A cerebral hemorrhage is the accumulation of blood in an intracranial area that affects the brain in the vicinity by a compression mechanism.
Causes
The causes may be traumatic or spontaneous.
In the spontaneous ones, the most frequent are due to arterial hypertension, taking anticoagulants or the existence of a vascular malformation that ends up rupturing.
There are 2 main types of traumatic ones: epidural ones, which are very urgent to operate and due to arterial rupture after skull fracture, or subdural ones, which are due to bleeding from a vein, slow but constant and can wait for surgery for a longer time, depending on the patient’s condition, which is what really makes the indication.
Symptoms
The symptoms are usually headache and loss of strength in the limbs opposite to the area of injury or speech disturbances. If the hemorrhage is very large, it is accompanied by alterations in the level of consciousness that can lead to neurological coma.
Treatment
The treatment is very personalized for each patient and for each type of hemorrhage, but most of the time it is necessary to operate and aspirate the blood, but there is no general rule.
Afterwards, the sequelae, if any, must be rehabilitated and blood pressure must be monitored.