Treatment Options To Consider
In addition to the treatment options discussed above, in the emergency treatment section, there are other treatment options that are available. For instance, in the case of ischemic stroke, your doctor might recommend procedures to prevent a stroke from recurring. Carotid endarterectomy is one of the recommended medical procedures. In this process, plaque is removed from carotid arteries through an incision and then completed with stitching. This procedure is risky for people who have certain medical conditions or who are suffering from heart problems. Another option is using angioplasty and stents.
In hemorrhagic stroke, there are additional treatment options that are available if AVM or any type of vascular malformation has caused the stroke. Endovascular embolization is an option that helps the blood to clot. Another option is stereotactic radiosurgery which helps to treat vascular malformations. Surgical clipping might be recommended by your doctor.This procedure prevents an aneurysm from bursting It can also help prevent further bleeding. Another medical procedure that is an option, is surgical AVM removal. This is only possible if the AVM is small and it can be easily accessed in your brain.
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.
- Donât use drugs. Cocaine, for example, can increase the risk of bleeding in the brain.
- Drive carefully, and wear your seat belt.
- If you ride a motorcycle, always wear a helmet.
- Investigate corrective surgery. If you suffer from abnormalities, such as aneurysms, surgery may help to prevent future bleeding.
- Be careful with Coumadin. If you take this blood-thinning drug, also called warfarin, follow up regularly with your doctor to make sure your blood levels are in the correct range.
Emergency Treatment In Case Of Stroke
Having a stroke is an emergency situation. If you experience it, then you should contact emergency services immediately, without any delay. If you receive quick treatment, then the chances of your recovery are higher and you are more likely to survive. There are different emergency treatments, and they depend on the type of stroke.
Even a small blood clot in the brain can result in ischemic stroke. When you have an ischemic stroke, the doctor will try to dissolve the clot. Usually, aspirin is given to ensure that there is no further formation of clots. Otherwise, clot-busting drugs such as thrombolytics will be provided, in the case of ischemic stroke. Other types of emergency treatment can be mechanical thrombectomy. This is the use of catheters to remove the clot from the affected artery. This medical procedure can take place a day after stroke symptoms appear. Sometimes, surgery may be necessary to ensure the pressure in the brain is reduced.
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What Are The Complications Of A Subarachnoid Hemorrhage
After a subarachnoid hemorrhage, serious complications can occur. Swelling in the brain, or hydrocephalus, is one of the potential complications. This is caused by the build up of cerebrospinal fluid and blood between the brain and skull, which can increase the pressure on the brain. Subarachnoid hemorrhage can also irritate and damage the brain’s other blood vessels, causing them to tightenthis reduces blood flow to the brain. As blood flow becomes affected, another stroke can result, leading to even further brain damage. In serious cases, the bleeding may cause permanent brain damage, paralysis, or coma.
Recovering Compensation For Disabling Brain Bleeds
Claimants diagnosed with traumatic brain injuries may develop long-term disabilities. Depending on the damaged area, patients may develop physical, cognitive, and emotional conditions impacting their lives and careers. These often include movement challenges and neurological damage, seizures, speech difficulties, loss of fine motor skills, vision and sensor problems, memory loss, and confusion. Many patients also experience personality changes, mood swings, difficulty focusing at work, depression, or anxiety.
Most patients require extensive physical and cognitive rehabilitation following serious brain bleeds. They may also need specialized nursing care, medications, and occupational therapy. Many people can no longer perform essential work functions, enjoy previous recreational activities, or contribute to household duties.
All these factors add to the extreme financial difficulties and family stress often experienced by injured claimants. By connecting with a local brain injury attorney early in the recovery process, savvy claimants may focus on their recovery instead of their bills.
If another personâs careless conduct contributed to your traumatic brain injury and related brain hemorrhage, you might recover monetary damages. These damages may include compensation for the original injury and subsequent brain bleeding related to the initial trauma.
With the help of local brain injury counsel, claimants and their families might recover money for:
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What Are The Causes Of Brain Bleeds
Bleeding in the brain has a number of causes, including:
- Head trauma, caused by a fall, car accident, sports accident or other type of blow to the head.
- High blood pressure , which can damage the blood vessel walls and cause the blood vessel to leak or burst.
- Buildup of fatty deposits in the arteries .
- Blood clot that formed in the brain or traveled to the brain from another part of the body, which damaged the artery and caused it to leak.
- Ruptured cerebral aneurysm .
- Buildup of amyloid protein within the artery walls of the brain .
- A leak from abnormally formed connections between arteries and veins .
- Bleeding disorders or treatment with anticoagulant therapy .
- Brain tumor that presses on brain tissue causing bleeding.
- Smoking, heavy alcohol use, or use of illegal drugs such as cocaine.
- Conditions related to pregnancy or childbirth, including eclampsia, postpartum vasculopathy, or neonatal intraventricular hemorrhage.
- Conditions related to abnormal collagen formation in the blood vessel walls that can cause to walls to be weak, resulting in a rupture of the vessel wall.
Recognizing Symptoms Of Mild Traumatic Brain Injuries
Most people miss brain bleeds linked to mild and moderate brain trauma. After a bump on the head or diagnosis of a concussion, patients often assume theyâre recovering normally. As such, they can mistake signs of brain bleeding for typical post-concussion symptoms.
These can include:
Many of these symptoms overlap with the symptoms of brain bleeds.
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What Are The Symptoms Of Brain Aneurysm
The presence of a brain aneurysm may not be known until it ruptures. Most brain aneurysms have no symptoms and are small in size . Smaller aneurysms may have a lower risk of rupture.
However, occasionally there may be symptoms that happen before a rupture due to a small amount of blood that may leak. This is called “sentinel hemorrhage” into the brain. Some aneurysms are symptomatic because they press on adjacent structures, such as nerves to the eye. They can cause visual loss or diminished eye movements, even if the aneurysm has not ruptured.
The symptoms of an unruptured brain aneurysm include the following:
Diminished eye movement
The first evidence of a brain aneurysm is most often a subarachnoid hemorrhage , due to rupture of the aneurysm. This may cause symptoms such as:
Rapid onset of “worst headache of my life”
Loss of balance or coordination
Sensitivity to light
Back or leg pain
Problems with certain functions of the eyes, nose, tongue, and/or ears that are controlled by one or more of the 12 cranial nerves
Coma and death
The symptoms of a brain aneurysm may resemble other problems or medical conditions. Always talk with your healthcare provider for a diagnosis.
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What Are The Risk Factors For Brain Aneurysm
Inherited risk factors associated with aneurysm formation may include the following:
Acquired risk factors associated with aneurysm formation may include the following:
Atherosclerosis. A buildup of plaque in the inner lining of an artery
Although these risk factors increase a person’s risk, they do not necessarily cause the disease. Some people with one or more risk factors never develop the disease, while others develop disease and have no known risk factors. Knowing your risk factors to any disease can help to guide you into the appropriate actions. These include changing behaviors and being monitored for the disease.
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California teenager Brianna Atkins faced the reality of a life-threatening brain aneurysm with little hope for treatment options. Neurosurgeon Alexander Coon, M.D., drew upon his expertise to provide a unique method for treatment. He used an innovative, minimally invasive flow diversion approach that gave Brianna the chance to lead a normal life.
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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:
Causes For Internal Bleeding In Brain
There are many causes for Brain Hemorrhage but the most common ones are Hypertension and Trauma.
Around 80% of cases are because of uncontrolled accelerated hypertension. When the pressure of traveling blood is very high it can tear brain vessels and cause bleeding. It is usually seen at the level of branches and bifurcation of vessels.
A second most common cause for brain tumor hemorrhage is trauma. Amongst trauma, accidents are the commonest cause for internal bleeding in the brain. Road traffic accidents, fall from a height, snapping of the head against the wall or hard object can lead to rupture of brain vessels and internal bleeding in the brain.
3. Anomalies of Blood Vessels
An aneurysm is also very commonly seen with internal bleeding in the brain. Amyloid angiopathy is also common in old aged people which causes Brain Hemorrhage.
4. Bleeding Disorders
Some disorders are associated with bleeding without any trauma. Diseases like hemophilia, sickle cell anemia etc can cause spontaneous bleeding in the brain.
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Organ Failure Or Damage
Some organs are more sensitive to blood loss and shock than others. With the heart and kidneys, for instance, the lack of blood flow causes tissues to quickly die, which is referred to as necrosis. This can reduce the function of these organs, often permanently, leading to organ failure.
The same can occur with brain bleeds, in which tissue death can lead to paralysis, vision loss, personality changes, memory loss, and problems swallowing.
Are There Any Warning Signs Before A Brain Aneurysm
The ballooning of a blood vessel located in the brain is called a brain aneurysm. It leads to a bulge developing in the blood vessel, and this can rupture or leak in the brain, causing a type of hemorrhagic stroke known as a subarachnoid hemorrhage.
A ruptured brain aneurysm is a life-threatening condition that requires immediate medical care. Brain aneurysms are typically the result of thinning artery walls. They usually form at branches or forks in arteries since these are the weakest parts. They can develop on any part of the brain but typically at the base.
Most people develop brain aneurysms that do not rupture, so they do not lead to any health issues. These types of aneurysms are typically detected while the patient is being tested for some other condition.
Treating a brain aneurysm that has not ruptured might prevent a life-threatening condition from occurring in the future. Each patient’s circumstances are unique, so the doctor will advise them on the best way to proceed if an unruptured aneurysm is detected.
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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 Causes Bleeding In The Brain
There are several risk factors and causes of brain hemorrhages. The most common include:
- Head trauma. Injury is the most common cause of bleeding in the brain for those younger than age 50.
- High blood pressure. This chronic condition can, over a long period of time, weaken blood vessel walls. Untreated high blood pressure is a major preventable cause of brain hemorrhages.
- Aneurysm. This is a weakening in a blood vessel wall that swells. It can burst and bleed into the brain, leading to a stroke.
- Blood vessel abnormalities. Weaknesses in the blood vessels in and around the brain may be present at birth and diagnosed only if symptoms develop.
- Amyloid angiopathy. This is an abnormality of the blood vessel walls that sometimes occurs with aging and high blood pressure. It may cause many small, unnoticed bleeds before causing a large one.
- Blood or bleeding disorders. Hemophilia and sickle cell anemia can both contribute to decreased levels of blood platelets and clotting. Blood thinners are also a risk factor.
- Liver disease. This condition is associated with increased bleeding in general.
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What Does Internal Bleeding Feel Like
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What Is The Recovery Rate For A Patient Who Suffers A Brain Bleed
Dr. Wiles: Recovery is very dependent on location of the bleeding within the brain, the size of the bleeding and the general health of the patient prior to the stroke. Some recovery can be a matter of a few days, and others can take months. In general, healing of the complex function of the brain can be a slow process.
It is important to remember that 80 percent of strokes are considered preventable. Take an active interest in your own health and be sure you are not ignoring problems like hypertension, high cholesterol and diabetes.
Also, when it comes to a brain bleed, time matters. If you, or someone you know, is having the symptoms of possible stroke, do not delay in getting to the emergency room. Treatment and outcome results are dependent on how quickly the stroke is treated.
If you think you are suffering from a medical emergency, including a stroke, call 911. Prepare yourself to respond in the event of an emergency.
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Symptoms Of A Brain Bleed After Hitting Your Head
After seemingly minor head trauma, accident victims often minimize their symptoms to avoid emergency room visits. Many patients initially diagnosed with mild traumatic brain injuries never lose consciousness and, as a result, assume they donât need advanced medical testing or treatment. This is a mistake.
Even seemingly mild brain trauma can result in potentially fatal complications, as the mild TBI designation relates only to the initial presentation of symptoms and not your overall prognosis. TBIs that medical professionals deem mild can still result in serious and lasting effects and complications. If you are diagnosed with any type of TBI, remain on watch for any symptoms, complications, or lingering effects.
Intracranial hematomas may occur after hitting your head. The force of the impact often ruptures the brainâs delicate blood vessels, causing blood to fill the intracranial space. Without anywhere else to go, the blood compresses the brain, killing brain cells by cutting off their blood-oxygen supply. Patients may suffer from internal brain bleeding without any external injuries, lost consciousness, or skull damage. Recognizing the symptoms of brain bleeding after hitting your head could save your life.