What Does A Bleed On The Brain Feel Like
Symptoms of a brain bleed include severe headaches, blurred vision, weakness on one side of the body, and a stiff neck. A brain bleed is a medical emergency that needs hospital treatment. A bleed on the brain is known as a hemorrhage, which is a type of stroke. The kind of bleed depends on where it occurs in the brain.
Gain A Better Understanding Of Brain Bleeds
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A brain bleed occurs when there is a ruptured blood vessel that creates bleeding in and around the brain. According to the Brain Aneurysm Foundation, approximately 30,000 Americans experience a brain aneurysm rupture each year. How do you know if you could be one of them?
David Wiles, MD, neurosurgeon at Parkridge Medical Center, sat down with us to discuss brain bleeds and how you can recognize the symptoms as soon as possible in order to obtain medical care and treatment.
Common Warning Signs Of Brain Hemorrhages
Symptoms and signs of brain bleeding vary depending on the extent of the tissue affected, the extent of the bleeding, and the location of the bleeding. The identified signs and symptoms may suddenly appear, or develop gradually, and they could also appear in a sudden manner or worsen with time. Symptoms and signs may include:
- lethargy and reduced alertness
- development of an abnormal sense of taste
- numbness and weakness in the legs or arm
- seizures that suddenly appear without previous history
- severe headache
- difficulties swallowing and speaking, or even understanding spoken words
- loss of motor skills, and challenges in reading or writing, which may be accompanied by tremors
- vision change and nausea that may be accompanied by vomiting
- loss of consciousness, balance, and coordination
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Striking And Construction Accidents
Falling materials from construction sites, flying roadway debris, and household accidents also contribute to brain trauma. Eligible claimants might seek compensation from property owners, workers compensation insurers, and even liable state entities in such cases. Further, claimants might recover damages from the designers and distributors of dangerous products that caused the head trauma.
Even without lost consciousness, always consider seeking medical help following head trauma. Minor bumps can result in seemingly invisible brain bleeds that develop into brain hemorrhages and permanent brain damage. Brain injury attorneys could help claimants recover money for their medical damages, including necessary medical monitoring and emergency treatment, in appropriate cases.
What Are The Long
Each childs outcome will vary depending on the size, cause, and location of the bleeding. Some children don’t have any problems after treatment. Other children may have ongoing neurologic problems. These can include trouble with learning, speech, or movement. Some develop seizures or epilepsy. In these cases, regular follow-up with the doctor are needed. Supportive care, such as speech, physical, or occupational therapy, may also be needed.
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How Are Brain Hemorrhages Treated
Any type of bleeding inside the skull or brain is a medical emergency. If you or a loved one have experienced a blow to the head or have symptoms that may indicate a brain bleed, call 911. It is important to get to a hospital emergency room immediately to determine the cause of the bleeding and to begin medical treatment.
If a stroke has occurred, the cause must be determined so that the appropriate treatment can be started. Prompt medical treatment can help limit damage to the brain, which will improve your chance of recovery.
Surgery may be needed in the following situations:
- Bleeding may require immediate decompression of the brain to release pooled blood and relieve pressure. Decompression may be done through a burr hole procedure , a craniectomy incision , or a craniotomy .
- A cerebral aneurysm that has not ruptured may require clipping or filling of the aneurysm through a craniotomy surgical procedure, or an angiography-type procedure to prevent a future rupture.
- An arteriovenous malformation that has not ruptured is treated by direct removal of the AVM through surgery, use of computer-guided radiation to close off the abnormal vessels or use of a special glue or other filler to block the blood flow from smaller blood vessels into the AVM or the vessels that supply the AVM.
- Some brain hemorrhages do not require surgery. The decision depends on the size, cause and location of the bleed and other factors.
Other treatments may include:
Understanding And Recognizing Brain Bleeding And Contusions
Brain hemorrhages after accidents are not uncommon. Intracranial bleeding can occur between the brain and skull, brain layers, or between the brain and its membranes. The initial trauma generally irritates and damages blood vessels in the brain, causing cerebral edema . This swelling may then compress and damage additional blood vessels resulting in further bleeding. The blood can also pool into hematomas, reducing blood flow and killing brain cells. Strokes occur when the bleeding involves a major brain artery and subsequent blockage.
Patients often develop symptoms of brain bleeds suddenly. The most common symptoms of brain bleeding include:
- Sudden and painful headaches
- Inability to read, write, speak, or effectively communicate
- Loss of coordination and balance
- Nausea and vomiting
- General lack of awareness
Many traumatic brain injuries cause immediate brain trauma and swelling, meaning TBI symptoms and brain bleeding often overlap. Traumatic brain injuries that initially seem mild generally result in slower bleeds that increase pressure over time. If patients go home and their symptoms suddenly worsen, they may be having a traumatic stroke. Sharp and painful headaches, along with confusion, are often the first signs of brain bleeding. However, the symptoms often depend on the bleeds location. If you recently suffered from brain trauma and begin experiencing different or worsening symptoms, seek emergency medical help immediately.
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What Happens When A Brain Bleeds
I’ve been hearing about bleeding in the brain after a TBI. Can you explain how this happens and why it’s so dangerous? What exactly is a subdural hematoma?
Let’s start with the basics. A hematoma is a tumor-like collection of blood, usually clotted, located outside a blood vessel. The subdural space is located between the dura mater and the arachnoid membrane . The epidural space is located on or outside the dura mater.
Now, to answer your question, a subdural hematoma is basically bleeding into the space between the brain cover and the brain itself. More specifically, there are blood vessels running through the brain and in the spaces between the outside of the brain and the inside of the skull. During a brain injury, any of these vessels can tear and bleed. Ruptured vessels running in the subdural space typically veins cause subdural hematomas. Ruptured vessels running through the epidural space typically arteries cause epidural hematomas. Both types of bleeding take up space in the skull and in so doing squeeze down on the brain. Because arteries are under pressure, epidural hematomas leak quickly and compress the brain rapidly while subdural hematomas leak much more slowly.
Getting to the hospital quickly is the best way to diagnose and treat this bleeding, which usually requires surgery to remove the blood and relieve the pressure on the brain.
When Your Child Has Intracranial Hemorrhage
Your child has an intracranial hemorrhage. This is bleeding that occurs in any part of the brain or between the brain and the skull. Bleeding can damage brain tissue. It can also lead to brain swelling or brain compression. If the bleeding is severe, treatment will be needed to limit brain damage or save your childs life. Treatment may also reduce your childs risk of having long-term brain problems.
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What Is A Traumatic Brain Injury
A traumatic brain injury is any sudden injury to your brain. It happens when a bump, blow, jolt, or other injury damages the brain. It can occur from a strong or violent strike to your head.
TBIs can be mild, moderate, or severe, depending on how much damage there is. Concussions are a mild form of TBI. Mild forms cause temporary symptoms that usually go away a few days or weeks after the injury. The most severe TBIs can cause permanent brain damage, coma, or death.
Can Brain Hemorrhages Be Prevented
Because the majority of brain hemorrhages are associated with specific risk factors, you can minimize your risk in the following ways:
- Treat high blood pressure. Studies show that 80% of cerebral hemorrhage patients have a history of high blood pressure. The single most important thing you can do is control yours through diet, exercise, and medication.
- Donât smoke.
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What Is A Brain Hemorrhage
A brain hemorrhage is bleeding in or around the brain. It is a form of stroke. Causes of brain hemorrhage include high blood pressure , abnormally weak or dilated blood vessels that leak, drug abuse, and trauma. Many people who experience a brain hemorrhage have symptoms as though they are having a stroke, and can develop weakness on one side of their body, difficulty speaking, or a sense of numbness. Difficulty performing usual activities, including problems with walking or even falling, are not uncommon symptoms. About 13% of all strokes are hemorrhagic strokes, or caused by bleeding into the brain.
Brain hemorrhage is often labeled according to precisely where it occurs in the brain. In general, bleeding anywhere inside of the skull is called an intracranial hemorrhage. Bleeding within the brain itself is known as an intracerebral hemorrhage. Bleeding can also occur between the covering of the brain and the brain tissue itself, referred to as a subarachnoid hemorrhage. If a blood clot occurs between the skull and the brain, it is known as either a subdural or epidural hematoma depending on whether it is below or above the tough covering of the brain. Subdural and epidural hematomas are more likely to occur as a result of a traumatic brain injury or after a fall and will not be addressed in detail here.
What Are The Types And Causes Of A Brain Haemorrhage
There are four types of haemorrhage, named according to where the bleeding occurs. These are:
- Subdural haemorrhage
- Extradural haemorrhage
Subdural and extradural haemorrhages are the most common type after TBI, and they are a cause of further brain damage that can lead to more long-term effects.
- Subarachnoid haemorrhage
- Intracerebral haemorrhage.
Subarachnoid and intracerebral haemorrhages are more likely to happen spontaneously. Small blood vessels rupture, often causing loss of consciousness.
Sometimes a brain haemorrhage can occur after a seemingly minor head injury. Symptoms can develop rapidly or can take a number of weeks to develop, and urgent investigation and treatment is required.
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What Are The Symptoms Of Brain Hemorrhage
The symptoms of brain hemorrhage depend on the location of bleeding, amount of bleeding and the tissue affected. Symptoms can occur all of a sudden or over time.
The symptoms of brain hemorrhage are as follows:
- Sudden severe headache
- Pain in arm or leg
- Nausea or vomiting
- Difficulty in talking or listening
- Difficulty in swallowing
Brain hemorrhages are caused by the below conditions:
- Head trauma: Brain injury results in bleeding in the brain especially in people below 50.
- High blood pressure: High blood pressure can lead to weakened blood vessel walls. This can lead to bleeding in the brain.
- Aneurysm: Aneurysm is a weakening in inflamed blood vessel walls. These blood vessels can burst and bleed into the brain which causes brain hemorrhage.
- Blood vessel abnormalities: If the weak blood vessels in the brain are present from birth, they can lead to brain hemorrhage.
- Amyloid angiopathy: Amyloid angiopathy is an abnormality of blood vessels that occurs due to aging and high blood pressure. It causes numerous small bleeds before causing a serious large one.
- Blood disorders: Diseases like hemophilia and sickle cell anemia can lead to reduced platelet count in the blood.
- Liver disease: Liver disease can lead to increased bleeding.
- Brain tumors: Brain tumors can also cause brain hemorrhages.
How A Subarachnoid Haemorrhage Is Treated
A person with a suspected subarachnoid haemorrhage needs a CT scan in hospital to check for signs of bleeding around the brain.
If a diagnosis of subarachnoid haemorrhage is confirmed or strongly suspected, you’re likely to be transferred to a specialist neurosciences unit.
Medication will usually be given to help prevent short-term complications, and a procedure to repair the source of the bleeding may be carried out.
Read more about:
Read more about the causes of subarachnoid haemorrhages.
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Common Causes Of A Brain Bleed
Brain bleeds can be incredibly dangerous and they can occur just about anywhere within your cranial cavity. Here are some of the conditions main causes:
How Is A Traumatic Brain Injury Diagnosed
Your doctor will perform a neurological exam. He or she will ask you questions about the injury and symptoms. They also will test your physical and mental reflexes. The exam helps your doctor determine how severe your brain injury is. You may need other tests, such as an X-ray, computerized tomography scan, or magnetic resonance imaging . These tests take pictures of your head and brain. They show if there is a skull fracture or bleeding, bruising, or blood clots in your brain.
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What Is A Head Injury
A head injury occurs as a result of trauma to the scalp, skull or brain. Head injuries are classified as closed, in which there is no cut or laceration to the skin, or penetrating, in which the skin and/or bone of the skull is broken. Traumatic brain injuries range from mild to severe.
The symptoms of a head injury may occur immediately following trauma, or they may develop slowly over several hours or days. Specific types and symptoms of head injuries include:
- Concussion: Also called a mild traumatic brain injury. This includes injuries to the brain that are caused by a blow to the head or body, a fall, or another trauma that jars or shakes the brain inside the skull. People who suffer from concussions may not always exhibit symptoms that are apparent to others. Symptoms of a concussion and minor head injuries include:
- loss of consciousness for a few seconds to a few minutes
- confusion memory and/or concentration problems
- memory loss of events before the injury or immediately after it
- nausea and vomiting
- altered level of consciousness, such as being drowsy or difficult to awaken
What Is A Subarachnoid Hemorrhage
A subarachnoid hemorrhage means that there is bleeding in the space that surrounds the brain. Most often, it occurs when a weak area in a blood vessel on the surface of the brain bursts and leaks. The blood then builds up around the brain and inside the skull increasing pressure on the brain. This can cause brain cell damage, life-long complications, and disabilities.
When an aneurysm is located in the brain, it’s called a cerebral, intracerebral, or intracranial aneurysm. Acerebral aneurysm often develops over a long period of time and may not cause any symptoms before it bursts or ruptures. Most aneurysms develop after age 40.
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What Is The Prognosis After A Brain Hemorrhage Is Recovery Possible
Many patients who have experienced a brain hemorrhage do survive. However, survival rates are decreased when the bleeding occurs in certain areas of the brain or if the initial bleed was very large.
If a patient survives the initial event of an intracranial hemorrhage, recovery may take many months. Over time and with extensive rehabilitation efforts, including physical, occupational, and speech therapy, patients can regain function. However, some can be left with persistent weakness or sensory problems. Other patients may have residual seizures, headaches, or memory problems.
Can A Traumatic Brain Injury Be Prevented Or Avoided
There are some things you can do to lower the risk for a TBI. You should:
- Always wear a seatbelt in the car.
- Never drive under the influence of alcohol or drugs.
- Wear a helmet in sports and activities, like biking, skating, horse riding, skiing, and snowboarding.
- Avoid dangerous sports and activities.
- Use child car seats correctly. Always buckle your young child into a car seat before you drive.
- Make living areas safe for children. Install window guards to keep children from falling out of windows. Use safety gates at the top and bottom of stairs.
- Make sure the surface of playgrounds where your kids play is made of shock-absorbing material, such as mulch or sand.
- Make living areas safe for seniors. Remove tripping hazards, use nonslip mats in showers and bathtubs, and install handrails and grab bars on stairs or in the bathroom.
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