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pontine haemorrhage
Hello, I’m in trouble with my father. He is suffering from pontine haemorrhage for past 5 monhs. Now he just has opened his eyes in 1st month, after no improvements from him. No moments in his body and no more symptoms of further improvements for 4 months. He is still hanging with it. No ups and no downs. Not good and clear answers from doctors. He said he can’t save him after my father opened his eyes and keep him in home with all necessaries. But my question is : his body and face completely defaced by lying on bet and got many hurts in his body. Still giving this nursing care will help him to get back and what’s the right decision in this position. What should I do ? think better to kill him. he is 52 year old. he is being tortured in the name of treatment as he has half concious. please answer me ?
A related discussion, Pontine Hemrraghe was started.
Thank you madam, you have predicted right. I need to know one thing that is important, all patients that suffered from this problem got recovery finally? And another important one is what do you actually do in your medical side for the patient who is unable to climb for further improvement, and struggling to survive? Any body killed the patient as that is the only solution for peaceful end in critical? Please answer me for them generally.
MEDICAL PROFESSIONAL
Thanks for using the forum. I am happy to address your questions, and my answer will be based on the information you provided here. Please make sure you recognize that this forum is for educational purposes only, and it does not substitute for a formal office visit with your doctor.
Without the ability to review your father’s medical history and examine him, I can not unfortunately predict exactly what complications he will face, what his prognosis is, etc. but I will try to provide you with some useful information.
It sounds like your father has suffered a brainstem bleed. This is very unfortunate and must be very difficult for you and your family to go through.
The causes of bleeding in the pons (a part of the brain called the brainstem) is often high blood pressure though other causes could include aneurysms, vascular malformation or tumor.
Regarding your father’s prognosis in terms of recovery of motor function, this is a question to best ask his/her neurologist, as it really depends on to what extent his brainstem is damaged and his neurologist can review his MRI and examine him and determine that. It is important to ask questions if your neurologist is not providing you with adequate information. However in general, unfortunately many patients with large pontine hemorrhages (which press on surrounding structures or obstruct the flow of cerebrospinal fluid leading to hydrocephalus), for those patients most recover little if any motor function and may remain paralyzed for life. In addition, depending on the extent of the bleed, little recovery of consciousness may occur. However, patients with smaller bleeds may recover some function and regain awareness.
After a stroke of this type, the risks of aspiration are high, because throat muscles are not working well (basically, food or water or even saliva, goes down "the wrong tube", to the lungs instead of the esophagus). That is why feeding tubes placed in the stomach, called PEG tubes or J-tubes depending on where they are inserted, and important to use. Also, very vigorous skin treatment and frequent turning of the patient to prevent bed sores, care of the urine catheter (or removal of it all together when possible) to prevent urinary tract infections, are also important.
Again I strongly recommend you ask your father's treating neurologist specific questions so that you are equipped with the knowledge necessary to make decisions on your father's behalf.
Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.
Without the ability to review your father’s medical history and examine him, I can not unfortunately predict exactly what complications he will face, what his prognosis is, etc. but I will try to provide you with some useful information.
It sounds like your father has suffered a brainstem bleed. This is very unfortunate and must be very difficult for you and your family to go through.
The causes of bleeding in the pons (a part of the brain called the brainstem) is often high blood pressure though other causes could include aneurysms, vascular malformation or tumor.
Regarding your father’s prognosis in terms of recovery of motor function, this is a question to best ask his/her neurologist, as it really depends on to what extent his brainstem is damaged and his neurologist can review his MRI and examine him and determine that. It is important to ask questions if your neurologist is not providing you with adequate information. However in general, unfortunately many patients with large pontine hemorrhages (which press on surrounding structures or obstruct the flow of cerebrospinal fluid leading to hydrocephalus), for those patients most recover little if any motor function and may remain paralyzed for life. In addition, depending on the extent of the bleed, little recovery of consciousness may occur. However, patients with smaller bleeds may recover some function and regain awareness.
After a stroke of this type, the risks of aspiration are high, because throat muscles are not working well (basically, food or water or even saliva, goes down "the wrong tube", to the lungs instead of the esophagus). That is why feeding tubes placed in the stomach, called PEG tubes or J-tubes depending on where they are inserted, and important to use. Also, very vigorous skin treatment and frequent turning of the patient to prevent bed sores, care of the urine catheter (or removal of it all together when possible) to prevent urinary tract infections, are also important.
Again I strongly recommend you ask your father's treating neurologist specific questions so that you are equipped with the knowledge necessary to make decisions on your father's behalf.
Thank you for this opportunity to answer your questions, I hope you find the information I have provided useful, good luck.
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