"Violent headache" is a precursor to cerebral hemorrhage! Doctors reveal 7 major symptoms: mortality rate exceeds 30%
What are the risk factors for cerebral hemorrhage? Mortality rate higher than infarct stroke
I just have an uncomfortable headache, but could it be a sign of “cerebral hemorrhage”? Dr. Zhong Yijun, Department of Neurology, New Taipei City Hospital , said in an interview that cerebral hemorrhage can be divided into traumatic cerebral hemorrhage and spontaneous cerebral hemorrhage. Traumatic cerebral hemorrhage is usually caused by car accidents and trauma, while spontaneous cerebral hemorrhage is most related to hypertension. The mortality rate of cerebral hemorrhage may reach more than 30%. As long as you feel unwell, you should seek medical examination as soon as possible.
Stroke is the second leading cause of death after cancer. Dr. Zhong Yijun said that stroke is divided into infarct stroke and hemorrhagic stroke. Spontaneous cerebral hemorrhage refers to the rupture of cerebral blood vessels leading to bleeding in the brain, which in turn compresses brain tissue and causes neurological symptoms. Hemorrhagic stroke accounts for about 30% to 40% of all strokes, but is more dangerous than infarct stroke, with a statistically significant mortality rate of about 30%.
“Unstable blood pressure is the most important cause of cerebral hemorrhage that requires attention!” Dr. Zhong Yijun pointed out that the most common cause of spontaneous cerebral hemorrhage is high blood pressure. In addition, vascular malformation, a history of aneurysm, long-term poor control of high blood pressure, and taking anticoagulant drugs All may be related. The main risk factors include age, drugs, obesity, tobacco and alcohol addiction, liver and kidney diseases, drug abuse, etc.
What are the main symptoms of cerebral hemorrhage? Severe headaches seek medical attention immediately
“Sometimes it is difficult to tell whether cerebral hemorrhage is spontaneous or traumatic, because the patient may fall or be in a car accident during the bleeding. It must be judged through computerized tomography, past medical history, and the location of the bleeding.” Dr. Zhong Yijun said that when patients with bleeding appear quickly, Loss of consciousness is likely to significantly affect the prognosis of the disease. As long as you feel unwell, it is best to receive relevant examinations as soon as possible.
Dr. Zhong Yijun explained that the most obvious symptoms of cerebral hemorrhage are similar to those of stroke, including numbness, limb weakness, difficulty swallowing, and blurred vision. Severe cerebral hemorrhage may cause “breaking headaches” and neck stiffness, persistent vomiting, and loss of consciousness. If you have unexplained syncope, or have unprecedented severe headaches, or neck stiffness and discomfort, you should be alert.
Can young people also suffer from cerebral hemorrhage? Dr. Zhong Yijun explained that the most common cause of cerebral hemorrhage in young people is vascular malformation, which is usually difficult to detect when there are no symptoms. In addition, hypertension is becoming younger, and many people have high blood pressure in their 30s and 40s. If combined with obesity, tobacco and alcohol problems, it may increase the risk of cerebral hemorrhage.
What are the treatments for cerebral hemorrhage? Long-term rehabilitation is still required after the acute phase
The treatment of hemorrhagic stroke is also different from that of infarct stroke. Dr. Zhong Yijun explained that the treatment of infarct stroke mainly involves administering thrombolytic agents within 3 hours or performing arterial thrombectomy surgery. However, patients with cerebral hemorrhage whose blood vessels have ruptured will immediately ask a neurosurgeon to evaluate whether they are suitable for surgery.
For patients who are not suitable for surgery, blood pressure control will be the main focus. They may need to be observed in the intensive care unit for several days. The patient’s neurological and clinical symptoms will be closely monitored to see if the amount of bleeding worsens. The need for surgery may still be re-evaluated due to changes. Drain or place a drainage tube.
When a blood vessel in the brain ruptures and compresses normal brain tissue, it may affect different brain areas responsible for processing consciousness, limbs, etc. Even after the acute phase, optic nerve damage still requires long-term rehabilitation and blood pressure control.
Dr. Zhong Yijun also explained that patients with cerebral hemorrhage must also be checked for special causes or potential vascular problems after the acute stage. If you have a chronic medical history or suffer from coagulation disease, you should actively control the treatment to avoid recurrence of cerebral hemorrhage.
How to prevent stroke? Pay attention to work and rest and control high blood pressure
How can ordinary people prevent stroke? Dr. Zhong Yijun reminds you to pay more attention to physical warning signs and seek medical evaluation as soon as possible when you have headaches and discomfort. Lifestyle habits, sleep, work and rest, and stress should also be adjusted appropriately, as well as maintain a good weight, quit smoking and drinking, and have regular health check-ups. Keep warm when the temperature changes greatly.
“High blood pressure that is not well controlled for a long time will lead to unstable blood vessels, affecting the brain, heart, kidneys, and limbs!” Dr. Zhong Yijun emphasized that high blood pressure is not only related to cerebral hemorrhage, but also has a profound impact on physical health. He appeals to those with blood pressure problems. People should receive early treatment and take medication regularly to maintain blood pressure stability and reduce the risk of major diseases such as cerebral hemorrhage.
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