How to remove blood clots in the brain

Jan 23, 2025 Source: Cainiu Health
Disease description:

I'm quite old already, and during this recent brain CT scan, a blood clot was detected. I got quite worried about it myself. I just want to ask, how can a blood clot in the brain be removed?

Doctor's answer (1)
Dr. Lv Zhiqin

Methods for eliminating blood clots in the brain:

1. Medication therapy: Patients with minor bleeding or small blood clots can be treated with medications. This includes using neurotrophic drugs such as vitamin B1 and mecobalamin, as well as diuretics like furosemide and spironolactone to promote absorption of the clot and reduce cerebral edema. Additionally, specific underlying causes, such as hypertension caused by cerebral arteriosclerosis, can be managed with medications like nifedipine sustained-release tablets and metoprolol tartrate tablets to control blood pressure.

2. Surgical treatment: Patients with large blood clots, clots in critical locations, or those causing pressure on brain nerves require prompt surgical intervention. Surgical options include minimally invasive intracranial hematoma evacuation and craniotomy, aimed at removing the clot, improving cerebral blood circulation, relieving pressure, and promoting cellular metabolism.

3. Conservative treatment: Patients with small clots and no significant symptoms may opt for conservative management. This includes bed rest, dietary adjustments, and blood pressure control to promote natural absorption of the clot and recovery.

All treatments for brain blood clots should be conducted under the guidance of a qualified physician. Never attempt self-treatment or delay seeking medical care.