Is cerebral hemorrhage serious?

Written by Chen Yu Fei
Neurosurgery
Updated on September 02, 2024
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Brain hemorrhage is relatively serious. In most cases, the condition of patients with brain hemorrhage progresses quickly and worsens gradually, often leading to high rates of disability or mortality. Additionally, brain hemorrhages can affect the patient's level of consciousness, resulting in states of stupor or coma. On this basis, it is common for several complications to occur, such as significant pulmonary infections, acid-base imbalances, electrolyte disturbances, hypoproteinemia, or deep vein thrombosis in the lower limbs. These issues can easily cause patients to experience unilateral or bilateral limb paralysis, abnormal limb sensation accompanied by a decline in cognitive functions, aphasia, and other clinical manifestations.

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Written by Jiang Fang Shuai
Neurosurgery
1min 15sec home-news-image

How is cerebral hemorrhage treated?

The treatment for brain hydrocephalus includes conservative medical treatment and surgical intervention. Conservative medical treatment is primarily for patients with a lesser amount of bleeding, using methods such as hemostasis, brain protection, dehydration to reduce intracranial pressure, and maintaining electrolyte balance for symptomatic support treatment. For bedridden patients, it's also necessary to prevent and treat various complications such as pulmonary infections, urinary system infections, and venous thrombosis. Surgical treatment is mainly for patients with a larger volume of bleeding, approximately 30mL of cerebrospinal fluid bleeding, cerebellar bleeding over 10mL, or cerebellar bleeding less than 10mL but causing brainstem compression. Patients with hydrocephalus should actively consider surgery to remove the hematoma. The decision to perform decompressive craniectomy is based on preoperative and intraoperative findings. In some cases, where the brain compression is not severe, or in elderly patients who have poor tolerance for surgery, minimally invasive surgery to remove the hematoma may be considered.

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Written by Chen Ya
Geriatrics
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Can a secondary hemorrhage from cerebral hemorrhage be saved?

Although the mortality rate for secondary hemorrhage of cerebral hemorrhage is relatively high, there is still hope for recovery if medical attention is sought in time and aggressive treatment is administered. For instance, those with large amounts of hemorrhage can undergo surgical treatment in neurosurgery, while those with smaller amounts of bleeding can receive conservative treatment. Generally, the smaller the amount of bleeding, the greater the likelihood of survival.

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Written by Tang Li Li
Neurology
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Does cerebral hemorrhage have a genetic basis?

Cerebral hemorrhage is not hereditary and is not a genetic disease; it is a type of acute cerebrovascular disease. Its occurrence is related to risk factors of cerebrovascular disease, and some risk factors may be related to genetics. Therefore, having a family history of cerebral hemorrhage is considered one of the factors that can increase the incidence rate of cerebral hemorrhage in patients. For example, if a patient's parents have hypertension, diabetes, or hyperlipidemia, these risk factors can significantly increase the likelihood that the patient will also develop these conditions as they age. Long-term hypertension, diabetes, and hyperlipidemia can lead to arterial wall hardening, sometimes resulting in hyaline degeneration. When blood pressure fluctuates, it can easily form microaneurysms that rupture and bleed, thus causing cerebral hemorrhage. Therefore, although cerebral hemorrhage itself is not hereditary, hereditary-related conditions such as hypertension and diabetes might lead to its occurrence.

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Written by Zhang Hui
Neurology
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How to Prevent Cerebral Hemorrhage

To understand how to prevent cerebral hemorrhage, we need to clarify what causes it. Generally, the most common cause of cerebral hemorrhage is hypertension. Long-term hypertension can lead to hyaline degeneration of the walls of small arteries and occlusion necrosis. Over time, small arteries rupture, leading to cerebral hemorrhage. Other blood system diseases, such as leukemia, deficiency of clotting factors, some tumors, and cerebral vascular malformations, can also cause cerebral hemorrhage. Therefore, the most important preventive measure is to actively control blood pressure. Regularly, one must maintain a low-salt, low-fat diet, engage in appropriate physical activities, enhance physical fitness, avoid smoking, and abstain from alcohol to effectively prevent hypertension and avoid hypertension-induced cerebral hemorrhage. For cerebral hemorrhage caused by other reasons, regular health check-ups should be done, including complete blood counts and coagulation tests, to rule out blood diseases causing cerebral hemorrhage.

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Written by Zhang Jin Chao
Neurosurgery
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What causes cerebral hemorrhage?

Brain hemorrhage is a common problem that can be caused by many phenomena. The most common causes include hypertension and arteriosclerosis, which can lead to the rupture of blood vessels and consequently brain hemorrhage. Other cerebrovascular abnormalities, such as vascular malformations, cavernous angiomas, or intracranial aneurysms can also lead to brain hemorrhage. Additionally, brain tumors that rupture can cause hemorrhage, as can conditions where there are issues with blood coagulation function and poor clotting times. Some patients may experience brain hemorrhage due to cerebral lipoid degeneration, and trauma can also cause brain hemorrhage.