Cerebral hemorrhage is divided into spontaneous and traumatic according to the way it occurs. Cerebral hemorrhages resulting from traumas such as accidents and injuries are traumatic; Spontaneous brain hemorrhages are called spontaneous.
Brain hemorrhages are divided into five according to the region of hemorrhage. If the bleeding is in the water pools in the brain, intraventricular; intracerebellar in brain tissue; subarachnoid between cerebral cortex and inner cerebral cortex; Subdural bleeding between the outer and middle meninges and epidural bleeding between the external meninges and the bone.
In traumatic brain hemorrhages caused by accident or violence, the entire region of the brain is affected. Spontaneous cerebral hemorrhages usually occur between the brain and the cerebral cortex or within the brain. Some types of cancer also cause brain hemorrhage.
Brain hemorrhage symptoms
- Usually unilateral facial paralysis
- Tingling and numbness in the legs
- Difficulty raising and holding arms in the air
- Vision problems, uncontrolled movements of the eyes, and drooping eyelids
- difficulty swallowing
- Nausea, vomiting and taste disturbance
- Weakness, numbness, and tingling sensation on one side of the body
- Sudden dizziness due to reduced blood flow to the brain
- Lack of balance and coordination
- Severe headache, loss of consciousness, lethargy, weakness, not understanding spoken words, drowsiness, indifference to surrounding events and sounds, speech disorder are among the symptoms of cerebral hemorrhage due to blood pressure.
Causes of brain hemorrhage
- Chronic diseases such as kidney failure, diabetes, and certain blood diseases
- Smoking and alcohol use
- Some liver diseases and congenital vascular diseases
- Coagulation disorders and anticoagulant use
- Blockages in small arteries or major vessels in the brain, balloon-like structures in brain vessels (aneurysm)
- Head injuries as a result of accident and violence, post-traumatic skull injuries, brain tissue damage
- genetic disposition
How is a brain hemorrhage treated?
Cerebral haemorrhage is an emergency and an ambulance should be called, especially in cases of spontaneous or traumatized cerebral haemorrhage. Any bleeding that develops in the brain may not give any symptoms at first. However, the person should be kept under observation for the first 24 hours. In the hours after the accident, bleeding progresses and puts pressure on the brain. This can cause the person to fall into a coma or even die. The primary goal in the treatment of cerebral hemorrhage is to eliminate the cause of the hemorrhage, to save the patient's life and to prevent the occurrence of undesirable complications. The patient with a brain hemorrhage is followed in the intensive care unit and is usually treated with surgery. The recovery time of the patient after the surgery varies according to the difficulty of the surgical procedure. After the effect of narcosis wears off, the patient should be prevented from sleeping for the first 24 hours. For this reason, the patient is frequently awakened by the health personnel to check whether he is conscious or not.