A 38-year-old woman suddenly became paralyzed due to a brain hemorrhage and had surgery to remove the hematoma promptly
Quick Look
- Linh, 38 years old, suffered a right cerebral hemorrhage due to uncontrolled hypertension, causing hemiplegia and loss of consciousness.
- After CT diagnosis, the doctor performed minimally invasive brain surgery to remove 60g of hematoma.
- A day later, she began rehabilitation and was discharged after 4 days.
AI-generated summary
Why It Matters
Ms. Linh, 38 years old, had a history of hypertension, suddenly developed hemiplegia and lost consciousness, and was taken to Tam Anh General Hospital in Ho Chi Minh City for emergency treatment.
Ms. Linh, 38 years old, suddenly became weak on half of her body and lost consciousness due to a brain hemorrhage. She received timely intervention to avoid sequelae.
Dr. Huynh Van Muoi Mot, Deputy Department of Emergency Medicine, Tam Anh General Hospital, Ho Chi Minh City, said that when she arrived at the hospital, Ms. Linh had slow contact, the left side of her body completely lost the ability to move, muscle strength was 0/5, while the right side reached 5/5 (normal level). Ms. Linh has a history of high blood pressure with sudden onset of hemiplegia and consciousness disorders. The doctor suspected a neurological event.
The emergency team controlled the patient's blood pressure and ordered a brain CT scan. Brain CT results showed a large hematoma located in the right hemisphere of the brain, spreading through the forehead, temples and putamen, surrounded by cerebral edema. The blood mass caused compression of the right ventricle, pushing the midline of the brain about 3.5 mm to the left.
Doctor Muoi Mot diagnosed Ms. Linh with right hemisphere cerebral hemorrhage. This condition is dangerous because the large amount of hematoma is putting pressure on brain tissue, causing brain swelling and brain damage.
After consultation, doctors decided to perform minimally invasive brain surgery (MIS) to remove the hematoma. The team made a small opening of about 2 cm on the skull, brought specialized tools to access the damaged area, and removed 60 g of hematoma.
A day later, Ms. Linh's left side gradually recovered and could eat, drink, and walk on her own under the guidance of medical staff. The patient was discharged after 4 days of observation.
According to Dr. Muoi Mot, prolonged high blood pressure that is not well controlled can damage blood vessel walls, causing blood vessels in the brain to weaken and easily rupture. When a blood vessel bursts, blood spills into the brain parenchyma, forming a hematoma and compressing surrounding brain areas.
Doctors recommend that each person have regular health checks, especially when there are risk factors such as dyslipidemia, blood sugar, smoking, overweight, obesity or cardiovascular disease. When sudden symptoms such as mouth distortion, weakness, difficulty speaking, or confusion appear, it is necessary to take the patient to a medical facility capable of providing early stroke emergency care for timely intervention, limiting brain damage, and avoiding sequelae.
Nhu Ngoc
*Patient's name has been changed
What to Watch
AI outlook — possibilities, not facts
Ms. Linh will continue rehabilitation under the guidance of medical staff after discharge from the hospital.
Likely · Within weeks
Open Questions
- What is the long-term recovery rate of motor function after surgery?
- Is it necessary to change the patient's antihypertensive therapy after discharge from the hospital?
