A life-threatening situation: Early diagnosis and immediate intervention save lives.
What is a Brain Hemorrhage?
A brain hemorrhage is the accumulation of blood in or around the brain tissue due to a ruptured blood vessel. This causes sudden increased pressure on the brain and can cause serious neurological damage. It is a life-threatening condition that requires immediate intervention.
Main Types of Brain Hemorrhage
Intracerebral Hemorrhage : Bleeding into the brain tissue
Subarachnoid Hemorrhage : Bleeding between the meninges, near the surface of the brain.
Subdural Hematoma : Blood accumulation under the brain membrane, usually developing after trauma.
Epidural Hematoma : Traumatic bleeding between the skull and the meninges
Symptoms
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Sudden and very severe headache
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Confusion or loss of consciousness
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Weakness or paralysis in half of the body
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Speech disorder
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Vomiting, seizures
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Eye misalignment or vision impairment
When these symptoms are seen, emergency medical help should be sought without delay.
Diagnosis
Brain CT : It is the first line examination, bleeding can be clearly seen.
Brain MRI : Evaluation of the extent of bleeding and accompanying lesions
CT Angiography / DSA : The presence of vascular rupture or aneurysm is investigated.
Neurological and consciousness examination : Evaluation with GCS (Glasgow Coma Scale)
Treatment Options
Drug Treatment (Conservative):
Blood pressure control
Drugs that reduce cerebral edema
Anticonvulsants (seizure preventers)
Surgical intervention:
Evacuation of large hematoma
Clipping / endovascular intervention in the presence of aneurysm or AVM
Craniotomy or burr-hole drainage for subdural hematomas
Intensive Care Follow-up:
Close monitoring of brain pressure, respiration and vital signs
Intubation and mechanical ventilation may be required
Post-Operative Process
Neurological follow-up
Rehabilitation program (If necessary) (Physical therapy, speech therapy)
MRI follow-up
EEG monitoring and medication monitoring for seizure risk
Multidisciplinary support (neurology, physical therapy, intensive care, psychology)
Frequently Asked Questions (FAQ)
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Will brain hemorrhage recur?
If the underlying cause is left untreated, the risk persists. Factors such as aneurysms and hypertension should be kept under control. -
Can brain hemorrhage be completely cured?
It varies depending on the situation. Post-surgical intensive care and neurorehabilitation are vital. -
Does epilepsy develop after bleeding?
It may develop in some patients. It is monitored with an EEG and, if deemed necessary, treatment is initiated.
