Hemorrhagic Stroke

Hemorrhagic Stroke is the most drastic form of stroke attacks; can cause the sudden death of a patient.

Hemorrhagic Stroke picture

The brain is a very sensitive organ that it can easily bleed and damage abruptly. This is the pathologic reason why Hemorrhagic Heart Disease Stroke occurs when a blood vessel in the brain burst. Bleeding can irritate the brain structures that can cause swelling. The blood coming from the ruptured vessel will be collected and a mass of blood will form, termed as hematoma. Since hematoma is not a normal part of the brain, it can add the pressure inside the brain by pressing itself against the hard skull that protects the brain membranes.

How is Hemorrhagic Stroke Diagnosed?

Emergency conditions such as this, needs to have high definition screening tests. The first set of exams is categorized as Imaging Examinations. It involves the use of equipments to provide the physician a detailed image of the brain where they can base their diagnosis and treatment for the condition.

A CT scan is one of the widely used imaging tests. It uses X-rays that passes through the head of the patient that are evaluated by a computer scanner to form a distinctive picture of a region being examined. During this procedure, the head is placed inside the scanner’s cylinder. The head scan produce 10-30 slices that are turned into images. The outcome of this procedure is a highly definite image of the head involving the eyes, skull, sinuses within the bones and around the nose and specially the brain. It is the most frequent test given to a patient who is suspected to have Hemorrhagic Stroke. This scan can provide essential information regarding the origin of the attack.

MRI or the Magnetic Resonance Imaging is also a form of imaging tests. It can create images utilizing a large magnetic field. It has the ability to show the extent of brain damage and location. Thus, the pictures are sharper and more distinct. It can determine if there is occlusion of blood flow or bleeding within the tissue. This equipment is a lot sensitive than a CT scan in determining the changes due to the lack of oxygen to the brain tissues.

Another batch of test consist of Electrical Activity Tests. It records the brain’s electrical impulses. EEG or Electroencephalogram and evoked response tests are two examples for this batch of tests. In EEG, the electrodes are attached to the patient’s scalp to lift up electrical impulses that are in black and white as brain waves. Evoked response test measures the capabilities of the brain to handle sensory information by utilizing electrodes that documents electrical impulses connected to sensation and hearing.

Blood Flow Tests are another group of diagnostic tools to evaluate a patient suspected to have stroke. It divulges problem concerning the blood flow to the brain. These tests require the introduction of instruments to the vessels especially on the neck arteries. It comprises of Angiography, Duplex Scans, Magnetic Resonance Angiography and Echocardiography.

What are the Complications associated to Hemorrhagic Stroke?

Potential consequences may arise during and after the attack including acute hydrocephalus and cerebral vasospasm. The immediate complication of Hemorrhagic Stroke is cerebral hypoxia. This is due to the fact that during this condition, the blood supply to the brain is disrupted. A seizure may also come about that can aggravate the injury of the brain.

Cerebral vasospasm is the narrowing of the cranial blood vessel’s lumen; a serious complication of Hemorrhagic Stroke more specifically, subarachnoid hemorrhage. Vasospasm is linked to the increased amounts of bleeding in the subarachnoid space and cerebral fissures. It can lead to an increase in vascular resistance which hinders the cerebral blood supply and causes ischemia in the brain tissues, as well as infarction. Increased ICP can happen after a Hemorrhagic Stroke due to the pooling of blood inside the brain beneath the skull.

Systematic hypertension is a critical consequence of intracerebral hemorrhage. The specific outcomes for every patient’s blood pressure management are individualized because each patient has a diverse range of normal blood pressures. The systolic blood pressure should be lesser than 150mmHg.

What are the Stroke Treatments for Hemorrhagic Attack?

The goals of the treatment for Diseases of the Heart related to Hemorrhagic Stroke are to permit the brain to recuperate from the damages; to prevent the risk of recurrent bleeding and to treat complications. Management is chiefly supportive and compose of bed rest accompanied by sedation to prevent stress and agitation, treating vasospasm and medical or surgical managements to avert bleeding. Analgesics such as acetaminophen and codeine may be given for neck and head pain. To avert the incidence of DVT or deep vein thrombosis that can result from long term inactivity of the patient due to the incapacities that the condition have resulted to; the patient will be fitted in sequential compression devices.