Who Is Affected By Brain Bleeds
Various types of intracranial hemorrhages strike people of all ages. Although cerebral hemorrhage and hemorrhagic stroke are most commonly associated with older adults, they can also occur in children .
A few stats
- Cerebral hemorrhage accounts for about 13% of all strokes in the United States. It is the second leading cause of stroke.
- Ruptured brain aneurysms affect about 30,000 people in the United States each year.
- Arteriovenous malformations are present in about 1% of the population, and about 2% of all hemorrhagic strokes are from an AVM each year.
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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.
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The Outlook For Hemorrhagic Stroke Patients
Your outlook for recovery depends on the severity of the stroke, the amount of tissue damage, and how soon you were able to get treatment. The recovery period is long for many people, lasting for months or even years. However, most people with small strokes and no additional complications during the hospital stay are able to function well enough to live at home within weeks.
What Causes Bleeding After A Stroke
A regular stroke is also called an ischemic stroke since it is caused by an interruption of the blood flow to the brain. Ischemic simply means loss of blood supply. When something blocks blood supply to your brain, you have an ischemic stroke. The part of the brain that does not get any blood starts to die off. The walls of the blood vessels inside that part of the brain also get damaged and become leaky. When blood flows again in these parts, it may leak out and cause small bleeding. The damaged blood vessel wall may also burst open and lead to massive bleeding.
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Did You Recently Get Hit In The Head And Are Now Panicky That There Might Be Bleeding In Your Brain
Knowledge is power! Heres how to know if you should go to the ER.
I was inspired to write this article, which includes an interview with a medical doctor, after reading what laypeople in threads were posting in an effort to reassure OPs who were panicking over getting hit in the head.
Im going to explain how to overcome your fear that you might have a brain bleed and this includes for younger people.
Lets first look at a few myths that have been perpetuated in laypeople forums.
Myth: If you still feel fine a few days after getting hit in the head, you probably dont have a brain bleed.
Myth: If you didnt have a headache or other neurological symptoms in the first 20 minutes after hitting your head, youll be fine.
Myth: In order to get a brain bleed the strike to your head must be high impact like falling off a ladder or a car crash.
Treatment For Subarachnoid Haemorrhage
- Surgeryâ surgery can only be used if the cause of the subarachnoid haemorrhage is clear, such as an aneurysm or arteriovenous malformation.
- Conservative treatment â neurosurgery is not an option if there is no definable cause, however drainage of the blood from the subarachnoid space is usually performed. Then careful observation is carried out for a specified period of time to ensure there is no further damage to the brain. This course of action may also be taken if the haemorrhage is too large or too risky to operate on.
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What Are The Symptoms Of Brain Bleeds
Symptoms of a brain hemorrhage depend on the area of the brain involved. In general, symptoms of brain bleeds can include:
- Sudden tingling, weakness, numbness, or paralysis of the face, arm or leg, particularly on one side of the body.
- Nausea and vomiting.
- Loss of vision or difficulty seeing.
- Loss of balance or coordination.
- Stiff neck and sensitivity to light.
- Abnormal or slurred speech.
- Difficulty reading, writing or understanding speech.
- Change in level of consciousness or alertness, lack of energy, sleepiness or coma.
- Trouble breathing and abnormal heart rate .
Bleeding In The Brain Due To Haemorrhagic Stroke
Most acute strokes are due to a blockage in one of the arteries that bring oxygenated blood into the brain. These are usually caused by atherosclerosis, which narrows the arteries and leads to an ischaemic stroke.
Around 15 in every 100 people who have a stroke do so because one of the blood vessels in their brain bursts, releasing blood into the brain tissue. This event is a haemorrhagic stroke and it can also be called an intracerebral haemorrhage the spill of blood that it causes is an intracerebral hematoma.
The symptoms of a haemorrhagic stroke are similar to those of an ischaemic stroke but the treatment needed is quite different. Clot busting drugs and anticoagulants are used to help unblock a blood vessel if someone has had an ischaemic stroke but this would be highly dangerous in someone who has bleeding in the brain.
This is why it is important for anyone admitted to hospital with a stroke to undergo a CT scan or MRI scan very quickly. These imaging techniques can show which type of stroke has taken place. For someone who has had a haemorrhagic stroke, the best treatment is usually emergency surgery to stop the bleeding in the brain and to get rid of the blood that has spilled into the brain tissue.
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How The Size And Location Of Brain Bleed After A Stroke Makes A Difference In The Final Outcome
Not all brain bleed after strokes cause a worse outcome than the original stroke. In fact, small amounts of blood leaking out after a stroke may be a sign that blood is flowing again in that part of the brain, signaling a better outcome. Many small brain bleeds after strokes may go undetected, because patients may not feel any worse with brain bleed than how they felt with the initial stroke.
In general, if the bleeding occupies 30% or more of the area of the brain affected by the stroke, the outcome will likely be worse. The larger the bleeding, the worse the expected outcome can be.
The location of the brain bleed and whether it is pushing on the surrounding brain tissue also makes a significant difference in the outcome. When the bleeding is in a confined area, it generates higher pressure and pushes on a part of the brain not affected by the initial stroke. That can lead to worsening symptoms, as the previously normal part of the brain begins to deteriorate with pressure.
How Serious Is A Brain Hemorrhage
A brain bleed is a life-threatening condition that requires immediate medical attention. If an individual has a persistent headache or loses consciousness, its critical to get it checked out. A nursing home abuse lawyer will advise you that this is a critical step because it creates a medical record that you may need to use for evidence in court.
Unfortunately, because the bleeding occurs inside the brain, or in the space between the brain and skull, it can go undiagnosed. This is more likely when a persons caregivers are inattentive or negligent.
This CT scan of a brain hemorrhage shows how serious a traumatic brain injury can be.
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What Causes A Brain Hemorrhage
Thomas Steineke, M.D. contributes to topics such as Neurosciences.
Many of us know that a brain hemorrhage means there is bleeding in the brain, but what actually causes one?
Its helpful to understand that the bleeding can happen either inside the brain or outside of the brain but still within the skull. A hemorrhage can directly injure the brain or secondarily damage the brain through pressure reducing oxygen and blood flow to the compressed area. This causes further injury and killing brain cells.
Brain hemorrhages have a number of causes, including:
What Recovery Can I Expect After A Brain Hemorrhage
Besides depriving the brain of oxygen and killing brain cells, bleeding inside the brain also prevents nerve cells from communicating with the parts of the body and the functions they control. This results in a loss of memory, speech or movement in the affected area.
Depending on the location of the hemorrhage, the extent of damage and your age and overall health, there can be lasting effects from a brain bleed. These affects can include:
- Inability to move part of the body .
- Numbness or weakness in part of the body.
- Difficulty swallowing.
- Difficulty speaking or understanding spoken or written words.
- Confusion, memory loss or poor judgment.
- Personality change and/or emotional problems.
However, over time and with a lot of effort and determination in rehabilitation , you can regain some of these lost functions. This is especially true if your general health is otherwise good.
Unfortunately, some patients who remain in a coma, or have been severely paralyzed after an intracranial or cerebral hemorrhage may need permanent, long-term care typically provided in a nursing home. Depending on the type, location and extent of the brain bleed, many patients do not survive the initial bleeding event.
Last reviewed by a Cleveland Clinic medical professional on 05/04/2020.
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What Happens When You Have A Brain Hemorrhage
According to informed health.org, when blood vessels inside the skull are damaged, it can lead to bleeding. This will increase pressure on the brain tissue because the brain has a limited amount of space inside the skull. In addition to pressure, this can cause blood clotting issues and damaged blood vessels .
One immediate effect a victim of a brain bleed may notice is a severe headache. If it isnt treated, it can lead to unconsciousness, respiratory affect, and irregular heartbeat. In the most serious cases, the victim may require nursing care due to devastating consequences like paralysis.
In this video, Dr. Rohan Moftakhar, Chief of Neurosurgery at Palmetto Health Richland, explains what happens to the brain during a hemorrhagic stroke.
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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Can Thunderclap Headaches Be Prevented
Because they come on without warning, it is difficult to prevent thunderclap headaches. Managing underlying health conditions and avoiding triggers are the best ways to keep them from occurring. If you have high blood pressure or vascular problems, it is important to work with your doctor to follow a regular treatment plan.
Maintaining a healthy diet and active lifestyle helps keep blood pressure from rising to levels that could cause a condition involving a thunderclap headache. In addition, quitting smoking and controlling cholesterol levels can help reduce the risk of blood vessel problems.
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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Recovery From A Hemorrhagic Stroke
The duration of recovery and rehabilitation depends on the severity of the stroke and the amount of tissue damage that occurred. Different types of therapy may be involved, depending on your needs. Options include physical therapy, occupational therapy, or speech therapy. The primary goal of therapy is to restore as much function as possible.
Types Of Bleeding And A Traumatic Brain Injury
There are many different types of brain injuries and various brain bleeds go along with these injuries. One of the more common types of brain bleeds is called an epidural hematoma. Someone who suffers trauma to the side of their skull can cause blood to leak out from the middle meningeal artery. This gradual bleed can cause someone to pass out several minutes after the event. Other times, people could already have a brain aneurysm and a traumatic event is just the spark that causes the aneurysm to burst. Finally, ruptures of the veins can be just as serious as arterial ruptures and can also place someone in a dire situation.
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What Are The Causes
- Hypertension: elevated blood pressure may cause tiny arteries to burst inside the brain. Normal pressure is 120/80 mm Hg.
- Blood thinners: drugs such as coumadin, heparin, and warfarin used to prevent clots in heart and stroke conditions may cause ICH.
- AVM: a tangle of abnormal arteries and veins with no capillaries in between.
- Aneurysm: a bulge or weakening of an artery wall.
- Head trauma: fractures to the skull and penetrating wounds can damage an artery and cause bleeding.
- Bleeding disorders: hemophilia, sickle cell anemia, DIC, thrombocytopenia.
- Tumors: highly vascular tumors such as angiomas and metastatic tumors can bleed into the brain tissue.
- Amyloid angiopathy: a buildup of protein within the walls of arteries.
- Drug usage: alcohol, cocaine and other illicit drugs can cause ICH.
- Spontaneous: ICH by unknown causes.
What To Expect When Your Loved One Develops Brain Bleed While Being Hospitalized For A Stroke
It is important to understand that brain bleed after a stroke is not always a disaster. If your loved one received timely treatment for a stroke and was doing better with improved symptoms, small brain bleed seen on a CT scan may not be significantly worse.
Any new brain bleed after a stroke requires close monitoring in the hospital. If your loved one was being treated on a regular floor of the hospital, you can expect to him or her to be moved to the ICU for closer monitoring. They will watch out for signs of increased pressure inside the brain. Worsening headaches, nausea, or vomiting may signal high pressure inside the brain, and could be cause for concern.
Large brain bleed after a stroke can be very difficult to treat and has a worse outcome. They can sometimes try to treat the bleeding by giving medications to reverse the clot-busting medications used in the treatment of the initial stroke. They can also transfuse platelets to see if that would help prevent any further bleeding. However, large brain bleed has a very poor outcome, and only a small percentage of people with large brain bleed after a stroke survive.
Some patients with brain bleed after a stroke may benefit from surgery. Patients who have moderate-sized bleeding along with increased pressure inside the brain might do better if that pressure can be surgically relieved. Neurosurgeons have several different surgical techniques they can use to try to achieve that goal. It only works in a few patients.
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What Causes Brain Aneurysms To Bleed
Researchers havent discovered exactly what causes an aneurysm to leak or rupture, which causes bleeding in or around the brain. But anything that increases your blood pressure can be dangerous. Higher blood pressure makes blood push harder against blood vessel walls. Things that may increase blood pressure include:
- Ongoing stress or a sudden burst of anger or other strong emotion.
- Working hard to lift, carry or push something heavy like weights or furniture.
- Known high blood pressure that is not treated appropriately with medications.
What Causes Brain Hemorrhages
Brain bleeding primarily results from the irritation of brain tissues, which leads to swelling or cerebral palsy. The swelling increases pressure on arteries causing them to burst and create hematomas that prevent blood flow to the affected brain parts, thus damaging or killing the brain cells. Causes may include, but or not limited to:
- chronic high blood pressure over a long period of time
- trauma, such as a blow to the head
- aneurysms that weaken the walls of blood vessels may also make the arteries swell and burst into the brain
- malformations in brain arteries and blood vessels
- amyloid angiopathy which is an abnormality of the walls of blood arteries often related to high blood pressure and aging
- bleeding disorders such as sickle cell anemia and hemophilia
- brain tumors and liver disease may also lead to brain bleeding