What are the complications after craniotomy for cerebral hemorrhage?

The sequelae resulting from craniotomy for cerebral hemorrhage are primarily caused by the initial bleeding within brain tissue. Common complications include impaired consciousness, motor dysfunction, epilepsy, hydrocephalus, and emotional changes.

After surgical treatment of intracerebral hemorrhage, certain sequelae may persist or functional impairments may arise due to brain tissue damage. Clinically, these manifest as symptoms such as altered consciousness, limb movement disorders, seizures, hydrocephalus, and mood alterations. Patients experiencing post-craniotomy complications require active symptomatic management. In cases of postoperative infection, external ventricular drainage may be necessary to remove infected cerebrospinal fluid (CSF) from the body, and antibiotic therapy should be tailored according to CSF culture results. For postoperative epilepsy, standard treatment involves oral administration of antiepileptic drugs.

Complete recovery from sequelae following craniotomy for cerebral hemorrhage is generally difficult. Therefore, once the patient's condition stabilizes, early initiation of systematic rehabilitation therapy with targeted training is essential to promote functional recovery.