junyi, Taoyuan Medical Center, cares about you.

Reply Date: 2022/10/12

More Info

Improving memory issues after an aneurysmal subarachnoid hemorrhage (SAH) can be a complex process, as the brain undergoes significant changes during recovery. It's encouraging to hear that you have regained about 60% of your motor function and are feeling physically well. However, cognitive issues, particularly memory problems, are common after such an event.
Memory problems following a SAH can arise from several factors, including direct damage to brain tissue, changes in blood flow, and the psychological impact of the event. The brain's ability to form new memories can be affected, leading to difficulties in retaining new information or recalling recent events.

Treatment Options
1. Cognitive Rehabilitation Therapy: This is a structured program designed to help individuals improve cognitive functions, including memory. A neuropsychologist or occupational therapist can work with you to develop strategies to enhance memory retention and recall. Techniques may include memory exercises, the use of mnemonic devices, and strategies for organizing information.

2. Medication: While medications like "速利清" (likely referring to a nootropic or cognitive enhancer) may be considered, their effectiveness can vary from person to person. Some studies suggest that certain medications can help improve cognitive function in patients recovering from brain injuries, but they are not universally effective. It's essential to discuss this with your healthcare provider, who can evaluate your specific situation and determine if such medications might be beneficial for you.

3. Physical Exercise: Engaging in regular physical activity has been shown to have positive effects on cognitive function. Exercise increases blood flow to the brain and can promote neuroplasticity, which is the brain's ability to adapt and reorganize itself.
4. Healthy Diet: A balanced diet rich in antioxidants, omega-3 fatty acids, and vitamins can support brain health. Foods such as fatty fish, nuts, berries, and leafy greens are beneficial for cognitive function.

5. Mindfulness and Stress Reduction: Techniques such as mindfulness meditation, yoga, and deep-breathing exercises can help reduce stress and improve focus and memory. Stress can exacerbate memory issues, so finding ways to manage stress is crucial.

6. Sleep Hygiene: Quality sleep is vital for memory consolidation. Establishing a regular sleep schedule and creating a restful environment can help improve sleep quality, which in turn can enhance memory function.

7. Social Engagement: Staying socially active and engaging in conversations can stimulate cognitive function. Social interaction can provide mental challenges and emotional support, both of which are beneficial for recovery.

The Role of "速利清"
Regarding the use of "速利清," it is essential to consult with your healthcare provider about its potential benefits and risks. Some patients report improvements in cognitive function with certain medications, but the evidence is mixed, and not all patients experience the same results. Your doctor can help you weigh the potential benefits against any side effects and determine if this medication is appropriate for your situation.

Conclusion
In summary, while memory issues after an aneurysmal subarachnoid hemorrhage can be challenging, there are various treatment options available that can help improve cognitive function. Engaging in cognitive rehabilitation, considering medication under medical supervision, maintaining a healthy lifestyle, and managing stress can all contribute to better memory outcomes. It is crucial to work closely with your healthcare team to develop a personalized recovery plan that addresses your specific needs and goals. Remember, recovery is a gradual process, and patience is key as you work towards regaining your cognitive abilities.

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