Slow But Steady: Long-Term Outcome After Intracerebral Haemorrhage With Continuous Rehabilitation, Judicious Pharmacotherapy, And Surgical Interventions, A Case Report

Abstract

Background and Clinical Significance: Outcome data on intracerebral hemorrhage (ICH) is limited, and functional outcome is considered less favorable after ICH. Most recovery is considered to happen within the first few months, and people with severe post-ICH disability are often excluded from long-term rehabilitation.

Case Presentation: We describe the case of a hypertensive male in his 70s who suffered a massive ICH (ICH score of 4) and acute hydrocephalus. After intensive therapy followed by long-term rehabilitation, the patient recovered to a modified Rankin scale of 4 and a Barthel index of 40, overcoming complications like seizures, obstructive sleep apnea, and psychiatric issues.

Conclusions: The highlighting point in our case was the importance of long-term rehabilitation in moribund stroke patients and how effective coordination between the patient’s family and the treating team becomes fruitful. Our case also demonstrated that the Barthel index provides a more accurate representation of functional recovery than the modified Rankin scale.