Wednesday, April 27, 2022

How Do You Know If Your Brain Is Bleeding

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Can People Recover From Brain Hemorrhages And Are There Possible Complications

Hurt Your Head? How Do You Rule Out A Brain Bleed? Do You Have A Concussion?

How well a patient responds to a brain hemorrhage depends on the size of the hemorrhage and the amount of swelling.

Some patients recover completely. Possible complications include stroke, loss of brain function, seizures, or side effects from medications or treatments. Death is possible, and may quickly occur despite prompt medical treatment.

Why Does A Brain Bleed

Unfortunately, brain bleeds are one of the more common causes of a traumatic brain injury. Whether someone sustains a traumatic brain injury in an auto accident, pedestrian injury, or some other cause, brain bleeding can cause serious symptoms to present. The brain is supplied by an intricate network of blood vessels that feed oxygen and nutrients to this vital organ. Like other blood vessels, these are fragile and can be damaged in a traumatic accident. Whether it is a bone fragment from the skull or a direct impact to the brain tissue itself, damage to these blood vessels can lead to friability inside of the brain, leading to gradual but deadly brain bleeds.

What Is A Brain Bleed

To most people, a brain bleed simply means any bleed inside your head. However, a doctor and specifically doctors who treats brain bleeds would say that a brain bleed is too broad of a term. These doctors further describe brain bleeds by their exact location.

To better understand brain bleeds, its important to have a basic understanding of the different types. First, there are two main areas where bleeding can occur bleeding can occur either within the skull but outside of the brain tissue, or inside the brain tissue. These areas are further divided as follows:

Bleeding within the skull but outside of the brain tissue

The brain has three membranes layers that lay between the bony skull and the actual brain tissue. The purpose of the meninges is to cover and protect the brain. Bleeding can occur anywhere between these three membranes. The three membranes are called the dura mater, arachnoid, and pia mater.

  • Epidural bleed : This bleed happens between the skull bone and the utermost membrane layer, the dura mater.
  • Subdural bleed : This bleed happens between the dura mater and the arachnoid membrane.
  • Subarachnoid bleed : This bleed happens between the arachnoid membrane and the pia mater.

Brain bleeds can occur within the meninges, which is the area inside the skull but outside the actual brain tissue.

Bleeding inside the brain tissue

Two types of brain bleeds can occur inside the brain tissue itself intracerebral hemorrhage and intraventicular hemorrhage.

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What Causes A Cerebral Aneurysm

Cerebral aneurysms form when the walls of the arteries in the brain become thin and weaken. Aneurysms typically form at branch points in arteries because these sections are the weakest. Occasionally, cerebral aneurysms may be present from birth, usually resulting from an abnormality in an artery wall.

Risk factors for developing an aneurysm

Sometimes cerebral aneurysms are the result of inherited risk factors, including:

  • genetic connective tissue disorders that weaken artery walls
  • polycystic kidney disease
  • arteriovenous malformations
  • history of aneurysm in a first-degree family member .

Other risk factors develop over time and include:

  • untreated high blood pressure
  • cigarette smoking
  • drug abuse, especially cocaine or amphetamines, which raise blood pressure to dangerous levels. Intravenous drug abuse is a cause of infectious mycotic aneurysms.
  • age over 40.

Less common risk factors include:

  • head trauma
  • brain tumor
  • infection in the arterial wall .

Additionally, high blood pressure, cigarette smoking, diabetes, and high cholesterol puts one at risk of atherosclerosis , which can increase the risk of developing a fusiform aneurysm.

Risk factors for an aneurysm to rupture

Not all aneurysms will rupture. Aneurysm characteristics such as size, location, and growth during follow-up evaluation may affect the risk that an aneurysm will rupture. In addition, medical conditions may influence aneurysm rupture.

Risk factors include:

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New Emergency Nurse Information Blog: Trauma Part 4 ...

    When blood vessels within the brain become damaged, they are more likely to burst and cause a hemorrhage. An intracerebral brain hemorrhage is bleeding in the brain caused by the rupture of a damaged blood vessel in the head. As the amount of blood increases, the build-up of pressure can lead to brain damage, unconsciousness or even death.

    ICH affects people of all ages. Because it is most commonly caused by high blood pressurewhich shows no symptomsICH often goes undetected until a major event occurs. In other cases, ICH may be triggered by trauma, infections, tumors, blood clotting deficiencies and abnormalities in the blood vessels.

    There are three basic types of ICH:

    • hypertensive hemorrhage, caused by chronic high blood pressure
    • arteriovenous malformation, caused by congenital defects
    • amyloid angiopathy, caused by the weakening of blood vessels due to aging

    You are at greater risk for ICH if you:

    • have high blood pressure
    • have had a recent stroke
    • are African-American or Hispanic

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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.

    Carotid Angioplasty And Stenting

    An alternative, new form of treatment, carotid angioplasty and stenting, shows some promise in patients who may be at too high risk to undergo surgery. Carotid stenting is a procedure in which a tiny, slender metal-mesh tube is fitted inside your carotid artery to increase the flow of blood blocked by plaques. The stent is inserted following a procedure called angioplasty, in which the doctor guides a balloon-tipped catheter into the blocked artery. The balloon is inflated and pressed against the plaque, flattening it and re-opening the artery. The stent acts as scaffolding to prevent the artery from collapsing or from closing up again after the procedure is completed.

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    What Is A Haemorrhagic Stroke

    If blood leaks from a blood vessel in or around the brain, this is called a haemorrhagic stroke. You may also hear it called a brain haemorrhage or a brain bleed.

    In the UK, around 15% of strokes are haemorrhagic , and about 85% are ischaemic .

    Haemorrhagic stroke tends to affect younger people than ischaemic stroke, and is most common in people aged between 45 and 70. Most strokes in the UK happen over the age of 70.

    There are two main types of haemorrhagic stroke:

    • Bleeding within the brain: called an intracerebral haemorrhage, or intracranial haemorrhage .
    • Bleeding on the surface of the brain: called a subarachnoid haemorrhage .

    Bleeding within the brain

    When an artery inside the brain bursts it’s called an intracerebral haemorrhage. About 10% of all strokes are of this type.

    The blood leaks out into the brain tissue at high pressure, killing brain cells and causing brain swelling.Bleeding on the surface of the brain

    The brain sits inside a fluid-filled cushion of membranes that protects it from the skull, called the subarachnoid space. If blood vessels near the surface of the brain burst and blood leaks into the subarachnoid space, this is called a subarachnoid haemorrhage .

    SAH accounts for around 5% of all strokes, and it is most often caused by a burst aneurysm .

    Brain Hemorrhage Symptoms & Signs

    Warning signs to spot a brain aneurysm

    The Worst Headache of Your Life

    “Doctor, I have the worst headache of my life.” Those words send up a warning when a doctor walks into a room to see the patient. The textbooks say that this symptom is one of the clues that the patient may be suffering from a subarachnoid hemorrhage from a leaking cerebral aneurysm. These words don’t mean that a disaster is waiting to happen, but the red flag is waving. If those words are associated with a patient who is lying very still, complaining of a stiff neck, and has difficulty tolerating the lights in the room, this makes the suspicions rise even higher. Add vomiting and confusion as associated symptoms, and the sirens are going off in the doctor’s head. Something bad is happening and time is critical.

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        How Are Cerebral Aneurysms Treated

        Not all cerebral aneurysms require treatment. Some very small unruptured aneurysms that are not associated with any factors suggesting a higher risk of rupture may be safely left alone and monitored with MRA or CTA to detect any growth. It is important to aggressively treat any coexisting medical problems and risk factors.

        Treatments for unruptured cerebral aneurysms that have not shown symptoms have some potentially serious complications and should be carefully weighed against the predicted rupture risk.

        Treatment considerations for unruptured aneurysms A doctor will consider a variety of factors when determining the best option for treating an unruptured aneurysm, including:

        • type, size, and location of the aneurysm
        • risk of rupture
        • the persons age and health
        • personal and family medical history
        • risk of treatment.

        Individuals should also take the following steps to reduce the risk of aneurysm rupture:

        • carefully control blood pressure
        • avoid cocaine use or other stimulant drugs.

        Treatments for unruptured and ruptured cerebral aneurysms Surgery, endovascular treatments, or other therapies are often recommended to manage symptoms and prevent damage from unruptured and ruptured aneurysms.SurgeryThere are a few surgical options available for treating cerebral aneurysms. These procedures carry some risk such as possible damage to other blood vessels, the potential for aneurysm recurrence and rebleeding, and a risk of stroke.

        Endovascular treatment

        What Happens To The Brain When There Is Bleeding Inside The Head

        Since the brain cannot store oxygen, it relies upon a series of blood vessels to supply oxygen and nutrients. When a brain hemorrhage occurs, oxygen may no longer be able to reach the brain tissue supplied by these leaky or burst vessels. Pooling of blood from an intracranial hemorrhage or cerebral hemorrhage also puts pressure on the brain and deprives it of oxygen.

        When a hemorrhage interrupts blood flow around or inside the brain, depriving it of oxygen for more than three or four minutes, the brain cells die. The affected nerve cells and the related functions they control are damaged as well.

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        What Does Rehabilitation After A Brain Bleed Entail

        The goals of long-term treatment are to help you regain the functions needed for daily living, as much and as soon as possible, and to prevent future brain hemorrhages. Rehabilitation and recovery time vary according to each persons unique brain bleed and the extent of rehabilitation possible.

        Long-term rehabilitation treatment may include:

        • Physical therapy.

        How Long Can You Live With A Brain Hemorrhage

        How Do You Treat Infant Brain Bleeding?

        Bleeding Of The Brain Lawyer Near Me

        According to Harvard Health, 30% to 60% of patients with an intracerebral hemorrhage die . However, additional circumstances and the cause of the brain bleed can affect their survival, such as a brain hemorrhage in a premature infant or an elderly patient.

        According to a study published in the Journal of Stroke, patients suffering from an intracerebral hemorrhage, a severe type of stroke, have a fatality rate of 40% at one month and 54% at one year .

        our Bleeding Of The Brain Lawyers today

        When someone is diagnosed with a brain hemorrhage that was caused by negligence, or if a doctor misses an intracranial hemorrhage diagnosis, the victim and their family can file a lawsuit to cover the costs of treatment. In addition to this, if your elderly loved one was injured in a nursing home due to a caregivers mistake, you may want to speak to a nursing home abuse lawyer.

        References

        An, S., Kim, T., & Yoon, B. . Epidemiology, Risk Factors, and Clinical Features of Intracerebral Hemorrhage: An Update.

        Brain aneurysm: What happens during a brain hemorrhage? .

        Hemorrhagic Stroke. .

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        What Causes A Haemorrhagic Stroke

        High blood pressure

        The main cause of haemorrhagic stroke is damage to the very small arteries inside the brain, which is often related to high blood pressure .

        This process, called small vessel disease, makes the small arteries in the brain more prone to bleeding. Cerebral amyloid angiopathy

        This is a common type of small vessel disease where a protein called amyloid builds up inside the small blood vessels near the surface of the brain. The resulting damage can cause a vessel to tear, causing bleeding.

        This condition is more common among older people, and older people with dementia. Although there are no proven treatments for CAA, controlling blood pressure can help reduce the risk of bleeding in the brain.

        Magnetic resonance imaging scans have shown that CAA is present in patients with bleeds in specific areas of the brain near to the surface , known as lobar intracerebral haemorrhage. Smaller bleeds, which can be detected on MRI scans, are called microbleeds. Microbleeds are a common feature of CAA and often appear without symptoms.

        Burst aneurysm

        An aneurysm is a weak spot on an artery that has ballooned out. Artery walls are usually thick and strong, but the walls of an aneurysm are thin and weak because they have been stretched. Aneurysms most commonly occur in the main artery leading away from the heart , and the brain.

        What Are The Symptoms Of A Slow Brain Bleed

        Symptoms of a slow brain bleed, called a subdural hematoma, can include dizziness, change in behavior, confusion and headaches, WebMD notes. In very slow growing hematomas, a person may not exhibit symptoms for two weeks.

        Other symptoms include nausea, vomiting, excessive drowsiness, apathy, seizures and weakness. People with a subdural hematoma can go from being conscious to becoming comatose immediately or unconsciousness several days after the head injury, WebMD warns.

        A subdural hematoma is generally caused by a head injury, such as a fall or car accident, WebMD says. The blood vessels that run along the surface of the brain are torn due to the sudden blow to the head. The bleeding is under the skull, outside of the brain. People who take blood thinners or have a bleeding disorder are also more likely to develop a subdural hematoma by even a minor injury.

        Depending on the severity of the hematoma, there are a number of different treatment options, from watching and waiting to brain surgery. In smaller bleeds with mild symptoms, doctors may decide to just observe the patient and perform multiple head imaging tests to see if the hematoma is improving. More severe injuries require surgery to reduce pressure on the patient’s brain, WebMD states.

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        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.

        How Do Doctors Diagnose A Brain Hemorrhage

        Symptoms of internal bleeding and shock

        If any kind of stroke is suspected, immediate evaluation is needed. Examination may reveal evidence of brain injury with weakness, slurred speech, and/or loss of sensations. Generally, a radiology examination is necessary, such as a computed tomography scan or magnetic resonance imaging scan. The CT or MRI can highlight various features and location of brain bleeding. If bleeding inside of or around the brain is noted, further testing may be ordered to try to determine the cause of the bleeding. This additional testing can help to determine if abnormal blood vessels are present as well as the next step in either diagnosis or treatment. In certain situations, a spinal tap may be required to confirm evidence of bleeding or rule out other brain problems.

          Patients with bleeding inside of the brain must be monitored very closely. Early treatment includes stabilizing blood pressure and breathing. A breathing assist machine can be required to ensure that enough oxygen is supplied to the brain and other organs. Intravenous access is needed so that fluids and medications can be given to the patient, especially if the person is unconscious. Sometimes specialized monitoring of heart rhythms, blood oxygen levels, or pressure inside of the skull is needed.

          Various medications may be used to help decrease swelling around the area of the hemorrhage, to keep blood pressure at an optimal level, and to prevent seizure. If a patient is awake, pain medication may be needed.

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          What Are The Complications Of A Ruptured Cerebral Aneurysm

          Aneurysms may rupture and bleed into the space between the skull and the brain and sometimes into the brain tissue . These are forms of stroke called hemorrhagic stroke. The bleeding into the brain can cause a wide spectrum of symptoms, from a mild headache to permanent damage to the brain, or even death.

          After an aneurysm has ruptured it may cause serious complications such as:

          • Rebleeding. Once it has ruptured, an aneurysm may rupture again before it is treated, leading to further bleeding into the brain, and causing more damage or death.
          • Change in sodium level. Bleeding in the brain can disrupt the balance of sodium in the blood supply and cause swelling in brain cells. This can result in permanent brain damage.
          • Hydrocephalus. Subarachnoid hemorrhage can cause hydrocephalus. Hydrocephalus is a buildup of too much cerebrospinal fluid in the brain, which causes pressure that can lead to permanent brain damage or death. Hydrocephalus occurs frequently after subarachnoid hemorrhage because the blood blocks the normal flow of cerebrospinal fluid. If left untreated, increased pressure inside the head can cause coma or death.
          • Vasospasm. This occurs frequently after subarachnoid hemorrhage when the bleeding causes the arteries in the brain to contract and limit blood flow to vital areas of the brain. This can cause strokes from lack of adequate blood flow to parts of the brain.

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