Subarachnoid Hemorrhage – Recovery
How much a subarachnoid hemorrhage will affect your baby’s day-to-day life as she or he grows up will depend on the severity of the hemorrhage. While some may cause mild problems, others can result in severe issues, and some children may continue to suffer from seizures. Sadly, many babies do not survive this type of bleeding on the brain.Get A 100% Free CASE Evaluation
Recovery in Infants Who Have a Subarachnoid Hemorrhage
Prognosis and recovery vary greatly in infants. Patients may suffer either short-term or long-term deficits, or a mixture of both, as a result of the bleed. Once your baby is discharged from the hospital, treatment might continue at a facility that offers personalized rehabilitation therapies for babies who have suffered serious brain trauma. A doctor who specializes in such rehabilitation will oversee the infant’s care, which may include both physical and occupational therapy, as well as cooling therapy which is usually carried out swiftly after a brain hemorrhage is discovered.
Common problems that affect people who suffer a brain injury as infants include memory and thinking difficulties and physical limitations. Some issues may disappear as the child grows up, and with the help of therapy and healing.
Importantly, as the baby grows up, he or she should take moderate exercise, develop a steady sleep pattern, and maintain a healthy diet. All of these can go a long way toward providing clear thinking, good speech, and improved concentration skills, as well as better energy levels.
Initial treatment aims to prevent further bleeding on the brain and reduce the likelihood of secondary complications. The most imminent danger is rebleeding, and the first aim is, therefore, usually, to block the aneurysm.
Another complication often experienced is delayed cerebral ischemia as a result of vasospasm. However, the risk can be reduced by maintaining circulatory volume.
Supportive Management in Babies
Babies who suffer a subarachnoid hemorrhage may be referred to a specialist neurosurgical unit for investigation and definitive treatment. Ideally, the transfer should take place within 24 hours of identifying the bleeding.
Supportive care usually provided to babies includes ventilation and intubation in babies with a depressed level of consciousness.
The use of medication to prevent seizures is somewhat controversial and has been associated with worst-case outcomes. Typically, babies undergo cooling therapy as soon as possible to help restrict the flow of blood and to prevent secondary consequences like seizures.
Re-bleeding is a common occurrence and can be difficult to predict. After the first 24 hours of bleeding on the brain has passed, the re-bleeding risk remains at about 40 percent over the following four weeks. Interventions aim to reduce the risk as early on as possible. The decision as to how to prevent re-bleeding in infants will be taken by the operating team and will depend on the size of the hemorrhage and the baby’s overall condition.