Spider Web Hemorrhage: Recovery and Treatment Insights - Neurosurgery

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Spider web hemorrhage


My wife has spider web bleeding due to a car accident.
She is currently conscious but experiencing headaches.
She has been under observation in the hospital for 6 days and has not undergone brain surgery.
How much longer should she be monitored? If there are blood clots, what medications can help dissolve them? Once discharged, how long should she rest? Thank you.

Mr. Li, 30~39 year old female. Ask Date: 2016/03/10

Dr. Zhang Junwei reply Neurosurgery


Blood clots in the brain can be absorbed on their own.
After six days of observation, it is generally sufficient, but symptoms such as headaches and dizziness may persist for one to two weeks.

Reply Date: 2016/03/10

More Info


Spider web hemorrhage, often referred to as a type of subarachnoid hemorrhage, can occur due to trauma such as a car accident. This condition involves bleeding in the space surrounding the brain, which can lead to various symptoms, including headaches, confusion, and in some cases, neurological deficits. It’s crucial to monitor the patient closely, especially in the days following the injury, as complications can arise.

In your wife's case, since she has been observed in the hospital for six days and is conscious but experiencing headaches, it is essential to continue monitoring her symptoms. The duration of hospital observation can vary based on several factors, including the severity of the hemorrhage, the presence of any neurological symptoms, and the results of imaging studies like CT or MRI scans. If there are no significant changes in her condition and her neurological status remains stable, she may be discharged, but this decision should be made by her medical team.

Regarding the presence of blood clots, the body typically reabsorbs these clots over time. There are no specific medications that can be prescribed solely to dissolve blood clots in the brain; however, doctors may manage symptoms with pain relief medications and monitor for any signs of increased intracranial pressure or complications. In some cases, if the hemorrhage is significant or if there are complications, surgical intervention may be necessary to relieve pressure or remove clotted blood.

After discharge, the recovery period can vary widely. Generally, patients may need several weeks to months to fully recover, depending on the extent of the injury and individual health factors. It is crucial for your wife to follow up with her healthcare provider for regular check-ups and to report any new or worsening symptoms, such as increased headaches, changes in vision, or any neurological changes.

During her recovery at home, it is advisable to ensure she gets plenty of rest, stays hydrated, and avoids strenuous activities that could exacerbate her condition. Gradual reintroduction to normal activities is recommended, and she should be encouraged to listen to her body and not push herself too hard too soon.

In summary, while spider web hemorrhage can be serious, many patients recover well with appropriate monitoring and care. The key is to maintain open communication with her healthcare team and adhere to their recommendations for follow-up care and lifestyle adjustments during her recovery.

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