#Brain hemorrhage surgery in gurgaon

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Treating tumors in the base of the skull (on Wattpad) https://my.w.tt/T0jWLSS3BV

 What are tumors of the skull base? The base of the skull is that part of your head on which your brain lies. It is made of multiple bones which are fused together with sutures. It is a complex region of the brain, because all the blood vessels supplying the brain traverse through the base of the skull in order to reach the other parts of the brain. Even most of the critical nerves supplying the rest of the body pass through the base of the skull. From the outside, the base of the skull is somewhere in the region behind your eyes and nose. Therefore tumors which arise in this part of the head, require complex procedures which have to be done with extreme precision in order to obtain the desired results and prevent adverse consequences of surgery. Therefore you want someone with experience and adequate knowledge to handle the surgery for you, and Dr. Vikas Kathuria, the best neurosurgeon in Rohtak, is the person you want to go to. With vast experience and the skill of performing these complex procedures, he is well known as an expert in brain tumor surgery in Rohtak. Are there different types of skull base tumors? Yes, not all skull base tumors are the same, and they differ from one another in the basic way, which is whether it is a primary brain tumor, arising from the brain tissue itself, or if it is a secondary deposit from a tumor which has spread from elsewhere in the body. Furthermore, primary skull based tumors are also differentiated according to the type of brain tissue they arise from. For example the different types of brain tumors include, Chondrosarcoma, Chordoma, Schwannoma, Meningioma, Pituitary tumor, Glomus jugulare and Craniopharyngioma. Depending on the type of tumor, the size of the tumor and its precise location, the type of procedure done to remove it will vary.

[drvikaskathuria]

Dr. Vikas Kathuria is a neurosurgeon and spine surgeon in Gurgaon, Haryana. He specialises in Brain Tumor Surgery, Deep brain stimulation, Spine surgery, Brain Hemorrhage treatment and Head Injury treatment in gurgaon, rohtak, faridabad and sonipat.

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A Brain Hemorrhage is kind of brain stroke which is caused by bursting the artery. It is referred to as the bleeding in and around the surrounding tissue which kills the brain cells. Hemorrhage is taken from the Greek language which means “blood bursting forth”. Brain hemorrhages are also called cerebral hemorrhages, intracranial hemorrhages, or intracerebral hemorrhages depending upon the area of the bleeding.

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Dr Vikas Kathuria is a dynamic neurosurgeon specialized in brain and spine surgeries. Dr Vikas Kathuria is extensively trained in surgeries of brain like brain tumour surgery, brain hemorrhage treatment, Deep Brain Stimulation, trauma surgeries for Severe head injuries leading to clots like EDH and SDH. Book an appointment with Best Neurosurgeon and Spine Surgeon In Gurgaon

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Heart DiseasesTypes And Treatment | MrMed.in

Heart disease is like an umbrella term for a wide range of cardiovascular problems. There are a lot of types of heart diseases. More than 4.5 million people have died from cardiovascular diseases in India in the year 2020. Since the 2000s Cardiovascular Diseases have remained the leading cause of mortality in India. The quality of treatment for CVDs varies significantly depending on the income groups. Best Heart Treatment Hospitals.

Let us now have a look at top 4 leading variants of CVDs in India ranked according to disability caused)

1.    Ischemic heart disease:

Ischemic heart disease is when you get recurring chest pain or discomfort because a part of the heart is not able to receive enough blood (usually due to plaque buildup)

Treatments for IHD include certain prescribed lifestyle changes, medication, angioplasty and surgery. Fortis Escorts Hospital in New Delhi and Apollo Hospital in Chennai are one of the best hospitals for the treatment of this condition.

2.    Cerebrovascular disease:

Damage to the brain that causes restrictions to blood flow by narrowing of vessels (stenosis), blood clotting (thrombosis), vessel blockage (embolism) or blood vessel rupture (hemorrhage). These issues usually cause a brain stroke. Quick and early treatment with medication like tPA or related clot busters can reduce the brain damage in case of a stroke.

Other treatments focus on limiting complications and preventing additional strokes. Medanta - The Medicity, Gurgaon and Apollo Hospitals, Greams Road, Chennai have effective facilities and are one of the few best hospitals for the treatment in case of brain stroke.

3.    Rheumatic heart disease

A rheumatic fever causes the inflammation of various connective tissues especially in the heart, joints, skin or brain. When it affects the heart, it damages the valves permanently.

Treatments include medications, which in various cases last for throughout the life of the patient. Fortis Escorts Heart Institute, located in Okhla Road, New Delhi is one of the top hospitals for any cardiovascular disease.

4.    Myocarditis

Myocarditis is a result of inflammation of the middle muscle layer of the heart, and/or the pericarditis (the outer sac of heart). It is usually caused due to viral infection. tThe treatment might include medication for regulation of the heartbeat and improvisation heart function. At times a pacemaker and a surgery might be required for proper functioning of the heart. Medanta – The Medicity, Gurgaon and Manipal Hospital, New Delhi have very good reputation for the same.

The seriousness and chronic nature of heart diseases make it extremely important for a quick and effective treatment of the same. It can happen only in reviewed, trusted and the  Best Heart Treatment Hospitals. Choosing a good hospital in India according to your needs is definitely challenging. In the case of cardiology hospitals, Indian hospitals have international reputations.

We prepared a list of such, few best hospitals in India that have international and national accreditations. Over the past decade, India has made significant developments and advances in the field of medicine and has a prosperous healthcare industry. World-class Heart Hospitals in India have less than 1% mortality from heart surgery.

With the ongoing pandemic we know how important a good hospital is. When it comes to such a delicate organ like your heart, we tend to become that more careful. The process to find the best suited hospital according to your needs and affordability might seem challenging but is not impossible. So without any delay start your treatment with trusted doctors, good hospitals and the best treatment.  Best Heart Treatment Hospitals in India.

For other patient related assistance, medicines and pharmaceutical help, checkout mrmeds!

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For More Info.(https://www.bestneurosurgeoningurgaon.com/)

Tag = Spine Surgeon In Gurgaon,  Neurosurgeon Doctor In Gurgaon,  Best Neurologist In Gurgaon,  Brain Hemorrhage Treatment In Gurgaon,  head injury treatment in gurgaon

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Brain Hemorrhage Surgery Hospital in Gurgaon

Contact the best Neurosurgeon or Neurologist In Gurgaon, Delhi NCR, India to get Brain Hemorrhage surgical Treatment. Have a safe and fastest Recovery Surgery

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Brain hemorrhage is type of stroke, this condition of brain is caused by bursting and rupturing of arteries in our brain, which can cause bleeding in our brain which kills our brain cells, and putting pressure around our brain skull.

According to best interventional radiologist in Delhi NCR brain hemorrhage is life-threatening emergency, he further stated that in most of the cases high-blood pressure, and hyper tension is the actual cause behind the occurrence of brain hemorrhage. The uncontrolled bleeding from in our brain is usually caused by weakening of arteries due to excessive blood pressure, when arteries can no longer-stand with the amount of pressure.

For the brain hemorrhage treatment in Delhi NCR always consult with interventional radiology expert.

Types of Brain Hemorrhage

There are three main type of intracranial hemorrhage (brain hemorrhage)

·         Epidural Hemorrhage: this kind of hemorrhage is also known as epidural hematoma, which is commonly associated with bleeding caused by traumatic accidental head injury. In this condition blood gets collected with inner surface of skull and outer layer of dural membrane.

·         Subarachnoid Hemorrhage: SAH occurs when there is bleeding in the area and tissues that cover our brain. Immediate treatment Is needed in case of SAH as late treatment can lead to coma or fatal conditions.

·         Subdural Hemorrhage: in this kind of hemorrhage blood gets collected in the surface area of our brain, usually this condition happen in car accidents, or in people who are alcohol addict.

To know what kind of brain hemorrhage you have, you need to consult with best interventional radiologist in Delhi NCR

Interventional Radiology Treatment of Brain Hemorrhage in Delhi

interventional radiologist in Delhi NCR provides the best, safest and less complicated method of treatment for brain hemorrhage. Before suggesting the treatment they will first diagnose the condition based on current symptoms and medical history of patient. As brain hemorrhage in most of the cases is resulted by brain aneurysms or brain AVMS, best interventional radiologist in Gurgaon provides treatment focusing on aneurysm.

For the treatment interventional radiologist will first catheter is inserted in arteries with the help of imaging techniques like X-Ray, once the catheter is inserted then coil is inserted to block the ruptured aneurysm, which can stop the further bleeding . Unlike traditional surgery this method of surgery is focused on preserving as many healthy tissues as they can, some other benefits of interventional radiology treatments are listed below:

·         This surgery doesn’t take much time, mostly it takes maximum of 3-4 hours to perform interventional surgery

·         Less chances of infection due to few and smaller incisions

·         Mostly safe and reliable treatment

·         Less complications and faster recovery.

 Prevention from Brain Hemorrhage

Dr. Arvind Nanda from Paras Hospitals Gurgaon always suggest looking for prevention instead of cure, according to him one can prevent fatal diseases like stroke with the help of little life-style and dietary changes. If you feel like that you are at risk of brain hemorrhage stroke than you can consult with him 

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TREATMENT, MANAGEMENT, AND REHABILITATION OF STROKE BY best spine surgeon in Gurgaon

The past decade has witnessed a dramatic change in the treatment of acute stroke, leaving the era of an indifferent approach firmly behind. Equally as important as the development of particular emergency treatments, however, is recognizing that the organization of stroke services per se plays a vital role in the provision of effective therapies and in improving the overall outcome after stroke.

A significant advance in stroke management is the advent and development of specialized stroke services (stroke units) by the best spine surgeon in Gurgaon.

These services are organized as specialized hospital units focusing exclusively on stroke treatment. Evidence favors all strokes to be treated in stroke units regardless of the age of the patient and the severity and subtype of the stroke. Evidence from randomized trials shows that treatment in stroke units is very effective, especially compared with therapy in general medical wards, geriatric wards, or any other kind of hospital department in which no beds or specialized staff are exclusively dedicated to stroke care.

The Stroke Unit Trialists Collaboration has shown that stroke units reduce early fatality (death within 12 weeks) by 28% and death by the end of one-year follow-up by 17% (relative risk reduction). Stroke units also decrease disability and result in more discharges to home, rather than having patients institutionalized. In most European countries, the elements of comprehensive stroke unit care outlined by the Stroke Unit Trialists’ Collaboration have been adopted. They include assessment and monitoring, physiological management, early mobilization, skilled nursing care, and short-term multidisciplinary team rehabilitation services.

Despite proven efficacy and cost–effectiveness, stroke unit care remains underused in almost all parts of the world. Ischaemic stroke is caused by interruption of the blood supply to a localized area of the brain. This results in cessation of oxygen and glucose supply to the brain with subsequent breakdown of the metabolic processes in the affected territory. The infarction process may take several hours to complete, creating a time window. It may be possible to facilitate the restoration of blood supply to the ischaemic area and interrupt or reverse the process. Achieving this has been shown to minimize subsequent neurological deficit, disability, and secondary complications.

Therefore the acute ischaemic stroke should be regarded as a treatable condition that requires urgent attention in the therapeutic window when the hypoxic tissue is still salvageable. Recent advances in the management of ischaemic stroke imply the implementation of thrombolytic therapy that restores circulation in zones of critical ischemia, thus allowing minimizing, or even reversing, the neurological deficit, and spine surgeons in Gurgaon decide it.

Thrombolysis is effective for strokes caused by acute cerebral ischemia when given within three hours of symptom onset. Intravenous thrombolysis has been approved by regulatory agencies in many parts of the world and has been established or is in the build-up phase in many areas.

The therapy is associated with a slight but definite increase in the risk of hemorrhagic intracerebral complications, emphasizing the need for careful patient selection. Currently, less than 5% of all patients with stroke are treated with thrombolysis in most areas where the therapy has been implemented. One half to two-thirds of all patients with stroke cannot even be considered for intravenous thrombolytic therapy within a three-hour window because of patient delays in seeking emergency care. Changing the patients’ behavior in the event of acute suspected stroke remains a significant challenge. Several studies are currently extending the current criteria for thrombolysis to larger patient groups including beyond the three-hour window. In acute stroke cases, aspirin is given as soon as CT or MRI has excluded intracranial hemorrhage. Several advances are noted with endovascular treatment of intracranial aneurysms by detachable coils. Recent evidence suggests that endovascular intervention is at least as effective as open surgery, with fewer complications.

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Do you know what actual diabetic retinopathy is? And what is the diabetic retinopathy treatment all about? If no, then don’t worry as all the information related to this are mentioned below. You can get to know all under one roof.

What diabetic retinopathy all about?

Retina helps people in seeing fine details. It is a light tissue located at the back of the eyes. And diabetic retinopathy is a continuous and progressive condition of the eye that leads to damage one’s retina. It is caused because of diabetes. And when the situation becomes worst one may lose their eyesight.

It is a common problem in half of the people with diabetes. If it is not treated or taken care of on time, it sharply affects the vision.

What are the complications of diabetic retinopathy?

The growth of abnormal blood vessels in the retina leads to diabetic retinopathy. We all know any disease it may be if it’s not treated on time has a negative impact. The same goes with this, if it is not done on time then the complications can lead to serious and major problems resulting in vision loss. The complications are highlighted below:-

· Glaucoma

It is the condition where new blood vessels grow in front of the eyes interrupting the normal flow of the fluid out of the eyes. This causes pressure inside the eye to build up. And this pressure may lead to the damage of the nerve that carries the image from one’s eye to the brain. This increases the risk of eye veins being damaged and leads to blindness.

· Retinal Detachment

Tissues that are being damaged or scar pulls away from the retina from the back of the eye. This leads to spots appearing and floating in one’s vision, visible brightness of the light, and lead to severe vision loss, and many more. If retina detachment treatment is not done on time, it will definitely lead you to lose your vision for a lifetime.

One can get retinal detachment surgery or retina laser surgery done as soon as possible to be on safer sight. Dr. Varun Gogia is one of the best doctors for the eye in Gurgaon, and in fact in India. He treats his patients very well.

· Vitreous hemorrhage

The center of one’s eye may be filled with bleeding because of the new blood vessels. And in the case or situation of severe bleeding, the cavity of vitreous gel can be filled with blood that leads to completely block one’s vision.

· Complete loss of vision

If the situation is not handled initially, then it will ultimately lead to blindness. People have the tendency of ignoring the problems initially. But the diabetic patient should not take the risk. And must get his/her treatment done for better eyesight.

Thus, one must be aware of the problem and get the treatment done. One can get an appointment at the best eye hospital in Gurgaon, Iclinix. Most people recommend it for their excellent service.

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All You Need To Know About Neurosurgery

Neurosurgery is the special branch of medical science which involves studies concerning the neurological system of the body.The study includes surgical treatment, diagnosis, prevention and disorder rehabilitation concerning the portion of human nervous system.

The target areas of this medical science light are-

·         The brain

·         The spinal cord

·         The peripheral nervous system

·         The central nervous system

·         The cerebro vascular system.

Types of neurosurgery departments

·         General neurosurgery

This branch involves taking care involves taking care of neurological trauma and neuro emergencies. Intracranial hemorrhage is one division which most hospitals specializes in for general neurosurgery department.

·         Specialized branches

Few hospitals specialize in critical care units and have more sophisticated and advanced medicine technologies to deal with critical neurological emergencies involving some serious surgeries henceforth. Advanced machines, specialized neurosurgical department and a well dedicated and organized medical team specializing in neurological department is a must have in such hospitals.

Branches of neurosurgery

§  Vascular neurosurgery- This specialized branch of neurosurgery is inclusively dedicated in:

·         The clipping of aneurosyms

·         Performing carotid endarterectomy (CEA)

§  Stereotactic neurosurgery- This branch is specifically known to be the functional neurosurgery branch. It includes:

·         Epilepsy surgery- It includes removal or surgery treatment of the epileptic foci of brain.

·         Corpus callostomy- It includes severing part or all of callosum to stop or lessen seizure spread. It also includes surgical removal of functional, physical, physiological and anatomical pieces or brain division.

·         Hemispherectomy-It includes removal of part or all of one of the lobes of the brain, or of the cerebral hemispheres in particular.

§  Oncological neurosurgery-This branch of neurosurgery is often termed as neurosurgical oncology department in general. This branch is mainly dedicated in:

·         Treatment of benign of malignant central and or / peripheral nervous system.

·         Treatment performance of cancerous and pre cancerous lesions in both adults and children.

·         Treatment of diseases like-glioma, brain stem cancer, astrocytoma, spinal cord cancer, pontine glioma.

·         Treatment of tumors in meninges and intra cranial spaces, spine or peripheral nervous system.

Types of neurosurgery

·         Skull based surgery

·         Spinal neurosurgery

·         Peripheral nerve surgery

·         Pediatric neurosurgery (dedicated for children)

When to see a doctor?

In case of any abnormality in body functioning which requires the involvement of the brain, spine, or neurological conditions get better, then there would be no requirement of surgery.Not all neurological abnormalities necessarily need surgery. Get yourself thoroughly checked and follow the doctors’ recommendations while doing the necessary.

If the abnormalities persist, then one must report the doctor with no delay.

Abnormalities may include

·         Persistent headache and inability to describe the kind of pain from within

·         Feeling of vibration throughout the spine and bone.

·         Getting dizzy or feeling of nausea

·         Getting unconscious time and again

·         Vomiting tendency and lack of appetite

·         The saliva keeps on forming a foamy consistency when unconscious

·         Visual disturbances

·         Trouble performing daily activities

Our research says, there are some best neurologist in Gurgaon, best known for their success statistics and their performance in the medical urgencies. Before undergoing any neurological treatment, consult people about well known neurologists, neurosurgeons and hospitals around to undergo the necessities.

[drvikaskathuria]

Dr. Vikas Kathuria is a neurosurgeon and spine surgeon in Gurgaon, Haryana. He specialises in Brain Tumor Surgery, Deep brain stimulation, Spine surgery, Brain Hemorrhage treatment and Head Injury treatment in gurgaon, rohtak, faridabad and sonipat.

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Medical Press Releases.The brain and the spine are integral organs for the human body. Damage or illness affecting either of the organs often results in severe medical complications that either causes disability or threaten...

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Brain Hemorrhage Treatment In Gurgaon

The facts:

A brain bleed or brain hemorrhage as it is  called is bleeding in or around the brain. It can occur spontaneously as a   large hemorrhage, with sudden onset catastrophic symptoms or it can occur  gradually where it bleeds slowly over a period of time, with no apparent  symptoms at all. It is said that almost 13% of strokes are caused because of  hemorrhagic causes. It can be Traumatic or Spontaneous.

Why do they  have different names?

These hemorrhages are given different names  based on the exact location inside the skull where the bleeding occurs.  Bleeding anywhere inside the cranial cavity is known as intracranial  hemorrhage. Whereas bleeding into and within the brain tissue itself is called  an intra-cerebral hemorrhage. But between the skull and the brain matter, you  have what is the lining of the brain, made of three layers called the Dura  mater, which is closest to the skull, Arachnoid mater, which lies in the middle  and Pia mater, which is closest to the brain tissue. Bleeding can occur  anywhere in between these layers as well.

 Broadly they can be Traumatic or Non  Traumatic.

These different types of hemorrhages are:

Extradural/epidural hemorrhage  – which is bleeding between the skull and the Dura mater, which is commonly  caused by trauma due to acceleration-deceleration forces and rupture of the   meningeal vessels.

Subdural hemorrhage – which is  bleeding between the Dura mater and Arachnoid mater. These hemorrhages are also  again caused by trauma, but it is the subdural hemorrhages that most often tend  to be chronic and innocuous as well.

Subarachnoid hemorrhage – is bleeding  between the Arachnoid mater and the Pia mater. This type of bleeding is   commonly caused by the rupture of an aneurysm.

NonTraumatic Basal Ganglia ICH (Most Common ICH encountered in  Clinical practice), Thalamic ICH, Spontaneous  Cerebellar Hematomas.

What are  the signs to look out for to suspect an ICH?

The common symptoms which patients  experience when they develop and ICH include:

Sudden onset severe headache

Any changes which follow trauma  to the head should warn you about the development of an ICH

Neck stiffness

Nausea and vomiting

Altered levels of  consciousness/loss of consciousness

Development of seizures

Neurological deficits such as  numbness, weakness and impairment of vision and speech

In children you must suspect and ICH when  the child presents with vomiting, seizures, loss of consciousness, swelling in  the head or retinal hemorrhages. On most occasions the trauma which causes  these types of injuries in children is due to child abuse.

How is an  ICH diagnosed?

The most common investigation used to  confirm the diagnosis of an ICH is the CT scan, because it is widely available.  But where facilities are available an MRI scan is also equally useful for confirmation.  A Magnetic Resonance Angiogram, if available will help to get an idea about the  underlying cause of the ICH.

What are the  treatment options available for intracranial hemorrhages?

There are different ways in which  intracranial hemorrhages are managed depending on the exact location of the  bleeding and the amount of bleeding which has occurred. The symptoms which the  patient presents with also plays a role in determining the treatment plan. The  various methods available for the management of an intracranial hemorrhage   include non-surgical methods and surgical methods.

Surgical methods are required if the  bleeding is extensive, which is determined by imaging techniques such as CT and  MRI, or if the patient is displaying symptoms which are life threatening such  as development of seizures and altered level of consciousness, all which occur  due to increased intracranial pressure.

Non-surgical methods are used when the  bleeding is minimal and the patient is asymptomatic. Your doctor will continue  to monitor you, looking out for signs of increased intracranial pressure, and in  the meantime you will be prescribed some medication such as anti-anxiety   medication as well as drugs to prevent the development of seizures, and even  pain relief medication, because some patient may only complain of a mild  headache. Medication to reduce the swelling of the brain such as steroids as  well as medication to bring down your blood pressure may be helpful in the  management of an ICH.

What is the role of urgent surgery in intracranial  hemorrhages?  

Urgent surgery is most often required in  the case of ruptured aneurysms which can cause subarachnoid hemorrhages or  intra-cerebral hemorrhages. When it comes to intracerebral hemorrhages more  often than not, your doctor will opt for immediate surgery because the brain   matter can be extensively damaged if not intervened at the earliest, because of  the increased intracranial pressure, leading to poor prognosis. Therefore the  goal of urgent surgery is to save as much of the brain tissue as possible. The  surgical options available are:

Decompression surgery using one of the four  methods mentioned below:

Craniotomy – where the surgeon  will make and incision in the scalp, remove a part of the skull, and drain the hematoma  which has formed and repair the ruptured blood vessel. This is high risk  surgery and is only performed when the bleeding is extensive, or when higher  functions have been impaired in the patient.

Burr holeaspiration – where a  small hole is drilled into your skull, through which a needle is inserted, and  the hematoma is drained out. But for this you need to be able to identify the  exact location of the hemorrhage, and it might turn out that the surgeon cannot  completely drain the hematoma as well.

Endoscopic evacuation – which  is similar to aspiration, but it involves the use of an endoscope which has  camera and special equipment fitted at one end, and helps the surgeon visualize  the insides of the cranial cavity.

During these procedures as well as due to  the hemorrhage itself there is an increased risk the brain swelling up  (cerebral edema). Therefore when the surgeon removes a part of the skull during  a craniotomy, they may decide to replace it after some time, to allow for the  contents of the cranial cavity to expand, while the swelling is still present.  And once the edema is settled the part of the skull is replaced. This is known  as a craniectomy. There are other methods which been used in order to tackle  this problem of cerebral edema due to hemorrhage and surgery, which includes:

Duraplasty – which is a  procedure used during the Chiari decompression surgery, where an incision is  made in the Dura mater, and an extra patch is sewn in place in order to expand  the surface of the Dura, to allow for the edema.

Cisternostomy – is a procedure  where the basal cisterns are opened up to atmospheric pressure, in order to  relieve the increased intracranial pressure which occurs as a result of  cerebral edema. It is a novel technique which has replaced the older procedure   of decompressive hemicraniectomy.

Brain hemorrhages can be a life threatening   condition if not managed appropriately at the right time. But with the advent  of newer and technologically advanced surgical methods, the success rate of  surgical management is on the rise.

What  precautions can I take to prevent the development of an ICH?

There is no specific method which can  ensure that you prevent the development of an ICH. The main factor is to  prevent trauma to the head as much as possible even when accidents do happen.  Therefore taking the below mentioned precautions may help:

Wearing helmets when traveling  on bikes, motorbikes, scooters and skateboards

Wearing your seatbelt when  travelling in vehicles

Trying to prevent falls in an  elderly

Non Traumatic ICH can be prevented by  control of Blood pressure, regular check up from Neurologist/ Neurosurgeon and  Diagnostic Angiograms.

 What  outcome can I expect following an ICH?

As an ICH is life threatening condition,  the sooner it is treated the better the prognosis. But the overall outcome is  dependent on the site where the bleeding occurs and how severe the bleeding  was. Some patients may recover completely following management of the ICH,  while some others may need rehabilitation such as speech therapy, physiotherapy  and occupational therapy to help them perform their daily activities, if they  have to overcome remaining neurological deficits.