Preliminary symptoms of cerebral hemorrhage

Written by Zhang Hui
Neurology
Updated on November 25, 2024
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Cerebral hemorrhage is a severe and sudden onset condition that usually starts without any prodromal symptoms, manifesting as hemiplegia, severe headaches, or even coma. However, some patients may exhibit certain early symptoms, which mainly include: First, headache, which is not particularly severe, is tolerable, but typically affects the forehead and both temporal areas. Second, patients generally have very high, hard-to-control blood pressure. If the blood pressure is extremely high and difficult to manage, the possibility of cerebral hemorrhage should be considered. Third, in the early stages of cerebral hemorrhage, patients may experience symptoms such as dizziness, blurred vision, and general weakness. Overall, the early symptoms of cerebral hemorrhage are not particularly typical. If a patient with high blood pressure becomes hard to manage, experiences slight headaches, dizziness, blurred vision, and some nausea, these may be indicative of the early symptoms of cerebral hemorrhage.

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Written by Jiang Fang Shuai
Neurosurgery
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How is cerebral hemorrhage treated?

The treatment for brain hydrocephalus includes conservative medical treatment and surgical intervention. Conservative medical treatment is primarily for patients with a lesser amount of bleeding, using methods such as hemostasis, brain protection, dehydration to reduce intracranial pressure, and maintaining electrolyte balance for symptomatic support treatment. For bedridden patients, it's also necessary to prevent and treat various complications such as pulmonary infections, urinary system infections, and venous thrombosis. Surgical treatment is mainly for patients with a larger volume of bleeding, approximately 30mL of cerebrospinal fluid bleeding, cerebellar bleeding over 10mL, or cerebellar bleeding less than 10mL but causing brainstem compression. Patients with hydrocephalus should actively consider surgery to remove the hematoma. The decision to perform decompressive craniectomy is based on preoperative and intraoperative findings. In some cases, where the brain compression is not severe, or in elderly patients who have poor tolerance for surgery, minimally invasive surgery to remove the hematoma may be considered.

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Written by Liu Yan Hao
Neurology
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How to treat cerebral hemorrhage?

The treatment of cerebral hemorrhage is a comprehensive approach. During the acute phase of cerebral hemorrhage, it is necessary to use some dehydrating and intracranial pressure-lowering drugs to alleviate brain cell edema and prevent the formation of brain herniation, reducing damage to brain cells. Additionally, drugs that eliminate free radicals should be used. During the acute phase, hemostatic drugs can also be used appropriately. Moreover, the most common cause of cerebral hemorrhage is hypertension, so the treatment of cerebral hemorrhage primarily involves stable control of blood pressure, as well as drugs that nourish the nerves, promoting the recovery of damaged brain and nerve cells. Other treatments include the prevention and management of complications such as using anti-infective drugs for concurrent pulmonary infections; for associated gastrointestinal stress ulcers and bleeding, drugs that suppress gastric acid secretion and protect the gastric mucosa along with hemostatic drugs are used, followed by active rehabilitation exercises once the condition is stabilized. Thus, the treatment of cerebral hemorrhage is comprehensive and needs to consider multiple aspects. (Please use medication under the guidance of a professional physician, and do not medicate blindly.)

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Written by Zhang Hui
Neurology
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What should be done about cerebral hemorrhage?

Cerebral hemorrhage is a relatively serious disease. After a cerebral hemorrhage occurs, patients usually experience noticeable headaches, nausea, and vomiting. The onset is relatively rapid, and it may present clinical symptoms such as slurred speech, deviation of the mouth, and paralysis of one side of the body. In severe cases, the patient may become comatose or even die. Once diagnosed with cerebral hemorrhage, it is necessary to immediately rush to the nearest hospital for treatment. It is important to ensure the patient rests in bed, keeps their emotions stable, avoids emotional excitement, and maintains regular bowel movements without straining. If cerebral hemorrhage causes increased intracranial pressure, dehydration medications to reduce intracranial pressure can be used. Additionally, medications to protect brain cells should be used. It is crucial to actively control the patient's blood pressure and, when the condition stabilizes, to perform regular rehabilitative exercises to promote the recovery of neurological functions. If the volume of the cerebral hemorrhage is large and threatens the patient's life, neurosurgery may be needed to save the patient's life.

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Written by Zhang Hui
Neurology
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Symptoms of cerebral hemorrhage vomiting

Many patients with cerebral hemorrhage experience nausea and vomiting. This is primarily because the cerebral hemorrhage can significantly increase intracranial pressure. Elevated intracranial pressure can cause nausea, vomiting, and also lead to papilledema. The general treatment for vomiting symptoms caused by cerebral hemorrhage is as follows: First, patients should maintain stable rest and keep a calm mood without large emotional fluctuations. Second, patients can be administered intravenous dehydration drugs to reduce intracranial pressure, which can also alleviate symptoms of vomiting. Third, patients should be fed soft, easily digestible food. Fourth, antiemetic drugs can be injected intramuscularly for symptomatic treatment. (Please use medicines under the guidance of a professional physician and do not self-medicate.)

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Written by Tang Li Li
Neurology
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Is cerebral hemorrhage dangerous?

Cerebral hemorrhage is a type of acute cerebrovascular accident and is quite dangerous. The risk associated with cerebral hemorrhage is directly related to the amount of bleeding and the location of the bleed. Generally, if it is an ordinary lobar hemorrhage and the volume of blood is less than 30 milliliters, the risk is relatively low, and conservative medical treatment may be sufficient. However, if the bleeding exceeds 30 milliliters, there is an indication for surgery. Without surgery, conservative treatment may lead to an increase in hematoma and progressive surrounding edema, which could compress the brainstem, cause brain herniation, and lead to respiratory and circulatory failure, posing a life-threatening risk. Hemorrhages in the brainstem and cerebellum are even more dangerous. The brainstem is the center of vital functions, including the centers for breathing and heart rate. Typically, a bleeding volume exceeding 5 milliliters in the brainstem can lead to patient death. Since the cerebellum is close to the brainstem and might compress it, a bleeding volume exceeding 10 milliliters in the cerebellum often warrants consideration for surgery.