Prognosis
The prognosis of a cerebral hemorrhage depends on the current constitution and general condition of the patient, the pre-existing risk factors and the size, position and extent of the bleeding. While the prognosis for smaller bleedings is rather favorable, the overall mortality rate for ICB is 30 to 50%. Especially patients with large, extensive bleeding, advanced age and multiple risk factors generally have a rather poor prognosis.
Patients who survive the bleeding and any secondary bleeding often suffer permanent damage, such as paralysis or speech disorders. Cerebral hemorrhages are very serious conditions that are potentially life-threatening. Depending on the type of cerebral hemorrhage, the chances of survival vary.
There are cerebral hemorrhages with a comparatively good prognosis and others with a rather poor prognosis. It is therefore not possible to give a general probability of survival. Intracerebral hemorrhages, for example, are associated with a high mortality rate.
About half of the patients die in the first year after bleeding. In contrast, the prognosis for epidural hematoma is relatively good, with a 70% chance of survival. The probability of survival depends strongly on the type of bleeding, the general condition of the patient and the success of the therapy.
The term chances of cure is very difficult to use in the case of a cerebral hemorrhage. First of all, the primary goal is to ensure the survival of the affected person, as this is usually a life-threatening condition. At the same time, of course, one tries to prevent consequential damage and to help the affected person to return to his or her original state.
However, this is highly dependent on the extent of the bleeding and the brain damage it has caused. Very extensive bleeding and concomitant brain injuries usually leave behind permanent neurological damage, such as paralysis. With rehabilitation measures, however, one tries to improve the condition of those affected as much as possible. The possibilities of care are very good due to specialized neurological and neurosurgical centers and adapted neurorehabilitation.
