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Cerebral Hemorrhage – Causes, Symptoms and Treatment

Cerebral hemorrhage or brain hemorrhage is the rupture of ablood vessel in the brain, which might cause brain bleeding and damage thecentral nervous system.

Brain hemorrhage is usually caused by the head trauma, uncontrolledhigh blood pressure, abnormalities in the blood vessels or amyloid angiopathy(abnormality of the blood vessels caused by aging that causes small unnoticed brainbleeding). Brain tumor or aneurisma may also be the cause of cerebralhemorrhage.

Some people are more prone to develop this medical conditionthan others. Risk factors for cerebral hemorrhage include: people sufferingfrom diabetes, hypertension, hemophilia, leukemia, sickle cell anemia and liverpatients, smokers, alcoholics and womenin menopause. Unconsciousness, painful headaches, nausea, vomiting, weakness,paralysis, loss of vision, problems with the speech and sudden confusion allindicate that the patient might experience cerebral hemorrhage.

Treatment depends on the cause, location and the severity ofbleeding. In any case, those patients need urgent medical attention. Doctors mightprescribe anti-seizure medications, pain killers, diuretics andcorticosteroids. If the hematoma is larger than 3cm in diameter, surgicalprocedure is the only option.

Cerebral Hemorrhage – Prognosis

Some of the patients might completely recover, some willhave certain consequences and problems because of the hemorrhage and others won’tsurvive the cerebral hemorrhage. Severity of the bleeding and area of the brainthat’s affected decide the patients’ prognosis.

Epidural hemorrhage is the bleeding between the skull andthe brain covering. Even if a patient does get the urgent medical attention,there are 15% chances that he/she would die. If the patient survives theepidural hemorrhage it is most likely that he/she would never get the orientationback.

Intracerebral hemorrhage might be caused by brain injury,aneurism or hypertension. The bleeding leads to brain swelling and produces heightenedpressure to the brain. The prognosis for this condition is usually very good,if the patient gets the proper medical care.

Subarachnoid hemorrhage is usually presented with the severesudden headaches, nausea, vomiting, seizures, confusion and dizziness. About 5to 10% of these hemorrhages lead to stroke, which is rarely fatal.

Subdural hematoma appears after the trauma to the headcaused by an object. This condition can be acute, sub-acute and chronic,depending when the symptoms appear. The acute subdural hematoma appears infirst 24 hours, and 50 to 80% of these patients die. Sub-acute and chronicsubdural hematoma appear after couple of days, or after 2 weeks from thetrauma. The mortality rate for these hematomas is about 20 to 25%.

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