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A brain hemorrhage occurs when blood exits the vessel wall and then enters the parenchyma. Cerebral hemorrhage is one of the main causes of cerebrovascular accident (about 20%) and leaves serious consequences for patients. Finding out the cause and timely treatment will help minimize the poor prognosis of the disease.1. Causes of brain hemorrhage
Intracerebral hemorrhage is a type of intracranial hemorrhage, occurring in the brain parenchyma. If you are unfortunate enough to have cerebral hemorrhage or subarachnoid hemorrhage, the patient may face the risk of brain stem stroke.Causes of brain stem hemorrhage are many factors. However, the main cause accounting for 80% is high blood pressure, in addition, other factors can be mentioned such as: brain tumor, blood clotting disorder, venous thrombosis, cerebral hemorrhage at the site of infarction. hemorrhagic change of blood.
Meningeal hemorrhage or subarachnoid hemorrhage is mostly caused by cerebral vascular malformations.
2. The location of brain hemorrhage is the most dangerous for the patient
In cases of cerebral hemorrhage caused by high blood pressure, blood pressure control plays a very important role. The earlier a brain hemorrhage is detected, the more likely it is to reduce the volume of the hematoma in the brain and improve the effectiveness of treatment.In case the doctor does not control the hematoma early when diagnosing the disease, the possibility that this hematoma will grow within 1 hour or a few tens of minutes is very high. If the hematoma is too large or is located in a location such as: Bleeding in the brain stem, pons, medulla oblongata, brain stem, it is difficult for doctors to control blood pressure or use other measures. save the patient.
Xuất huyết não được gây ra bởi nguyên nhân cao huyết áp thì cần kiểm soát tốt huyết áp
3. Treatment of brain hemorrhage
In situations where a brain hemorrhage is developing due to high blood pressure, the doctor's goal in treatment is to control blood pressure. However, when the hematoma is too large, blood pressure control is no longer effective, and immediate surgical intervention is required to remove the hematoma and reduce pressure on the brain parenchyma. If surgery is not possible, the doctor may open the skull to help reduce the intracranial pressure for the patient.Cases of cerebral hemorrhage due to medical conditions such as: brain tumors, blood clotting disorders, vascular malformations in the brain ... will depend on other factors for appropriate treatment. For example:
If it is due to a blood clotting disorder, the doctor will use drugs to treat clotting disorders; If the condition is caused by a brain tumor, the doctor will stabilize the patient first by helping to stop the bleeding, then the tumor will be resolved; If the cause of hemorrhagic nuclei or meninges is due to a malformation, the doctor will treat the bleeding and then treat the malformation. For a meningeal hemorrhage, the treatment will be different than for a brain hemorrhage. The goal of treatment for meningeal hemorrhage is to clear the aneurysm, removing it from the circulatory system.
In addition to the treatment of the aneurysm, for patients who have already had a brain hemorrhage, the doctor will have to treat the consequences that it causes. For example, the complications of hemorrhagic vasoconstriction cause cerebral infarction.
Biến chứng của xuất huyết não làm co mạch gây ra hiện tượng nhồi máu não
4. Prognosis of patients with cerebral hemorrhage, meninges
Treatment of cerebral hemorrhage and meningeal hemorrhage are completely different. However, whether the treatment process is difficult or favorable depends on many factors.Meningeal hemorrhage has a higher mortality rate than cerebral hemorrhage. The patient's condition plays an important role in the treatment process. In addition, the age factor of the patient also determines the prognosis of the disease.
In particular, the prognosis in patients with intracerebral and meningeal hemorrhage also depends on the size of the hemorrhagic mass. If the hematoma is easily intervened by the surgeon, it will help to shorten the time and bring about effective treatment. In fact, for superficial hematomas, surgery is easier. The hematoma in the distal location with large size will have a high mortality rate for the patient.
The detection of early warning signs of cerebral hemorrhage will greatly help in the treatment and prognosis of the disease. Therefore, each person needs to actively check their health as soon as there are abnormal signs of the body. Currently, Vinmec International General Hospital has performed routine cerebral vascular magnetic resonance imaging techniques to screen for cerebrovascular abnormalities. Many cases of cerebrovascular malformation were detected in patients with only headache and early intervention. Eliminates the risk of brain aneurysm bursting, causing a very serious stroke or death.
Generation of 3.0 Tesla magnetic resonance machine with the advantage of no noise (silent) of GE - USA ensures absolute comfort for patients when visiting at Vinmec.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
