Right-sided limb motor dysfunction and inability to speak after craniotomy for cerebral hemorrhage

Intracerebral hemorrhage is a severe cerebrovascular disease that occurs when a blood vessel within the brain ruptures, causing blood to leak into brain tissue. This forms a hematoma that compresses surrounding brain tissue and results in neurological dysfunction. In the patient's case, the symptoms of right-sided limb movement impairment and inability to speak following craniotomy are likely caused by damage to the nerves controlling right limb movement and language function during the surgical procedure.

It is recommended that the patient begin rehabilitation therapy as early as possible after surgery, including physical therapy, occupational therapy, and speech therapy, to promote recovery of neurological function. Physical therapy helps restore limb function, occupational therapy improves the ability to perform activities of daily living, and speech therapy aids in recovering communication abilities. Additionally, under a physician's guidance, certain neurotrophic medications such as methylcobalamin and vitamin B1 may be appropriately used to support neurological recovery. Moreover, maintaining healthy lifestyle habits, such as balanced nutrition, moderate exercise, avoiding smoking, and limiting alcohol consumption, can help prevent recurrence of intracerebral hemorrhage. Regular follow-up examinations are also important for timely detection and management of potential complications and sequelae.