Intracerebral hemorrhage treatment

intracerebral hemorrhage

Intracerebral Hemorrhage

What is Intracerebral Hemorrhage?

Intracerebral hemorrhage (ICH) is when blood suddenly bursts into brain tissue, causing damage to your brain.

Symptoms usually appear suddenly during ICH. They include headache, weakness, confusion, and paralysis, particularly on one side of your body. The buildup of blood puts pressure on your brain and interferes with its oxygen supply. This can quickly cause brain and nerve damage.

This is a medical emergency requiring immediate treatment. ICH isn’t as common as ischemic stroke (which occurs when a blood vessel to your brain is blocked by a clot), but it’s more serious.

Treatment depends on the amount of blood and the extent of brain injury that has occurred. Because the most common cause of ICH is related to high blood pressure, getting your blood pressure lowered and under control is the first key step. Sometimes surgery is required to relieve pressure from the accumulation of blood and to repair damaged blood vessels.

Long-term treatment depends on the hemorrhage location and the amount of damage. Treatment may include physical, speech, and occupational therapy. Many people have some level of permanent disability.

About Iranian Surgery

Iranian surgery is an online medical tourism platform where you can find the best neurosurgeons in Iran. The price of Intracerebral Hemorrhage treatment in Iran can vary according to each individual’s case and will be determined by the type of treatment you have and an in-person assessment with the doctor.

For more information about the cost of Intracerebral Hemorrhage treatment in Iran and to schedule an appointment in advance, you can contact Iranian Surgery consultants via WhatsApp number 0098 901 929 0946. This service is completely free.

Before Intracerebral Hemorrhage Treatment

Symptoms

What are the symptoms of intracerebral hemorrhage?

Symptoms of ICH include:

. Sudden weakness, tingling, or paralysis in your face, arm, or leg, especially if it occurs on only one side of your body

. Sudden onset of severe headache

. Trouble swallowing

. Trouble with vision in one or both eyes

. Loss of balance and coordination, dizziness

. Trouble with language skills (reading, writing, speaking, understanding)

. Nausea, vomiting

. Apathy, sleepiness, lethargy, loss of consciousness

. Confusion, delirium

What are the causes of intracerebral hemorrhage?

High blood pressure is the most common cause of ICH. In younger people, another common cause is abnormally formed blood vessels in the brain.

Other causes include:

. Head injury or trauma

. Ruptured cerebral aneurysm (a weak spot in a blood vessel that bursts)

. Arteriovenous malformation (a grouping of malformed blood vessels in your brain that disrupts normal blood flow)

. Use of blood thinners

. Bleeding tumors

. Cocaine or methamphetamine use (which can cause severe hypertension and lead to hemorrhage)

. Bleeding disorders (for example, hemophilia or sickle cell anemia)

Anyone can have an ICH, but your risk increases with age. Men are at slightly higher risk than women. Middle-aged people of Japanese or African-American descent are also at risk for ICH.

How is intracerebral hemorrhage diagnosed?

If you have some symptoms of ICH, a doctor will perform a neurological exam. Imaging tests determine if you’re having an ischemic stroke (blockage) or a hemorrhagic stroke (bleeding).

Diagnostic testing for ICH may include a CT scan. This type of test creates images of your brain, which can confirm bleeding, and also assess for other evidence of trauma to your head.

An MRI scan may help your doctor see your brain more clearly to better identify the cause of the bleeding.

An angiogram uses X-ray technology to take pictures of blood flow within an artery, and can reveal any abnormalities with the blood vessels themselves, such as aneurysms or arteriovenous malformations.

Blood tests can identify immune system disorders, inflammation, and blood clotting problems that can cause bleeding in your brain.

What are the complications of intracerebral hemorrhage?

Depending on the location of the hemorrhage and how long your brain was without oxygen, complications may include:

. Impaired language skills

. Fatigue

. Problems with swallowing

. Vision loss

. Difficulty with sensations or movements on one side of the body

. Pneumonia

. Cognitive dysfunction (memory loss, difficulty reasoning), confusion

. Swelling on the brain

. Seizures

. Depression, emotional problems

. Fever

During Intracerebral Hemorrhage Treatment

How is intracerebral hemorrhage treated?

Treatment within the first three hours of the onset of symptoms generally results in a better outcome.

Surgery can relieve pressure on your brain and repair torn arteries. Certain medications can help manage symptoms, such as painkillers to ease severe headaches. Drugs may be necessary to control blood pressure. If your doctor determines that you’re at risk for seizures, you may need to take antiepileptic drugs.

Long-term treatment will be needed to overcome symptoms caused by damage to your brain. Depending on your symptoms, treatment may include physical and speech therapy to help restore muscle function or improve communication. Occupational therapy may help you regain certain skills and independence by practicing and modifying everyday activities.

After Intracerebral Hemorrhage Treatment

How can I prevent intracerebral hemorrhage?

You can decrease your chances of ICH by:

. Not smoking

. Treating heart disease

. Treating high blood pressure

. Keeping diabetes under control

. Maintaining a healthy lifestyle

What is the long-term outlook?

Recovery following ICH differs greatly from person to person and will depend on a variety of factors. These include your age and overall health, the location of the hemorrhage, and the extent of the damage.

Some people may take months or years to recover. Most ICH patients have some long-term disability. In some cases, around-the-clock or nursing home care may be necessary.

Stroke support groups can help people and families cope with long-term care. Your doctor or hospital can provide information about support groups that meet in your area.

Source:

. https://www.healthline.com/health/lobar-intracerebral-hemorrhage

10 common questions about Intracerebral hemorrhage treatment

1Can you survive intracerebral hemorrhage?
Many patients who have experienced a brain hemorrhage do survive. However, survival rates are decreased when the bleeding occurs in certain areas of the brain or if the initial bleed was very large. If a patient survives the initial event of an intracranial hemorrhage, recovery may take many months
2Can cerebral hemorrhage be treated?
Treatment for bleeding in the brain depends on the location, cause, and extent of the hemorrhage. Surgery may be needed to alleviate swelling and prevent bleeding. ... These include painkillers, corticosteroids, or diuretics to reduce swelling, and anticonvulsants to control seizures
3What is the difference between intracranial and intracerebral hemorrhage?
An intracranial hemorrhage is a type of bleeding that occurs inside the skull (cranium). Bleeding around or within the brain itself is known as a cerebral hemorrhage (or intracerebral hemorrhage). Bleeding caused by a blood vessel in the brain that has leaked or ruptured (torn) is called a hemorrhagic stroke.
4What are 3 types of hemorrhage?
Note that there are three different types of hemorrhage in the same patient: subdural hematoma, intraparenchymal hemorrhage (from contusion), and subarachnoid blood.
5How long can you live with brain hemorrhage?
Hemorrhagic stroke is life threatening. Many of these deaths occur within the first two days. For those who survive a brain hemorrhage, recovery is slow. A minority of people are able to recover complete or near-complete functioning within 30 days of the stroke.
6How long do you live after a hemorrhagic stroke?
The survival rate after hemorrhagic stroke was 26.7% within a period of five years. Long-term survival rate prognosis is significantly better among the younger patients, without hypertension, alcohol intake and diabetes mellitus
7Why are hemorrhagic strokes worse than ischemic?
Those who suffer ischemic strokes have a much better chance for survival than those who experience hemorrhagic strokes, as hemorrhagic stroke not only damages brain cells but also may lead to increased pressure on the brain or spasms in the blood vessels [9]
8What is the life expectancy after a hemorrhagic stroke?
The estimated survival rate for hemorrhagic strokes is around 26.7%. If you think about it, that is basically 1 in every 4 people that have a hemorrhagic stroke. It is believed that a survival rate for diseases and conditions is life after 5 years after the stroke occurred or longer.
9What is the most common cause of intracerebral hemorrhage?
Intracerebral hemorrhage (ICH) is caused by bleeding within the brain tissue itself — a life-threatening type of stroke. A stroke occurs when the brain is deprived of oxygen and blood supply. ICH is most commonly caused by hypertension, arteriovenous malformations, or head trauma.
10Is surgery necessary for brain hemorrhage?
Surgery may be necessary to treat a severe brain hemorrhage. Surgeons may operate to relieve some of the pressure on the brain. If a burst cerebral aneurysm causes a hemorrhage, a surgeon may remove part of the skull and clip the artery. This procedure is called a craniotomy.

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