This article highlights a common, and a fatal condition called brain hemorrhage. It includes the importance of blood pressure as a causative factor. It explains the measures to assess and treat the condition.
It is very distressing to see the patients dying with brain hemorrhage. Medically, this is called as intracranial bleeding or hemorrhage. A simple cycle leads to this fatal condition. High blood pressure leads to increasing pressure inside the blood vessels, and brain vessel being delicate ruptures leading to hemorrhage or blood flow into the brain. Most commonly, increased blood pressure is the culprit. Most of the time, patients do not recover and succumb to death.
Could we prevent this death? The answer is yes. The simple measure to prevent such death is just to keep the blood pressure under control.
In most of the patients, there is no symptom and person comes to emergency with the history of sudden unconsciousness. When blood pressure is checked, it is found to be elevated, and CT scan shows a large amount of blood in the brain. So, a seemingly normal person dies due to the brain hemorrhage. It is a common presentation of the patients with high blood pressure. Fortunately, some patients get symptoms like headache, dizziness, uncomfortable feeling, chest pain, etc., when their blood pressure rises.
What Can We Do to Prevent Such Death?
As we discussed earlier, we need to control the blood pressure. But, we can control only if we know that we have high blood pressure. So, one has to be vigilant for the symptoms mentioned above. Also, each and every person say in his or her 40s or 50s should get their blood pressure checked periodically. It is more important to be cautious if they have a family history of high blood pressure, obesity, diabetes, smoking or other risk factors. If the patient is a known case, then he should check blood pressure more frequently and with any new symptoms.
Measures to Reduce Blood Pressure:
Once detected, we should make changes in our lifestyle to control high blood pressure like low salt diet, regular exercises, reducing weight, having green leafy vegetables, avoiding meat, smoking, and alcohol. Also, along with this, we should regularly take medicines prescribed by the doctor.
The common misconception is that many patients discontinue medicine once blood pressure is controlled because they think it is cured and they do not need medicine. Patient's with blood pressure need to be on medicine life long with the change in dosage at regular intervals.
One should buy an electronic blood pressure apparatus for home BP measurements, as these are more reliable than a single reading taken in the hospital. One should make the chart of blood pressure and get it reviewed by the doctor. Some blood pressure medicines can cause side-effects, but this should be discussed with the doctor and medicine, or dose should be modified, but medicine should not be discontinued on own.
Hope this helps you in increasing your knowledge regarding this condition, and your awareness can save some lives.
To know further about the prevention of intracranial bleeding, consult a brain hemorrhage specialist online --> https://www.icliniq.com/ask-a-doctor-online/neuro-surgeon/brain-hemorrhage
Brain hemorrhage occurs due to the brain bursting of the arteries causing localized bleeding, and the person can lead to death within 12 to 24 hours if the bleeding is extensive and rapid. About 30 to 60% of people with intracerebral hemorrhage die, and also, patients with ruptured aneurysms or subarachnoid hemorrhages also do not survive long enough to reach the hospital.
Brain hemorrhage, also called a brain bleed, occurs due to:
- Brain tumor.
- High blood pressure.
- Injury or head trauma.
- Aneurysm leading to stroke.
- Blood vessel abnormalities.
- Amyloid angiopathy.
- Bleeding disorders.
- Liver disease.
The brain hemorrhage can be a congenital deformity or may occur due to other health conditions where the brain bleed-
- Can reduce the oxygen delivery to the brain.
- Can weaken the blood vessel.
- Creates extra pressure in the brain.
- Kills the brain cells.
Blood irritates the tissues around the brain, creates pressure on the brain tissue, and initially, the symptoms will be unknown. Later, patients will experience a combination of symptoms like:
- Severe headache.
- The first episode of seizure.
- Change in vision.
- Loss of consciousness, coordination, and balance.
- Difficulty in swallowing.
- Abnormal taste sensation.
- Weakness in the arms or legs.
- Difficulty in reading and writing.
- Hand tremors.
- Difficulty in speech.
For people with a brain hemorrhage, the recovery rate is slow, and many deaths occur within two days. In contrast, very few people recover completely or near-complete functioning within 30 days of stroke. After the hemorrhagic stroke, the survival rate is 26% for a period of five years, and a better survival rate prognosis is seen among:
- Young people.
- People without hypertension.
- Without alcohol intake.
- Without diabetes mellitus.
As stress can increase blood pressure, it causes the blood vessel walls to rupture, leading to brain hemorrhage. It is a type of hemorrhagic stroke where strong emotions like mood upset or anger raise the blood pressure and subsequently results in brain hemorrhage.
The four types of hemorrhage are:
- Epidural hematoma - Collection of blood outside of a blood vessel.
- Subdural hematoma - Collection of blood on the surface of your brain associated with traumatic brain injury.
- Subarachnoid hemorrhage - Collection of blood between the brain and the tissue covering the brain.
- Intracerebral hemorrhage - A life-threatening condition causing bleeding inside the brain.
A brain hemorrhage can be prevented by:
- Treating high blood pressure.
- Do not smoke.
- Do not consume unnecessary drugs like cocaine.
- Drive carefully, and wear your seat belt.
- If you ride a motorcycle, always wear a helmet.
- In case of an aneurysm, go for surgery to avoid bleeding.
Brain hemorrhage is a life-threatening condition where its seriousness and the rate of brain bleeding depends on:
- Age of the patient.
- The overall health of the patient.
- Location inside the skull.
- The intensity of the bleed.
- Amount of time taken to pass between the bleed and treatment.
The parts of the brain damaged by the hemorrhage are:
- Epidural hematoma -Bleeding occurs between the tough outer membrane covering the brain.
- Subdural hematoma - Bleeding occurs between the inner layer of the dura mater and the arachnoid mater of the meninges surrounding the brain.
- Subarachnoid hemorrhage - Bleeding occurs in the subarachnoid space (the area between the arachnoid membrane and the pia mater surrounding the brain).
- Intracerebral hemorrhage - The bleeding occurs in the lobes, pons, and cerebellum of the brain.
Last reviewed at:
07 Sep 2018 - 2 min read
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