Hemorrhage in the Brain

Hemorrhage in the Brain

Dr. Prompong Peeraboon

Neurological Surgeon, Vibhavadi Hospital

Cerebral hemorrhage, also known as bleeding in the brain, is a condition that can lead to disabilities or even life-threatening situations. The majority of cerebral hemorrhages occur due to three main causes:

1.Small blood vessel rupture in the brain caused by vascular damage, high blood pressure, or diabetes.

2.Alteration of the cerebral ischemic state leading to bleeding.

3.Abnormal conditions such as arteriovenous malformation (AVM) or certain types of brain tumors.

Treatment Approach:

Typically, when cerebral hemorrhage occurs, initial treatment involves medication. However, a significant number of patients require surgical intervention. There are two commonly used surgical methods:

1.Open craniotomy, which involves removing the blood clot from the brain through a surgical opening in the skull.

2.Stereotactic aspiration, a technique in which a special device is used to puncture and drain the blood clot in the brain. This method minimizes patient trauma, promotes faster recovery, and allows for a smaller incision. Regardless of whether the patient receives medical treatment or undergoes surgery, physical therapy and rehabilitation are often crucial for restoring normal physical function. The rehabilitation process is usually time-consuming and requires the patient's perseverance and cooperation.

Risk Factors for Cerebral Hemorrhage:

1.Hypertension.

2. Disorders affecting blood coagulation due to medication preventing blood from clotting properly.

3.Poorly controlled diabetes.

4.High levels of blood lipids.

It is evident that the aforementioned diseases often do not exhibit noticeable symptoms or only present mild symptoms. Therefore, regular physical examinations play a vital role in reducing the risk of cerebral hemorrhage. Treating these underlying risk factors not only reduces the chances of bleeding in the brain but also decreases the likelihood of other complications such as heart and kidney diseases.