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 Chen Yu Fei
Neurosurgery
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How is cerebral hemorrhage treated?

For patients with cerebral hemorrhage, the first step is to urgently send the patient to the local hospital for medical attention and head CT scans. This primarily determines the current location of the hemorrhage, the severity of the bleeding, including the number of intracerebral hematomas. If there are multiple intracerebral hematomas causing significant mass effect and substantial compression on the surrounding brain tissue, leading to neurological damage, emergency surgical treatment is generally recommended. If the bleeding is minor with no significant mass effect, conservative treatment is advised. Treatment can include hemostasis, brain health promotion, nerve nutrition, acid suppression, and prevention of lung infections, among other approaches.

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Written by Liu Yan Hao
Neurology
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Causes of cerebral hemorrhage

The most common cause of cerebral hemorrhage is hypertensive cerebral hemorrhage. Patients with hypertension who do not adequately control their blood pressure, which frequently fluctuates, can lead to hardening of the cerebral vessels. The elasticity of the cerebral vessel walls diminishes, and when the blood pressure rises sharply, it can cause the cerebral vessels to rupture, leading to cerebral hemorrhage. This is the most common cause of cerebral hemorrhage, accounting for over 80%. Another common cause of cerebral hemorrhage is the rupture of cerebral aneurysms, which often leads to subarachnoid hemorrhage. Patients with this condition experience severe headaches, consciousness disturbances, and restlessness. Subarachnoid hemorrhage is a relatively severe medical condition with a high mortality rate. Additionally, some cerebral hemorrhages are caused by trauma, leading to cerebral contusion, skull fractures, subdural hematoma, and epidural hematoma. These causes account for a relatively small proportion of clinical cases.

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Written by Chen Yu Fei
Neurosurgery
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Principles of Treatment for Cerebral Hemorrhage

For patients with cerebral hemorrhage, the main principle of treatment is to control the blood pressure in a relatively stable state. Blood pressure should not be too high or too low. If it is too low, it can easily lead to insufficient cerebral perfusion pressure, thus causing local cerebral tissue ischemia and hypoxia, leading to the occurrence of cerebral infarction. If the blood pressure is too high, it can easily exceed the regulatory function of the blood vessels, often causing secondary hemorrhage. Secondly, it is important to promptly monitor the patient's vital signs, observe the patient's consciousness, pupils, and limb movement, and timely perform a follow-up head CT scan to dynamically observe the changes in the patient's condition.

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Written by Zhang Hui
Neurology
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Symptoms of cerebral hemorrhage vomiting

Many patients with cerebral hemorrhage experience nausea and vomiting. This is primarily because the cerebral hemorrhage can significantly increase intracranial pressure. Elevated intracranial pressure can cause nausea, vomiting, and also lead to papilledema. The general treatment for vomiting symptoms caused by cerebral hemorrhage is as follows: First, patients should maintain stable rest and keep a calm mood without large emotional fluctuations. Second, patients can be administered intravenous dehydration drugs to reduce intracranial pressure, which can also alleviate symptoms of vomiting. Third, patients should be fed soft, easily digestible food. Fourth, antiemetic drugs can be injected intramuscularly for symptomatic treatment. (Please use medicines under the guidance of a professional physician and do not self-medicate.)

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Written by Jiang Fang Shuai
Neurosurgery
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Is cerebral hemorrhage dangerous?

Cerebral hemorrhage damages the central nervous system, which is our command center. Once the command center is damaged, a person's respiration, blood pressure, pulse, heartbeat, body temperature, movement, sensation, digestion, and other vital activities will be affected. The common sites for cerebral hemorrhage are in the basal ganglia, cerebrospinal fluid, pons, and cerebellum. These regions are usually important brain functional areas. Therefore, although advanced medical technology is available for treating patients with cerebral hemorrhage, the mortality and disability rates are still relatively high. Cerebral hemorrhage is a dangerous disease.