What to do when pupils dilate due to brainstem hemorrhage

Jan 09, 2023 Source: Cainiu Health
Disease description:

There was slight bleeding in the brainstem yesterday at the hospital, and now the doctor says the pupils are dilated. What should be done when brainstem hemorrhage leads to pupil dilation?

Doctor's answer (1)
Dr. Huang Shichang
Brainstem hemorrhage with dilated pupils requires treatment with a ventilator. Dilated pupils due to brainstem bleeding indicate that the patient is already in a state of brain death. Pupillary regulation is controlled by the oculomotor nerve; when the pupils are dilated, it signifies irreversible damage to the entire brain. Such patients typically lack spontaneous respiration and require mechanical ventilation. It is recommended that the patient seek emergency medical care at a hospital immediately.